Prevalences of Schizophrenia, Bipolar Disorder, and Depressive Disorders in Community between Taiwan and Other Countries

社區中精神分裂症、雙極型疾患、憂鬱症在臺灣與其他國家的盛行率

楊逸鴻(Yi-Hong Yang) ； 葉英堃(Eng-Kung Yeh) ； 胡海國(Hai-Gwo Hwu)

《台灣精神醫學》 26卷2期 (2012/06) Pp. 77-87+2

https://doi.org/10.29478/TJP.201206.0004

摘要

本文以台灣精神疾病研究（Taiwan Psychiatric Epidemiological Project，簡稱為TPEP）成果為基礎，試著與其他十一個不同種族、文化背景國家、地區的研究做比較及再分析。所有的研究都採用Diagnostic and Statistical Manual, Third Edition(DSM-lII)診斷準則、Diagnostic Interview Schedule（DIS）問卷、相似的採樣方法。臺灣、香港與中國上海一區的精神分裂症、雙極型疾患、憂鬱症（重鬱症、輕鬱症）的終生盛行率都明顯低於南韓及所有非東方文化背景的國家。儘管我們需要更多基因和生物學的研究來解釋臺灣精神分裂症、雙極型疾患的低盛行率，但仍可觀察到臺灣的文化和家庭系統對這兩種重大疾病盛行的保護作用。

關鍵字

社區中的DSM-III精神疾病 ； 精神分裂症 ； 雙極型疾患 ； 憂鬱症

並列摘要

This overview was intended to re-analyze and compare the findings from the Taiwan Psychiatric Epidemiological Project (TPEP) with those from the other studies conducted in 11 sites with different ethnic and cultural backgrounds, In 1980s, all these studies used criteria from American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorder; Third Edition (DSM- III). Diagnostic Interview Schedule (DIS) in their case identification tool and the identical sampling methods. Taiwan, Hong Kong and a part of Shanghai, China, had significantly lower lifetime prevalence rates (LPRs) for schizophrenia, bipolar disorder and depressive disorders than South Korea and all countries with non-Eastern cultural backgrounds. Although more genetic and biological studies are needed to explain the lower prevalences of schizophrenia and bipolar disorder, we speculate that the cultural and family systems in Taiwan provide protecting effects on those two disorders.

並列關鍵字

DSM-llI mental disorders in community ； schizophrenia ； bipolar disorder ； depressive disorders

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