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The prevalence, age-of-onset and the correlates of DSM-IV psychiatric disorders in the Tianjin Mental Health Survey (TJMHS)

Published online by Cambridge University Press:  17 July 2017

H. Yin ,
G. Xu ,
H. Tian ,
G. Yang ,
K. J. Wardenaar  and
R. A. Schoevers
H. Yin
Affiliation:
Tianjin Mental Health Institute, Tianjin Anding Hospital, Tianjin, China Department of Psychiatry, University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion regulation (ICPE), Groningen, The Netherlands
G. Xu*
Affiliation:
Tianjin Mental Health Institute, Tianjin Anding Hospital, Tianjin, China
H. Tian
Affiliation:
Tianjin Mental Health Institute, Tianjin Anding Hospital, Tianjin, China
G. Yang
Affiliation:
Tianjin Mental Health Institute, Tianjin Anding Hospital, Tianjin, China
K. J. Wardenaar
Affiliation:
Department of Psychiatry, University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion regulation (ICPE), Groningen, The Netherlands
R. A. Schoevers
Affiliation:
Department of Psychiatry, University of Groningen, University Medical Center Groningen, Interdisciplinary Center Psychopathology and Emotion regulation (ICPE), Groningen, The Netherlands
*
*Address for correspondence: G. Xu, M.D. Tianjin Anding Hospital, No. 13 Liulin Road, Hexi District, Tianjin 300222, China. (Email: xugm@ymail.com)
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Abstract

Background

To effectively shape mental healthcare policy in modern-day China, up-to-date epidemiological data on mental disorders is needed. The objective was to estimate the prevalence, age-of-onset (AOO) and sociodemographic correlates of mental disorders in a representative household sample of the general population (age ⩾ 18) in the Tianjin Municipality in China.

Methods

Data came from the Tianjin Mental health Survey (TJMHS), which was conducted between July 2011 and March 2012 using a two-phase design. 11 748 individuals were screened with an expanded version of the General Health Questionnaire and 4438 subjects were selected for a diagnostic interview by a psychiatrist, using the Structured Clinical Interview for the Diagnostic and Statistical Manual – fourth edition (SCID).

Results

The lifetime and 1-month prevalence of any mental disorder were 23.6% and 12.8%, respectively. Mood disorders (lifetime: 9.3%; 1-month: 3.9%), anxiety disorders (lifetime: 4.5% 1-month: 3.1%) and substance-use disorders (lifetime: 8.8%; 1-month: 3.5%) were most prevalent. The median AOO ranged from 25 years [interquartile range (IQR): 23–32] for substance-use disorders to 36 years (IQR: 24–50) for mood disorders. Not being married, non-immigrant status (i.e. local ‘Hukou’), being a farmer, having <6 years of education and male gender were associated with a higher lifetime prevalence of any mental disorder.

Conclusion

Results from the current survey indicate that mental disorders are steadily reported more commonly in rapidly-developing urban China. Several interesting sociodemographic correlates were observed (e.g. male gender and non-immigrant status) that warrant further investigation and could be used to profile persons in need of preventive intervention.

Keywords

Chinaepidemiologymental disorderssurveyTianjin
Type
Original Articles
Information
Psychological Medicine , Volume 48 , Issue 3 , February 2018 , pp. 473 - 487
Copyright
Copyright © Cambridge University Press 2017 

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Footnotes

†

H. Yin and G. Xu contributed equally to this paper.

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