高校学生非精神病性精神障碍新发病例的调查结果

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The survey was conducted in the intersessional period. Results. Evaluation of primary cases of NPD, which were detected during re-examination, was performed among practically healthy students based on the results of the fi rst examination and compared the data with the structure of NPD, which we diagnosed in the entire cohort of subjects studied in the fi rst cross section. The majority of students in whom the initial examination revealed no mental pathology remained virtually healthy after a year (858 people, 93.46%). Analyzing the structure of NPD, which arose during this period in this contingent, was narrower in comparison with the identifi ed patients at the initial examination. Mainly, NPD were represented by aff ective disorders (F30.0, F32.0, F34.0) and neurotic, stress-related and somatoform disorders (F40.1, F41.2, F42.0, F43.20, F43 .21, F43.22). An interesting fact was that in the structure of the NPD detected during the re-examination there were no other, than previously diagnosed during the initial examination, the category of mental pathology according to ICD-10. Conclusions. Thus, mainly NPD of aff ective (1.2%) represents the structure of new cases of NPR diagnosed during the year of study and neurotic registers (5.34%) (In the ratio ≈ 1/5, respectively), so other forms of mental pathology occur more quickly in period before the beginning of training or at long training. 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引用次数: 0

摘要

时事性。近年来观察到精神障碍,特别是边缘性精神障碍的增加趋势,要求寻找新的方法来维持精神健康、预防,特别是非精神障碍的早期诊断。研究的目的。探讨高校学生非精神病性精神障碍新发病例的频率和结构。材料和方法。2015-2017年,我们按照生物伦理学和义务论的原则,对1235名学生进行了连续的综合调查。应用方法:临床、临床-精神病理学、临床-流行病学、临床记忆学、实验-心理学和统计学。样本在性别、年龄、居住地、教育形式等方面没有显著差异。这项调查是在闭会期间进行的。对复诊时发现的NPD原发病例进行评估,根据第一次检查的结果,对实际健康的学生进行评估,并将数据与我们在第一次横断面研究的整个队列中诊断出的NPD结构进行比较。在最初的检查中没有发现精神疾病的大多数学生在一年后实际上保持健康(858人,93.46%)。分析在这一时期出现的NPD的结构,与最初检查时确定的患者相比,范围更窄。NPD主要以情绪障碍(F30.0、F32.0、F34.0)和神经症、应激相关及躯体形式障碍(F40.1、F41.2、F42.0、F43.20、f43.21、F43.22)为代表。一个有趣的事实是,在复查期间检测到的theNPD结构中,除了在初次检查中诊断的外,没有其他根据icd -10的精神病理类别。因此,主要是情绪性NPD(1.2%)代表了学习期间诊断的NPR新病例的结构和神经性登记(5.34%)(比例分别为≈1/5),因此其他形式的精神病理在培训开始前或长期培训期间发生得更快。因此,应注重心理预防措施,提高学生的抗压能力和适应能力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Results of the study of the frequency of new cases of non-psychotic mental disorders in students of higher education institutions
Topicality. The trend of increasing mental disorders, especially due to borderline disorders, which has been observed in recent years, requires the search for new approaches to maintaining mental health, prevention and, in particular, early diagnosis of non-psychotic mental disorders (NPD). The aim of the study. Investigate the frequency and structure of new cases of non-psychotic mental disorders in students of higher education institutions. Materials and methods. During 2015-2017, we conducted a continuous comprehensive survey of 1,235 students in compliance with the principles of bioethics and deontology. Applied methods: clinical, clinical-psychopathological, clinical-epidemiological, clinicalanamnestic, experimental-psychological and statistical. The sample did not have signifi cant diff erences in gender and age, place of residence, form of education. The survey was conducted in the intersessional period. Results. Evaluation of primary cases of NPD, which were detected during re-examination, was performed among practically healthy students based on the results of the fi rst examination and compared the data with the structure of NPD, which we diagnosed in the entire cohort of subjects studied in the fi rst cross section. The majority of students in whom the initial examination revealed no mental pathology remained virtually healthy after a year (858 people, 93.46%). Analyzing the structure of NPD, which arose during this period in this contingent, was narrower in comparison with the identifi ed patients at the initial examination. Mainly, NPD were represented by aff ective disorders (F30.0, F32.0, F34.0) and neurotic, stress-related and somatoform disorders (F40.1, F41.2, F42.0, F43.20, F43 .21, F43.22). An interesting fact was that in the structure of the NPD detected during the re-examination there were no other, than previously diagnosed during the initial examination, the category of mental pathology according to ICD-10. Conclusions. Thus, mainly NPD of aff ective (1.2%) represents the structure of new cases of NPR diagnosed during the year of study and neurotic registers (5.34%) (In the ratio ≈ 1/5, respectively), so other forms of mental pathology occur more quickly in period before the beginning of training or at long training. Therefore, it is advisable to focus on psychoprophylactic measures to increase the stress resistance of students and their adaptive capabilities.
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