[Gender differences in mental health: epidemiological study in the general population of the island of Formentera].

M Gili, V Ferrer, M Roca, M Bernardo
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Abstract

The epidemiological data of prevalence of mental disorders according to gender differences are controversial. We analysed the prevalence among men and women via a two-stage epidemiological community study using the GHQ-28 and the SCAN on the island of Formentera (Spain). There are no sex differences in total prevalence; nevertheless some significant differences are detected when data is analysed on specific disorders. Affective disorders, sleep disorders and neurotic and somatoform disorders are more prevalent among women, whereas men have more psychoactive substance use disorders. Comorbidity with medical illness are higher in women but differences are not significant. These findings suggest the need to standardise procedures and instruments in these kinds of studies. This is because one of the bias could be the difference in the number of disorders included in the instrument design used (in our study, sleep disorders and psychoactive substance use disorders were included and personality disorders were excluded.

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[心理健康方面的性别差异:福门特拉岛一般人口的流行病学研究]。
根据性别差异对精神障碍患病率的流行病学数据存在争议。我们在Formentera岛(西班牙)使用GHQ-28和SCAN进行了一项两阶段流行病学社区研究,分析了男性和女性的患病率。总体患病率没有性别差异;然而,当对特定疾病的数据进行分析时,发现了一些显著的差异。情感障碍、睡眠障碍、神经症和躯体形式障碍在女性中更为普遍,而男性则有更多的精神活性物质使用障碍。女性与内科疾病的合并症较高,但差异不显著。这些发现表明,在这类研究中,有必要使程序和工具标准化。这是因为其中一个偏差可能是所使用的仪器设计中包括的障碍数量的差异(在我们的研究中,包括睡眠障碍和精神活性物质使用障碍,排除人格障碍)。
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