Stordal Eystein, Bjelland Ingvar, Dahl Alv A, Mykletun Arnstein
Department of Psychiatry, Hospital Namsos, Namsos, Norway.
Scand J Prim Health Care. 2003 Sep;21(3):136-41. doi: 10.1080/02813430310002030.
To examine the relationship between anxiety disorders and depression and various somatic health problems in the general population.
Cross-sectional study with survey methods and clinical examinations.
The Health Study of Nord-Trøndelag, Norway (the HUNT study).
60869 individuals aged 20-89 years.
Anxiety disorder, depression and their comorbidity are categorized based on scores on the Hospital Anxiety and Depression Scale. All somatic health variables are self-reported, while blood pressure, height and weight are measured. Multivariate nominal logistic regression analyses are used to investigate the relationship between somatic variables and the anxiety/depression categories.
Most somatic health variables show a stronger association with comorbid anxiety disorder/depression than with anxiety disorder or depression alone. About one-third of individuals reporting somatic health problems also have anxiety disorder and/or depression.
Somatic health problems carry a high risk of both anxiety disorder and depression. Active identification and treatment of these co-occurring mental disorders are of practical importance.
研究普通人群中焦虑症、抑郁症与各种躯体健康问题之间的关系。
采用调查方法和临床检查的横断面研究。
挪威北特伦德拉格郡健康研究（HUNT研究）。
60869名年龄在20 - 89岁之间的个体。
根据医院焦虑抑郁量表的得分对焦虑症、抑郁症及其共病情况进行分类。所有躯体健康变量均为自我报告，同时测量血压、身高和体重。采用多变量名义逻辑回归分析来研究躯体变量与焦虑/抑郁类别之间的关系。
大多数躯体健康变量与共病焦虑症/抑郁症的关联比与单纯焦虑症或抑郁症的关联更强。报告有躯体健康问题的个体中约三分之一同时患有焦虑症和/或抑郁症。
躯体健康问题同时伴有焦虑症和抑郁症的高风险。对这些共病精神障碍进行积极识别和治疗具有实际意义。
