Wagena Edwin J, Kant Ijmert, Huibers Marcus J H, van Amelsvoort Ludovic G P M, Swaen Gerard M H, Wouters Emiel F M, van Schayck Constant P
Department of General Practice, Care and Public Health Research Institute (CAPHRI), Maastricht University, The Netherlands.
Eur J Epidemiol. 2004;19(2):147-53. doi: 10.1023/b:ejep.0000017825.07470.41.
To evaluate if employees with asthma, chronic bronchitis or emphysema can be characterized as a population of patients with a high prevalence of psychological distress and/or depressed mood. Above all, we wanted to examine the influence of smoking status on the relationship between chronic disease and psychological distress/depressed mood.
A postal survey was conducted among 12,103 employees participating in the Maastricht Cohort Study.
Smoking employees, who reported having asthma, chronic bronchitis or emphysema were more likely to report suffering from depressed mood compared to smokers with no long-lasting disease (prevalence rate, PR: 29.3 and 9.0%, respectively; OR for depressed mood = 4.04; 95% CI: 2.56-6.39) and when compared to smoking employees with a history of heart disease, hypertension or myocardial infarction (PR: 18.1%; OR: 1.99; 95% CI: 1.07-3.68), or rheumatoid arthritis (PR: 20.1%; OR: 1.73; 95% CI: 0.96-3.11).
These findings provide health care professionals with additional evidence regarding the importance for including the assessment of psychological distress and depressed mood in the routine evaluation of the patient with asthma, chronic bronchitis or emphysema, especially with regard to smoking cessation.
评估患有哮喘、慢性支气管炎或肺气肿的员工是否可被视为心理困扰和/或情绪低落患病率较高的患者群体。最重要的是，我们想研究吸烟状况对慢性病与心理困扰/情绪低落之间关系的影响。
对参与马斯特里赫特队列研究的12103名员工进行了邮寄调查。
报告患有哮喘、慢性支气管炎或肺气肿的吸烟员工比没有长期疾病的吸烟者更有可能报告情绪低落（患病率分别为29.3%和9.0%；情绪低落的比值比=4.04；95%置信区间：2.56 - 6.39），与有心脏病、高血压或心肌梗死病史的吸烟员工相比（患病率：18.1%；比值比：1.99；95%置信区间：1.07 - 3.68），或与类风湿性关节炎患者相比（患病率：20.1%；比值比：1.73；95%置信区间：0.96 - 3.11）也是如此。
这些发现为医护人员提供了更多证据，证明在对哮喘、慢性支气管炎或肺气肿患者进行常规评估时，包括对心理困扰和情绪低落的评估非常重要，尤其是在戒烟方面。
