van Hout Hein P J, Beekman Aartjan T F, de Beurs Edwin, Comijs Hannie, van Marwijk Harm, de Haan Marten, van Tilburg Willem, Deeg Dorly J H
Department of General Practice, Institute for Research in Extramural Medicine, VU University Medical Centre, Van der Boechorststraat 7,1081 BT Amsterdam, The Netherlands.
Br J Psychiatry. 2004 Nov;185:399-404. doi: 10.1192/bjp.185.5.399.
There are inconsistent reports as to whether people with anxiety disorders have a higher mortality risk.
To determine whether anxiety disorders predict mortality in older men and women in the community.
Longitudinal data were used from a large, community-based random sample (n=3107) of older men and women (55-85 years) in The Netherlands, with a follow-up period of 7.5 years. Anxiety disorders were assessed according to DSM-III criteria in a two-stage screening design.
In men, the adjusted mortality risk was 1.78 (95% CI 1.01-3.13) in cases with diagnosed anxiety disorders at baseline. In women, no significant association was found with mortality.
The study revealed a gender difference in the association between anxiety and mortality. For men, but not for women, an increased mortality risk was found for anxiety disorders.
关于焦虑症患者的死亡风险是否更高，存在相互矛盾的报道。
确定焦虑症是否能预测社区中老年男性和女性的死亡率。
使用来自荷兰一个大型社区随机样本（n = 3107）的55 - 85岁老年男性和女性的纵向数据，随访期为7.5年。在两阶段筛查设计中，根据《精神疾病诊断与统计手册》第三版标准评估焦虑症。
在男性中，基线时被诊断为焦虑症的患者调整后的死亡风险为1.78（95%可信区间1.01 - 3.13）。在女性中，未发现与死亡率有显著关联。
该研究揭示了焦虑与死亡率之间关联的性别差异。对于男性，而非女性，发现焦虑症会增加死亡风险。
