Schmitz Norbert, Thefeld Wolfgang, Kruse Johannes
Douglas Hospital Research Centre, Clinical Research Division, McGill University, Montreal, Quebec, Canada.
Psychosom Med. 2006 Mar-Apr;68(2):246-52. doi: 10.1097/01.psy.0000204883.77284.6b.
The aim of the present study was to identify the association between mental disorders and awareness and treatment of hypertension in a large representative community sample.
The analysis was based on data from 4149 respondents, ages 18 to 65 years, from the German National Health Interview and Examination Survey, a nationally representative multistage probability survey conducted from 1997 to 1999. Mental disorders were assessed by a modified version of the Composite International Diagnostic Interview. Blood pressure was measured during the medical examination by a health examiner.
There was no general association between awareness of hypertension and affective, anxiety, and substance abuse/dependence disorders. Men with acknowledged but untreated hypertension more often experienced affective and substance abuse/dependence disorders than men with treated hypertension. These relationships were stable after adjustment for sociodemographic and clinical characteristics.
Our results suggest that it is important to distinguish between treated and acknowledged but untreated hypertension when evaluating the associations between mental disorders and hypertension.
本研究旨在确定在一个具有代表性的大型社区样本中，精神障碍与高血压知晓率及治疗情况之间的关联。
分析基于来自德国国民健康访谈与检查调查的4149名年龄在18至65岁之间的受访者的数据，该调查是1997年至1999年进行的一项具有全国代表性的多阶段概率调查。精神障碍通过复合国际诊断访谈的修订版进行评估。血压由健康检查人员在体检期间测量。
高血压知晓率与情感、焦虑及物质滥用/依赖障碍之间不存在普遍关联。已确诊但未治疗的高血压男性比接受治疗的高血压男性更常出现情感及物质滥用/依赖障碍。在对社会人口学和临床特征进行调整后，这些关系依然稳定。
我们的结果表明，在评估精神障碍与高血压之间的关联时，区分接受治疗的高血压和已确诊但未治疗的高血压很重要。
