Scott Kate M, Oakley Browne Mark A, McGee Magnus A, Wells J Elisabeth
Department of Psychological Medicine, Wellington School of Medicine and Health Sciences, University of Otago, Welliington South, New Zealand.
Aust N Z J Psychiatry. 2006 Oct;40(10):882-8. doi: 10.1080/j.1440-1614.2006.01907.x.
To estimate the prevalence of chronic physical conditions, and the risk factors for those conditions, among those with 12 month mental disorder; to estimate the prevalence of 12 month mental disorder among those with chronic physical conditions.
A nationally representative face-to-face household survey was carried out in October 2003 to December 2004 with 12,992 participants aged 16 years and over, achieving a response rate of 73.3%. Mental disorders were measured with the World Mental Health version of the Composite International Diagnostic Interview (CIDI 3.0). Physical conditions were self-reported. All associations are reported adjusted for age and sex.
People with (any) mental disorder, relative to those without mental disorder, had higher prevalences of several chronic physical conditions (chronic pain, cardiovascular disease, high blood pressure and respiratory conditions) and chronic condition risk factors (smoking, overweight/obesity, hazardous alcohol use). Around a quarter of people with chronic physical conditions had a comorbid mental disorder compared with 15% of the population without chronic conditions. Significant relationships occurred between some mental disorders and obesity, cardiovascular disease and diabetes for females, but not for males.
This paper provides evidence of substantial comorbidity between mental disorders and chronic physical conditions in New Zealand. This should be borne in mind by clinicians working in both mental health and medical services.
评估患有12个月精神障碍者的慢性身体疾病患病率及其相关风险因素；评估患有慢性身体疾病者中12个月精神障碍的患病率。
2003年10月至2004年12月开展了一项具有全国代表性的面对面家庭调查，共有12992名16岁及以上参与者，应答率为73.3%。使用世界心理健康版综合国际诊断访谈（CIDI 3.0）测量精神障碍。身体状况通过自我报告获取。所有关联均根据年龄和性别进行了调整后报告。
患有（任何）精神障碍者相较于无精神障碍者，几种慢性身体疾病（慢性疼痛、心血管疾病、高血压和呼吸系统疾病）及慢性病风险因素（吸烟、超重/肥胖、有害饮酒）的患病率更高。约四分之一患有慢性身体疾病者同时患有精神障碍，而无慢性疾病的人群中这一比例为15%。某些精神障碍与女性的肥胖、心血管疾病和糖尿病之间存在显著关联，但男性不存在此类关联。
本文提供了新西兰精神障碍与慢性身体疾病之间存在大量共病的证据。从事心理健康和医疗服务的临床医生应牢记这一点。
