Lee Sing, Tsang Adley, Huang Yue-qin, Zhang Ming-yuan, Liu Zhao-rui, He Yan-ling, Von Korff Michael, Kessler Ronald C
Department of Psychiatry, The Chinese University of Hong Kong, Hong Kong, People's Republic of China.
J Psychosom Res. 2007 Jul;63(1):1-7. doi: 10.1016/j.jpsychores.2007.01.007.
This study estimates psychiatric and physical comorbidity among people reporting arthritis and related role impairment in metropolitan China.
Data were derived from a large-scale and representative household survey of adult respondents in Beijing and Shanghai. Arthritis and other chronic physical conditions were assessed by self-report. Mental disorders were assessed by the World Mental Health version of the World Health Organization Composite International Diagnostic Interview.
Of the respondents reporting arthritis in Beijing (8.6%) and Shanghai (15.3%), the vast majority (Beijing, 85.2%; Shanghai, 79.9%) also reported at least one other comorbid condition, including chronic pain (Beijing, 73.4%; Shanghai, 64.8%), chronic physical diseases (Beijing, 54.7%; Shanghai, 57.2%), and mental disorders (Beijing, 10.5%; Shanghai, 10.0%). Arthritis was significantly associated with role impairment, but the association disappeared after controlling for demographic variables and comorbidities.
Physical-mental comorbidity is common and has important clinical and public health implications in China. Reasons for regional differences in prevalence and pattern of comorbidity require further study.
本研究评估了中国大城市中报告患有关节炎及相关角色功能受损人群的精神和身体共病情况。
数据来源于对北京和上海成年受访者进行的大规模代表性家庭调查。关节炎和其他慢性身体状况通过自我报告进行评估。精神障碍通过世界卫生组织复合国际诊断访谈的世界心理健康版本进行评估。
在北京（8.6%）和上海（15.3%）报告患有关节炎的受访者中，绝大多数（北京为85.2%；上海为79.9%）还报告至少患有另一种共病，包括慢性疼痛（北京为73.4%；上海为64.8%）、慢性身体疾病（北京为54.7%；上海为57.2%）以及精神障碍（北京为10.5%；上海为10.0%）。关节炎与角色功能受损显著相关，但在控制人口统计学变量和共病情况后，这种关联消失。
身心共病在中国很常见，并且具有重要的临床和公共卫生意义。共病患病率和模式存在地区差异的原因需要进一步研究。
