香港社区中抑郁和慢性躯体疾病的共病情况。
Community-based co-morbidity of depression and chronic physical illnesses in Hong Kong.
机构信息
The Chinese University of Hong Kong, China.
出版信息
Int J Psychiatry Med. 2010;40(3):339-48. doi: 10.2190/PM.40.3.h.
OBJECTIVE
To examine the co-morbidity of depression and chronic physical illnesses in a representative sample of Hong Kong Chinese.
METHODS
Five thousand and four participants aged 18-65 years completed a structured telephone interview on major depressive episode (MDE) and eight chronic physical illnesses.
RESULTS
21.5% (N = 1078) of respondents had any physical illness in the previous 1 year. Twelve-month MDE was found in 15% (N = 162) of these physically ill respondents and was significantly associated with physical illnesses (OR: 2.56, 95% CI: 2.07-3.16, p < 0.001). Number of co-morbid physical illnesses had an incremental association with the risk of MDE.
CONCLUSION
Co-morbidity of depression and chronic physical illnesses is common in Hong Kong as in Western countries. This speaks to the need for evidence-based practice that encompasses models of integrated care in Hong Kong.
目的
在香港华人的代表性样本中研究抑郁和慢性躯体疾病的共病情况。
方法
504 名年龄在 18-65 岁之间的参与者完成了关于主要抑郁发作（MDE）和八种慢性躯体疾病的结构化电话访谈。
结果
21.5%（N=1078）的受访者在过去 1 年内患有任何躯体疾病。在这些患有躯体疾病的受访者中，发现有 12 个月的 MDE，且与躯体疾病显著相关（OR：2.56，95%CI：2.07-3.16，p < 0.001）。共患躯体疾病的数量与 MDE 的风险呈递增关系。
结论
与西方国家一样，香港的抑郁和慢性躯体疾病共病很常见。这表明需要基于证据的实践，包括香港综合护理模式。
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