Roberts R E, Kaplan G A, Camacho T C
University of Texas Health Science Center, Houston 77225.
Soc Sci Med. 1990;31(5):527-36. doi: 10.1016/0277-9536(90)90087-9.
The relationship between psychological distress, in this case depression, and subsequent risk of mortality is examined using data from the Alameda County (California) Study, an 18-yr, three-wave prospective investigation of psychosocial risk factors and health. The results indicate no relationship between psychological morbidity and all-cause mortality or specific causes of death. While these results are discordant with those reported from a majority of studies of psychiatric patients, they are concordant with a majority of community-based studies of the general adult population. Possible methodologic explanations are discussed which might account for disparate results reported to date, in particular failure to control for the effects of co-morbidity of somatic disorders and socioeconomic status.
利用来自阿拉米达县（加利福尼亚州）研究的数据，对心理困扰（此处指抑郁症）与随后的死亡风险之间的关系进行了研究。该研究是一项为期18年、分三波进行的关于社会心理风险因素与健康的前瞻性调查。结果表明，心理疾病与全因死亡率或特定死因之间不存在关联。虽然这些结果与大多数关于精神病患者的研究报告结果不一致，但与大多数针对普通成年人群的社区研究结果一致。文中讨论了可能的方法学解释，这些解释或许可以说明迄今为止所报告的不同结果，特别是未能控制躯体疾病合并症和社会经济地位的影响。
