Shimoda Haruki, Kawakami Norito, Tsuchiya Masao
Department of Mental Health, Graduate School of Medicine, the University of Tokyo.
Nihon Rinsho. 2012 Jan;70(1):7-13.
This article reviews recent epidemiological findings on the relationship between physical and psychiatric conditions. First, physical disorders may be a risk factor of mental disorders. The WHO World Mental Health (WMH) Surveys indicated that the prevalence of most mental disorders were high among persons with a variety of physical disorders. Second, mental disorders may affect the course and prognosis of physical disorders. Several studies reported increased mortality when depression was comorbid with cancer, stroke, heart disease and diabetes. Third, social functioning was more deteriorated among those with comorbid physical and mental disorders than those with either of them. The comorbidity with mental disorders and its impact on the longevity and social life are observed for most physical disorders.
本文综述了近期关于身体状况与精神疾病之间关系的流行病学研究结果。首先，身体疾病可能是精神疾病的一个危险因素。世界卫生组织的世界心理健康（WMH）调查表明，在患有各种身体疾病的人群中，大多数精神疾病的患病率都很高。其次，精神疾病可能会影响身体疾病的病程和预后。几项研究报告称，抑郁症与癌症、中风、心脏病和糖尿病合并存在时，死亡率会增加。第三，与仅患有身体疾病或精神疾病的人相比，同时患有身体和精神疾病的人的社会功能更差。对于大多数身体疾病，都观察到了精神疾病合并症及其对寿命和社会生活的影响。
