Child and Adolescent Psychiatry Department, Instituto de Investigación Sanitaria Gregorio Marañón, IiSGM, Hospital General Universitario Gregorio Marañón, CIBERSAM, Madrid, Spain.
World Psychiatry. 2013 Oct;12(3):251-7. doi: 10.1002/wps.20070.
This study explored whether physical health problems are related to psychotic symptoms independently of a mental disorder diagnosis. A total of 224,254 subjects recruited for the World Health Organization World Health Survey were subdivided into those with both a lifetime diagnosis of psychosis and at least one psychotic symptom in the 12 months prior to the evaluation, those with at least one psychotic symptom in the past 12 months but no lifetime diagnosis of psychosis, and those without psychotic symptoms in the past 12 months and without a lifetime diagnosis of psychosis. The three groups were compared for the presence of medical conditions, health problems, and access to health care. Medical conditions and health problems (angina, asthma, arthritis, tuberculosis, vision or hearing problems, mouth/teeth problems, alcohol consumption, smoking, and accidents), medication consumption, and hospital admissions (but not regular health care visits) were more frequent in individuals with psychotic symptoms but no psychosis diagnosis, compared to those with no symptoms and no diagnosis. The number of medical conditions increased with the number of psychotic symptoms. Given the sample analyzed, this trend seems to be independent from the socio-economic development of the country or the specific health care system.
本研究探讨了身体健康问题是否与精神症状有关，而与精神障碍诊断无关。共有 224254 名受试者参加了世界卫生组织的世界卫生调查，他们被分为三组：一组是在评估前的 12 个月内既有精神分裂症的终身诊断又至少有一种精神症状的受试者；一组是在过去 12 个月内至少有一种精神症状但没有精神分裂症的终身诊断的受试者；一组是在过去 12 个月内没有精神症状且没有精神分裂症的终身诊断的受试者。对三组受试者的身体健康状况、健康问题和获得医疗保健的情况进行了比较。在有精神症状但没有精神分裂症诊断的个体中，与没有症状和没有诊断的个体相比，存在更多的身体状况和健康问题（心绞痛、哮喘、关节炎、结核病、视力或听力问题、口腔/牙齿问题、饮酒、吸烟和事故）、药物使用和住院治疗（但不包括常规医疗保健访问）。随着精神症状数量的增加，身体状况的数量也随之增加。考虑到分析的样本，这种趋势似乎独立于国家的社会经济发展或特定的医疗保健系统。
