Kulkarni Vaman, Chinnakali Palanivel, Kanchan Tanuj, Rao Abhijith, Shenoy Madhava, Papanna Mohan Kumar
Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India.
Department of Preventive and Social Medicine, Jawaharlal Nehru Postgraduate Institute of Medical Education and Research, Puducherry, India.
Int J Prev Med. 2014 Sep;5(9):1139-45.
Psychiatric illnesses are an important group of co-morbidities that can occur among patients with non-communicable diseases (NCDs). Both these chronic conditions have an important implication in terms of quality of life, general well-being and cost of treatment and general longevity of the patient. The objectives of our study were to assess the burden of psychiatric co-morbidities among patients with select NCDs and to identify the determinants associated with them.
A cross-sectional study was conducted at the outpatient departments (OPDs) of Government District Hospital, Mangalore. The study was conducted among patients with select NCDs viz. diabetes mellitus, hypertension, ischemic heart diseases and their combinations attending OPDs of Government District Hospital, Mangalore. Participants were interviewed using Patient Health Questionnaire-Somatic, Anxiety and Depressive Symptoms. Data analysis was performed using SPSS version 11.0 (SPSS Inc., 233 South Wacker Drive, 11(th) floor, Chicago, IL 60606-6412). Bivariate and logistic regression analyses were performed to test the association between different variables.
Among the 282 study participants, psychiatric illnesses observed were somatization (n = 99, 35.1%), anxiety (n = 54, 19.1%) and depression (n = 82, 29.1%). Bivariate analysis showed significant negative association (P <0.05) between psychiatric illness and factors such as education, marital status, age <60 years, duration of illness of <10 years. However, on multivariate analysis only marital status (odds ratio [OR]: 0.500, confidence interval [CI]: 0.321-0.777, P = 0.002) and duration of illness (OR: 0.651, CI: 0.439-0.967, P = 0.032) were found to be significantly associated negatively with depression and anxiety.
精神疾病是一组重要的合并症，可发生于非传染性疾病（NCDs）患者中。这两种慢性病在生活质量、总体幸福感、治疗费用以及患者的总体寿命方面都具有重要影响。我们研究的目的是评估特定非传染性疾病患者中精神疾病合并症的负担，并确定与之相关的决定因素。
在芒格洛尔政府区医院的门诊部进行了一项横断面研究。该研究针对患有特定非传染性疾病的患者，即糖尿病、高血压、缺血性心脏病及其组合，这些患者在芒格洛尔政府区医院门诊部就诊。使用患者健康问卷 - 躯体、焦虑和抑郁症状对参与者进行访谈。使用SPSS 11.0版（SPSS公司，南瓦克大道233号，11楼，伊利诺伊州芝加哥60606 - 6412）进行数据分析。进行双变量和逻辑回归分析以检验不同变量之间的关联。
在282名研究参与者中，观察到的精神疾病有躯体化障碍（n = 99，35.1%）、焦虑症（n = 54，19.1%）和抑郁症（n = 82，29.1%）。双变量分析显示，精神疾病与教育程度、婚姻状况、年龄<60岁、病程<10年等因素之间存在显著负相关（P <0.05）。然而，多变量分析发现，只有婚姻状况（优势比[OR]：0.500，置信区间[CI]：0.321 - 0.777，P = 0.002）和病程（OR：0.651，CI：0.439 - 0.967，P = 0.032）与抑郁症和焦虑症显著负相关。
