Department of Psychology, University of Manitoba, Winnipeg, Manitoba, Canada; Department of Psychiatry, University of Manitoba, Winnipeg, Manitoba, Canada.
Department of Psychiatry, University of Saskatchewan, Saskatoon, Saschetchewan, Canada.
Gen Hosp Psychiatry. 2015 Jul-Aug;37(4):288-93. doi: 10.1016/j.genhosppsych.2015.03.022. Epub 2015 Apr 7.
There has been increasing interest in the relationship between cardiac and metabolic conditions with mental illness. Many studies have found associations between these conditions and depression but results with anxiety disorders have been mixed. We explore these relationships in a nationally representative survey using physician diagnoses of physical conditions and DSM-IV psychiatric disorders.
Data came from the nationally representative German Health Survey (N=4181, age 18-65). Physician diagnoses of angina, myocardial infarction, congestive heart, hypertension, dyslipidemia, diabetes, and obesity were examined in relation to depression and anxiety disorders, which were assessed through a modified version of the Composite International Diagnostic Interview. Multiple logistic regression analyses were used to examine the associations between these conditions.
After adjusting for sociodemographics, psychiatric comorbidity, and substance use, having an anxiety disorder was associated with increased odds of cardiac conditions and metabolic risk factors with odds ratios ranging from 1.3 to 3.3. Depression was not associated with any of the conditions but was associated with poor medical compliance for health conditions on two outcomes measured. Anxiety was also associated with reduced medical compliance for one health behaviour measured.
Anxiety disorders, but not depression, were associated with metabolic and cardiac conditions in our sample. Both conditions were related to some aspects of poor self-care for health conditions and therefore may be linked to negative outcomes.
人们对心脏和代谢状况与精神疾病之间的关系越来越感兴趣。许多研究发现这些疾病与抑郁症之间存在关联，但与焦虑症的研究结果却不一致。我们使用医生诊断的身体状况和 DSM-IV 精神障碍，在一项全国代表性调查中探索这些关系。
数据来自全国代表性的德国健康调查（N=4181，年龄 18-65 岁）。研究分析了心绞痛、心肌梗死、充血性心力衰竭、高血压、血脂异常、糖尿病和肥胖等与抑郁和焦虑障碍的关系，这些疾病通过改良的复合国际诊断访谈进行评估。使用多变量逻辑回归分析来检查这些状况之间的关联。
在调整了社会人口统计学、精神共病和物质使用因素后，患有焦虑症与心脏疾病和代谢危险因素的患病风险增加有关，比值比范围为 1.3 至 3.3。抑郁症与任何一种疾病都没有关联，但与两项健康状况衡量指标的医疗合规性差有关。焦虑症也与一项健康行为衡量指标的医疗合规性差有关。
在我们的样本中，焦虑症而不是抑郁症与代谢和心脏疾病有关。这两种疾病都与健康状况的某些方面的自我保健不良有关，因此可能与负面结果有关。
