Vancampfort Davy, Koyanagi Ai, Hallgren Mats, Probst Michel, Stubbs Brendon
KU Leuven Department of Rehabilitation Sciences, Leuven, Belgium; KU Leuven, University Psychiatric Center KU Leuven, Leuven, Kortenberg, Belgium.
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, Fundació Sant Joan de Déu, Dr. Antoni Pujadas, 42, Sant Boi de Llobregat, Barcelona 08830, Spain; Instituto de Salud Carlos III, Centro de Investigación Biomédica en Red de Salud Mental, CIBERSAM, Monforte de Lemos 3-5 Pabellón 11, Madrid 28029, Spain.
Gen Hosp Psychiatry. 2017 Mar-Apr;45:1-6. doi: 10.1016/j.genhosppsych.2016.11.002. Epub 2016 Nov 9.
This cross-sectional study assessed the association of chronic physical conditions and multimorbidity with anxiety among community-dwelling adults in 42 countries.
Data were analyzed from the World Health Survey including 181,845 adults aged ≥18years. Anxiety in the past 30days and nine chronic physical conditions (angina, arthritis, asthma, chronic back pain, diabetes, edentulism, hearing problem, tuberculosis, and visual impairment) were assessed. Multivariable logistic regression analyses were conducted to explore the associations between chronic physical conditions or the number of them and anxiety.
After adjustment for confounders, most of the individual chronic physical conditions were significantly associated with anxiety. Compared to those with no physical health conditions, one condition was associated with an almost twofold increased odds of anxiety symptoms (OR=1.94; 95%CI=1.76-2.13), while this figure rose to 5.49 (3.73-8.09) in those with ≥5 conditions.
Our data suggest that increasing numbers of chronic physical conditions are associated with higher odds for anxiety. Health care providers should consider the presence of anxiety symptoms especially in individuals with physical multimorbidity.
这项横断面研究评估了42个国家社区居住成年人中慢性身体状况和多种疾病与焦虑之间的关联。
对世界卫生调查中的数据进行分析，该调查包括181,845名年龄≥18岁的成年人。评估了过去30天内的焦虑情况以及九种慢性身体状况（心绞痛、关节炎、哮喘、慢性背痛、糖尿病、无牙、听力问题、结核病和视力障碍）。进行多变量逻辑回归分析以探讨慢性身体状况或其数量与焦虑之间的关联。
在对混杂因素进行调整后，大多数个体慢性身体状况与焦虑显著相关。与没有身体健康状况的人相比，有一种状况的人出现焦虑症状的几率几乎增加了两倍（OR=1.94；95%CI=1.76-2.13），而在有≥5种状况的人中，这一数字上升到5.49（3.73-8.09）。
我们的数据表明，慢性身体状况数量的增加与焦虑几率的升高有关。医疗保健提供者应考虑焦虑症状的存在，尤其是在患有多种身体疾病的个体中。
