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大量人群中青光眼、焦虑症和抑郁症之间的关联。

The Association Between Glaucoma, Anxiety, and Depression in a Large Population.

作者信息

Zhang Xinxin, Olson Daniel James, Le Patrick, Lin Feng-Chang, Fleischman David, Davis Richard Marc

机构信息

University of North Carolina School of Medicine, Chapel Hill, North Carolina.

University of Washington School of Medicine, Seattle, Washington.

出版信息

Am J Ophthalmol. 2017 Nov;183:37-41. doi: 10.1016/j.ajo.2017.07.021. Epub 2017 Jul 29.

Abstract

PURPOSE

To investigate the association between glaucoma and each of anxiety and depression.

DESIGN

Retrospective case-control study.

METHODS

Settings: University of North Carolina hospitals and outpatient clinics.

STUDY POPULATION

All patients over the age of 18 years seen between July 1, 2008 and October 1, 2015 were included.

OBSERVATION PROCEDURE

International Classification of Diseases codes were used to identify cases of glaucoma, as well as anxiety and depression.

OUTCOME MEASURE

Odds ratios (OR) were calculated for glaucoma and each of anxiety and depression. OR were also calculated for above diagnoses separated by age group and sex.

RESULTS

A total of 4 439 518 patients were screened, of which 11 234 (0.3%) have glaucoma, 96 527 (2.2%) have anxiety, and 103 476 (2.3%) have depression. The adjusted OR was 10.6 (95% confidence interval [CI] 10.0-11.0) for glaucoma and anxiety and 12.3 (95% CI 11.8-12.9) for glaucoma and depression. The likelihood of having anxiety and depression along with glaucoma did not change with age (P = .088, P = .736).

CONCLUSION

There was a statistically significant association between glaucoma and each of anxiety and depression.

摘要

目的

研究青光眼与焦虑症和抑郁症之间的关联。

设计

回顾性病例对照研究。

方法

研究地点:北卡罗来纳大学医院及门诊。

研究对象

纳入2008年7月1日至2015年10月1日期间就诊的所有18岁以上患者。

观察程序

使用国际疾病分类代码识别青光眼、焦虑症和抑郁症病例。

观察指标

计算青光眼与焦虑症和抑郁症各自的比值比(OR)。还按年龄组和性别分别计算上述诊断的OR。

结果

共筛查4439518例患者,其中11234例(0.3%)患有青光眼,96527例(2.2%)患有焦虑症,103476例(2.3%)患有抑郁症。青光眼与焦虑症的校正OR为10.6(95%置信区间[CI]10.0 - 11.0),青光眼与抑郁症的校正OR为12.3(95%CI 11.8 - 12.9)。青光眼患者同时患有焦虑症和抑郁症的可能性不会随年龄变化(P = .088,P = .736)。

结论

青光眼与焦虑症和抑郁症之间存在统计学上的显著关联。

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