Park Se Jin, Hong Seungyeon, Jang Hyesue, Jang Jung Won, Yuk Boram, Kim Chul Eung, Park Subin
Department of Research Planning, Mental Health Research Institute, National Center for Mental Health, Seoul, Republic of Korea.
Department of Health Sciences, Graduate School, Hanyang University, Seoul, Republic of Korea.
Psychiatry Investig. 2018 Apr;15(4):370-375. doi: 10.30773/pi.2017.09.11. Epub 2018 Mar 26.
People with depression often suffer from comorbid, chronic physical diseases. Little is known about how demographic characteristics such as age and sex influence the prevalence of chronic physical diseases comorbid with depression. Therefore, this study aimed to explore the age and sex differences in the prevalence of diverse, chronic physical diseases comorbid with depression.
This cross-sectional survey were conducted with the participants (n=45,598) of the Korean National Health and Nutrition Examination Survey (KNHANES). Using log-binomial regression, age adjusted prevalence ratios (APR) of chronic physical diseases of participants with depression and those without depression were estimated for each sex and age group.
The APR of most chronic physical diseases were significantly higher among respondents with depression than those without depression. Chronic physical diseases that showed the highest APR were asthma in adult male respondents (APR=3.46) and adult female respondents (APR=2.19) and chronic renal failure in elderly male respondents (APR=8.36) and elderly female respondents (APR=1.94).
Prevalence ratios of the chronic physical diseases comorbid with depression differed according to sex and age groups. Collaborative care strategies should be designed according to demographic characteristics of the population.
抑郁症患者常伴有慢性躯体疾病。关于年龄和性别等人口统计学特征如何影响与抑郁症共病的慢性躯体疾病的患病率,目前知之甚少。因此,本研究旨在探讨与抑郁症共病的各种慢性躯体疾病患病率的年龄和性别差异。
本横断面调查以韩国国民健康与营养检查调查(KNHANES)的参与者(n = 45,598)为对象。采用对数二项回归,对每个性别和年龄组的抑郁症患者和非抑郁症患者的慢性躯体疾病年龄调整患病率比(APR)进行了估计。
大多数慢性躯体疾病的APR在抑郁症患者中显著高于非抑郁症患者。APR最高的慢性躯体疾病在成年男性受访者中是哮喘(APR = 3.46),成年女性受访者中是哮喘(APR = 2.19),老年男性受访者中是慢性肾衰竭(APR = 8.36),老年女性受访者中是慢性肾衰竭(APR = 1.94)。
与抑郁症共病的慢性躯体疾病的患病率比因性别和年龄组而异。应根据人群的人口统计学特征设计协作护理策略。