Peltzer Karl, Pengpid Supa
ASEAN Institute for Health Development, Madidol University, Thailand.
Department of Research Innovation and Development, University of Limpopo, South Africa.
S Afr J Psychiatr. 2016 Jul 28;22(1):940. doi: 10.4102/sajpsychiatry.v22i1.940. eCollection 2016.
The aim of this study was to estimate the prevalence and relationship of anxiety and depressive features among patients diagnosed with a variety of chronic diseases in three Southeast Asian countries (Cambodia, Myanmar and Vietnam).
A cross-sectional survey was conducted in 2014 among 4803 adult patients with chronic diseases who were recruited cross-sectionally from health facilities. Anxiety and depression were assessed with the .
Overall, 17.0% of patients screened positive for anxiety disorder and 39.1% for depressive disorder. Patients with cancer (47.8%) had the highest rate of anxiety features, and those with chronic obstructive pulmonary disease (COPD) (62.1%), kidney disease (55.5%), Parkinson's disease (53.7%) and cardiovascular disorders (CVDs) (52.6%) the highest prevalence of depressive features. Stomach and intestinal diseases, CVDs, migraine or frequent headaches and kidney disease were positively associated with anxiety and depression after adjusting for sociodemographics and illness duration. In addition, cancer and Parkinson's disease were positively associated with anxiety, and arthritis, diabetes, and COPD were positively associated with depression. In multivariate logistic regression, having two or more chronic conditions and poor quality of life was associated with anxiety and depression.
Considering the high rate of anxiety and depression among these patients with chronic disease, more efforts should directed to on the psychosocial management of these patients.
本研究旨在评估东南亚三个国家（柬埔寨、缅甸和越南）中被诊断患有多种慢性疾病的患者焦虑和抑郁特征的患病率及其关系。
2014年对从医疗机构横断面招募的4803名成年慢性病患者进行了横断面调查。使用……评估焦虑和抑郁。
总体而言，17.0%的患者焦虑症筛查呈阳性，39.1%的患者抑郁症筛查呈阳性。癌症患者（47.8%）的焦虑特征发生率最高，慢性阻塞性肺疾病（COPD）患者（62.1%）、肾病患者（55.5%）、帕金森病患者（53.7%）和心血管疾病（CVD）患者（52.6%）的抑郁特征患病率最高。在对社会人口统计学和病程进行调整后，胃肠疾病、心血管疾病、偏头痛或频繁头痛以及肾病与焦虑和抑郁呈正相关。此外，癌症和帕金森病与焦虑呈正相关，关节炎、糖尿病和慢性阻塞性肺疾病与抑郁呈正相关。在多因素逻辑回归分析中，患有两种或更多种慢性疾病以及生活质量差与焦虑和抑郁有关。
鉴于这些慢性病患者中焦虑和抑郁的发生率较高，应更加努力地对这些患者进行心理社会管理。
