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抑郁症与残疾抚恤金风险:一项系统综述与荟萃分析。

Depression and risk of disability pension: A systematic review and meta-analysis.

作者信息

Amiri Sohrab, Behnezhad Sepideh

机构信息

Behavioral Sciences Research Center, Lifestyle Institute, Baqiyatallah University of Medical Science, Tehran, Iran.

Department of Psychology, Kharazmi University, Tehran, Iran.

出版信息

Int J Psychiatry Med. 2019 May 6:91217419837412. doi: 10.1177/0091217419837412.

Abstract

BACKGROUND AND OBJECTIVE

Depression is a common mental disorder that leads to undesirable consequences. The study of the role of depression in disability pension can provide valuable insights. This study was conducted with the goal of systematic review and meta-analysis of the relationship between depression and disability pension.

METHODS

PubMed, Scopus, PsycInfo, and Google Scholar databases were systematically searched until March 2018. Fifteen prospective cohort studies were selected and included in the meta-analysis. The random-effects method was used to combine the studies. Subgroup analysis was performed, and publication bias was also examined.

RESULTS

Depression was a risk factor for disability pension (pooled risk ratio =1.68 and 95% confidence interval = 1.50-1.88). In men, pooled risk ratio was 1.82 for the effect of depression on the risk of disability pension (95% confidence interval = 1.45-2.28). In women, pooled risk ratio was 1.62 (95% confidence interval = 1.31-2.02). The results showed that there is publication bias.

CONCLUSIONS

Depression is a factor for retirement due to disability. Therefore, the prevention and treatment of depression can reduce socioeconomic and psychological consequences imposed on society.

摘要

背景与目的

抑郁症是一种常见的精神障碍,会导致不良后果。研究抑郁症在残疾抚恤金方面的作用能够提供有价值的见解。本研究旨在对抑郁症与残疾抚恤金之间的关系进行系统评价和荟萃分析。

方法

系统检索了PubMed、Scopus、PsycInfo和谷歌学术数据库,直至2018年3月。选取了15项前瞻性队列研究并纳入荟萃分析。采用随机效应方法合并研究。进行了亚组分析,并检验了发表偏倚。

结果

抑郁症是获得残疾抚恤金的一个危险因素(合并风险比=1.68,95%置信区间=1.50-1.88)。在男性中,抑郁症对获得残疾抚恤金风险的影响的合并风险比为1.82(95%置信区间=1.45-2.28)。在女性中,合并风险比为1.62(95%置信区间=1.31-2.02)。结果显示存在发表偏倚。

结论

抑郁症是因残疾而退休的一个因素。因此,预防和治疗抑郁症可减少给社会带来的社会经济和心理后果。

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