School of Health, Medical and Applied Sciences, Central Queensland University , Rockhampton , Australia.
Appleton Institute, Central Queensland University , Adelaide , Australia.
Issues Ment Health Nurs. 2019 Oct;40(10):902-907. doi: 10.1080/01612840.2019.1613701. Epub 2019 Jul 8.
The association between psychotic illness and poor physical health is now clearly articulated in the literature. By contrast the impact of depression and/or anxiety on physical health is considerably less understood, despite depression being the leading cause of disability worldwide and is associated with significantly higher prevalence of physical comorbidities than found in the general population. An Australia national cross-sectional population-based survey was conducted to ascertain the prevalence of chronic physical health conditions in persons with, and without depression and/or anxiety, allowing for demographic characteristics and lifestyle factors. The telephone-based survey was conducted using trained interviewers. Survey questions included those eliciting information about demographics, health status, and health behaviours. Independent t-tests and chi square tests showed demographic, health behaviours, and physical illness differed between those with and without depression and/or anxiety. Heart disease, high blood pressure, stroke, cancer, arthritis, chronic neck and/or back pain, and asthma were significantly higher in participants diagnosed with depression and/or anxiety. Binary logistic regression showed the strongest predictor of chronic illness was having a diagnosis of depression and/or anxiety. Depression and anxiety present major health problems impacting a considerable proportion of the population. A greater understanding of the associated physical health issues should provide impetus to broaden the physical health and mental illness research agenda to include these diagnoses.
精神疾病与身体健康不佳之间的关联在文献中已得到清晰阐述。相比之下,尽管抑郁症是全球范围内导致残疾的主要原因,且其与身体合并症的患病率明显高于普通人群,但抑郁症和/或焦虑症对身体健康的影响却远未被充分理解。为了确定患有和不患有抑郁症和/或焦虑症的人群中慢性身体健康状况的流行率,同时考虑人口统计学特征和生活方式因素,我们在澳大利亚进行了一项全国性的横断面基于人群的调查。该电话调查使用了经过培训的访谈员进行。调查问题包括关于人口统计学、健康状况和健康行为的信息。独立 t 检验和卡方检验显示,有和没有抑郁症和/或焦虑症的人群在人口统计学特征、健康行为和身体疾病方面存在差异。患有抑郁症和/或焦虑症的参与者中心脏病、高血压、中风、癌症、关节炎、慢性颈部和/或背部疼痛以及哮喘的发病率明显更高。二元逻辑回归显示,慢性疾病的最强预测因素是患有抑郁症和/或焦虑症。抑郁症和焦虑症是影响相当一部分人群的主要健康问题。更深入地了解相关的身体健康问题应该会促使我们扩大身心健康研究议程,将这些诊断纳入其中。