Research Division, Institute of Mental Health, Singapore.
Family Medicine Department, National Healthcare Group Polyclinics, Singapore.
Singapore Med J. 2022 Apr;63(4):196-202. doi: 10.11622/smedj.2020124. Epub 2020 Aug 17.
Few studies have examined the changes in the prevalence of comorbidity of mental and physical disorders in recent years. The present study sought to examine whether the prevalence of comorbidity of mental and physical disorders in Singapore showed any changes between 2010 and 2016.
We extracted data from two repeated nationally representative cross-sectional surveys conducted among resident adults aged ≥ 18 years in Singapore. Significant changes were tested using pooled multinomial logistic regression analyses.
The prevalence of comorbid mental and physical disorders increased significantly from 5.8% in 2010 to 6.7% in 2016. Among those with physical disorders, there were significant increases over time in the prevalence of comorbid generalised anxiety disorder (GAD) (0.1% vs. 0.4%) and obsessive-compulsive disorder (OCD) (1.4% vs. 3.9%) in diabetes mellitus, and alcohol dependence in cardiovascular disorders (0.1% vs. 1.3%). Among those with mental disorders, there were significant increases over time in the prevalence of comorbid diabetes mellitus in OCD (4.1% vs. 10.9%), cancer in major depressive disorder (0.4% vs. 2.4%), and cardiovascular disorders in GAD (0.4% vs. 6.7%) and alcohol dependence (0.9% vs. 11.8%). Significant changes in the overall prevalence of comorbid mental and physical disorders were also observed across age group, education and employment status.
The prevalence of comorbid mental and physical disorders increased significantly over time. This finding supports the need for more appropriate clinical management with better integration between mental health and general medical care professionals across all aspects of the healthcare system to treat this comorbidity in Singapore.
很少有研究探讨近年来精神和躯体障碍共病患病率的变化。本研究旨在探讨新加坡精神和躯体障碍共病的患病率在 2010 年至 2016 年间是否发生变化。
我们从两次在新加坡成年居民中进行的全国代表性横断面调查中提取数据。使用汇总多项逻辑回归分析来检验显著变化。
2010 年至 2016 年间，精神和躯体障碍共病的患病率从 5.8%显著上升至 6.7%。在患有躯体疾病的患者中，糖尿病中广泛性焦虑障碍（GAD）（0.1%比 0.4%）和强迫症（OCD）（1.4%比 3.9%）以及心血管疾病中酒精依赖的共病患病率显著增加；在患有精神疾病的患者中，OCD 中糖尿病（4.1%比 10.9%）、重度抑郁症中癌症（0.4%比 2.4%）、GAD 中心血管疾病（0.4%比 6.7%）和酒精依赖（0.9%比 11.8%）的共病患病率显著增加。年龄组、教育和就业状况的变化也与精神和躯体障碍共病的总体患病率显著相关。
精神和躯体障碍共病的患病率随时间显著增加。这一发现支持需要在整个医疗体系中更好地整合精神卫生和普通医疗保健专业人员，以更适当的临床管理来治疗新加坡的这种共病。
