Croatian Academy of Sciences and Arts, International Institute for Brain Health, Ulica Grada Vukovara 271/IV, 10000 Zagreb, Croatia,
Psychiatr Danub. 2021 Spring-Summer;33(Suppl 4):445-450.
Comorbidity in neurology and psychiatry involves the onset of a mental illness with the simultaneous presence of a neurological disorder or other illness. The degree of comorbidity of mental and neurological disorders is unexpectedly high. In addition to the direct connection and simultaneous occurrence of mental and neurological illness, the indirect impact of mental illness on the occurrence of neurological problems is even more significant. This link is realized through the influence of mental illness on risk factors for the development of cerebrovascular and cardiovascular diseases. Their incidence is higher in the psychiatric population than in the general population. Numerous studies have confirmed that risk factors for cerebrovascular disease (hypertension, hyperlipidemia, diabetes mellitus, etc.) are more common among patients with mental disorders than in the general population. Also, research shows that patients with mental disorders are less frequently controlled, have less control over risk factors, and that numerous comorbidities are detected later or remain undetected. Given that cerebrovascular and cardiovascular diseases represent one of the most important public health and socioeconomic problems of today, both in the world and in Croatia, this problem should not remain in the shadow.
神经科和精神病学中的共病是指在同时存在神经障碍或其他疾病的情况下出现精神疾病。精神和神经疾病的共病程度出人意料地高。除了精神和神经疾病的直接联系和同时发生外，精神疾病对神经系统问题发生的间接影响更为显著。这种联系是通过精神疾病对脑血管和心血管疾病发展的危险因素的影响来实现的。在精神科人群中，它们的发病率高于普通人群。大量研究证实，脑血管疾病的危险因素（高血压、高血脂、糖尿病等）在精神障碍患者中比在普通人群中更为常见。此外，研究表明，精神障碍患者的控制率较低，对危险因素的控制程度较低，并且许多合并症被发现较晚或未被发现。鉴于脑血管和心血管疾病是当今世界和克罗地亚最重要的公共卫生和社会经济问题之一，这个问题不应被忽视。
