School of Nursing, Shanghai Medical College, Fudan University, Shanghai, China.
Ningbo Yinzhou No.2 Hospital, Ningbo, Zhejiang, China.
Asian J Psychiatr. 2022 Apr;70:103022. doi: 10.1016/j.ajp.2022.103022. Epub 2022 Feb 12.
Research has linked multimorbidity with psychological distress among people with multimorbidity but the available findings are inconsistent. This study was to investigate the prevalence of multimorbidity and incidence of psychological distress in a nationally representative sample of Chinese older adults and examine the association between multimorbidity and psychological distress in this population.
This study was a cross-sectional, secondary analysis using data from the Chinese Longitudinal Healthy Longevity Survey (CLHLS). Participants' socio-demographic characteristics and clinical information were obtained. Psychological distress including anxiety and depression were assessed by the Generalized Anxiety Disorder-7 (GAD-7) and the Center for Epidemiologic Studies Depression Scale (10-item CES-D). Binary logistic regression was used to ascertain the association between multimorbidity and psychological distress with covariates adjustment.
Compared with those without physical chronic conditions, having five or more physical chronic conditions was associated with the likelihood of depression after covariates adjustment.
Psychological distress is a common health issue among Chinese older adults with multimorbidity. Having multimorbidity might not be associated with psychological distress represented by anxiety and depression. Management of multimorbidity among this population would benefit from more attention on the mental health domain.
研究表明，多病共存与多病共存人群的心理困扰有关，但现有研究结果并不一致。本研究旨在调查中国老年人群中多病共存的患病率和心理困扰的发生率，并探讨该人群中多病共存与心理困扰之间的关系。
本研究采用中国健康长寿纵向研究（CLHLS）的数据进行横断面二次分析。收集参与者的社会人口统计学特征和临床信息。采用广泛性焦虑障碍 7 项量表（GAD-7）和流行病学研究中心抑郁量表（10 项 CES-D）评估心理困扰，包括焦虑和抑郁。采用二元逻辑回归模型调整协变量后，确定多病共存与心理困扰之间的关联。
与无躯体慢性疾病者相比，调整协变量后，患有 5 种或 5 种以上躯体慢性疾病者发生抑郁的可能性更大。
心理困扰是多病共存的中国老年人群中常见的健康问题。多病共存与焦虑和抑郁等心理困扰不一定相关。该人群多病共存的管理需要更加关注心理健康领域。
