Derisi Mohamad Mehdi, Nasiri Mohammad Javad, Aryan Alisam, Moosavi Jarrahi Alireza, Amiri Parastoo, Mohseny Maryam
Department of Community Medicine, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Microbiology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Res Med Sci. 2022 Feb 18;27:12. doi: 10.4103/jrms.JRMS_864_20. eCollection 2022.
Ischemic heart disease and psychiatric disorders are among the leading causes of morbidity and mortality. Plans for providing basic health services to community members require knowledge of the current state. Therefore, the aim of this study was to systematically review the literature to estimate the prevalence of psychiatric disorders among patients with ischemic heart disease.
In this study, PubMed, Embase, and Web of Science were systematically searched to find studies published before June 6, 2021. The systematic review included all original articles on the prevalence of psychiatric disorders among patients with ischemic heart disease. Two independent researchers evaluated the quality of studies, using the Joanna Briggs Institute questionnaire. All analyses were performed in Stata/MP version 16. A random-effects model was used for data analysis.
Of 1672 studies initially identified, 13 studies were included in our meta-analysis, with a total of 2233 participants. The overall prevalence of psychiatric disorders was estimated at 46.85% (95% confidence interval [CI]: 36.08-57.62; = 100%; < 0.001 for heterogeneity). The most common disorder was depression (27.80%; 95% CI: 18.27-37.34; = 99.99%; < 0.001 for heterogeneity). Based on the results, the prevalence of psychiatric disorders had increased by 25.55% from 2000 to 2021 compared to1984-2000.
The prevalence of psychiatric diseases in people with ischemic heart disease is high and increases over time. It is recommended that preventive measures be taken worldwide.
缺血性心脏病和精神障碍是发病和死亡的主要原因之一。为社区成员提供基本医疗服务的计划需要了解当前状况。因此，本研究的目的是系统回顾文献，以估计缺血性心脏病患者中精神障碍的患病率。
在本研究中，系统检索了PubMed、Embase和Web of Science，以查找2021年6月6日前发表的研究。该系统评价纳入了所有关于缺血性心脏病患者精神障碍患病率的原创文章。两名独立研究人员使用乔安娜·布里格斯研究所问卷评估研究质量。所有分析均在Stata/MP 16版本中进行。采用随机效应模型进行数据分析。
在最初识别的1672项研究中，13项研究纳入我们的荟萃分析，共有2233名参与者。精神障碍的总体患病率估计为46.85%（95%置信区间[CI]：36.08 - 57.62；I² = 100%；异质性P < 0.001）。最常见的障碍是抑郁症（27.80%；95% CI：18.27 - 37.34；I² = 99.99%；异质性P < 0.001）。根据结果，与1984 - 2000年相比，2000年至2021年精神障碍的患病率增加了25.55%。
缺血性心脏病患者中精神疾病的患病率很高，且随时间增加。建议在全球范围内采取预防措施。
