NIMHANS, Bangalore, India.
National Health Mission (Kerala), India.
Asian J Psychiatr. 2022 Aug;74:103190. doi: 10.1016/j.ajp.2022.103190. Epub 2022 Jun 16.
Risk estimates of depression and anxiety disorders in primary care patients was studied in 7017 patients from 71 primary health centres in Kerala, India. When compared to those without, patients with a single chronic medical illness had approximately 3-4-fold higher rates of depression and anxiety disorders; this increases to 6-fold when the number of medical illnesses is two or more. Patients with hypertension, diabetes, epilepsy, tuberculosis, asthma, and arthritis had higher odds of depression after controlling for socio-demographic variables and co-occurring medical illnesses. The findings were replicated for anxiety disorders except for tuberculosis. Findings highlight the need for integrated interventions.
在印度喀拉拉邦的 71 个初级保健中心，对 7017 名患者进行了研究，以评估抑郁和焦虑障碍的风险。与没有这些疾病的患者相比，患有单一慢性疾病的患者的抑郁和焦虑障碍发生率高出约 3-4 倍；当患有的慢性疾病数量达到两种或更多时，这一比例增加到 6 倍。在控制了社会人口统计学变量和同时存在的其他疾病后，患有高血压、糖尿病、癫痫、结核病、哮喘和关节炎的患者出现抑郁的几率更高。除结核病外，这些发现也适用于焦虑症。这些研究结果强调了需要采取综合干预措施。
