Magny-Normilus Cherlie, Hassan Saria, Sanders Julie, Longhurst Catrina, Lee Christopher S, Jurgens Corrine Y
William F. Connell School of Nursing, Boston College, Chestnut Hill, MA 02467, USA.
Department of Medicine, Emory University, Atlanta, GA 30307, USA.
Biomedicines. 2022 Oct 28;10(11):2735. doi: 10.3390/biomedicines10112735.
Mental health problems are common among individuals suffering from chronic noncommunicable diseases (NCDs) such as type 2 diabetes mellitus and hypertension. Self-management is essential in preventing NCD progression. Mental health problems can impede the ability to self-manage one's NCDs. The African Caribbean population in the United States suffers from a high burden of NCDs and has unique societal factors that alter disease management. This systematic review aimed to better understand the burden of mental health problems among African Caribbean adults with one or more NCDs and explore the association between mental health disorders and the level of control of NCDs. A literature search was conducted for original research documenting the prevalence of mental illnesses in individuals with NCDs. Data were descriptively summarized. Fourteen studies met inclusion criteria. Three themes emerged: (1) prevalence of comorbid mental health problems and chronic NCDs; (2) factors that mitigate or mediate the association between mental health problems and chronic NCDs-(a) factors influencing self-management; (b) association between mental health and NCD outcome studies focused on (b1) risk factors and (b2) protective factors; and (3) varied results. Chronic disease self-management and disease outcomes are influenced by mental problems and the association is mitigated by complex factors in the African Caribbean population.
心理健康问题在患有慢性非传染性疾病（如2型糖尿病和高血压）的个体中很常见。自我管理对于预防非传染性疾病的进展至关重要。心理健康问题会阻碍自我管理非传染性疾病的能力。美国的非洲加勒比人群承受着很高的非传染性疾病负担，并且有改变疾病管理的独特社会因素。本系统综述旨在更好地了解患有一种或多种非传染性疾病的非洲加勒比成年人心理健康问题的负担，并探讨心理健康障碍与非传染性疾病控制水平之间的关联。对记录非传染性疾病患者精神疾病患病率的原始研究进行了文献检索。对数据进行了描述性总结。十四项研究符合纳入标准。出现了三个主题：（1）心理健康问题与慢性非传染性疾病共病的患病率；（2）减轻或介导心理健康问题与慢性非传染性疾病之间关联的因素——（a）影响自我管理的因素；（b）心理健康与非传染性疾病结局研究之间的关联，重点关注（b1）危险因素和（b2）保护因素；以及（3）结果各异。慢性病自我管理和疾病结局受心理问题影响，且这种关联在非洲加勒比人群中因复杂因素而减轻。
