Graduate School of Public Health and Healthcare Management, The Catholic University of Korea, Republic of Korea; Catholic Institute for Public Health and Healthcare Management, The Catholic University of Korea, Republic of Korea.
Institute of Health and Science Convergence, Chungbuk National University, Cheongju, Republic of Korea.
J Affect Disord. 2025 Jan 15;369:135-143. doi: 10.1016/j.jad.2024.09.075. Epub 2024 Sep 21.
Individuals with disabilities often face a higher risk of concurrent psychological problems, yet comprehensive assessments of the anxiety and sleep disorders in this population remain limited. This study examined longitudinal trends in the incidence and prevalence of anxiety and sleep disorders among people with disabilities and explored their associations with disability type and severity.
Utilizing claim data from the National Health Insurance database and the National Disability Registry, which cover the entire Korean population, we estimated the age-standardized incidence and prevalence of anxiety and sleep disorders between 2006 and 2017. Logistic regression was used to analyze the associations between disability type and severity and these disorders.
The unadjusted incidence and prevalence of anxiety and sleep disorders were consistently higher among individuals with disabilities during the study period. A significant gap in the prevalence of these disorders persisted between individuals with and without disabilities in both sexes, even after accounting for socioeconomic status and comorbidities. However, the incidence showed mixed results, with some categories of disabilities showing lower likelihood of developing the conditions compared to individuals without disabilities.
Actions should also be taken to identify undiagnosed cases of anxiety and sleep disorders among individuals with disabilities. Moreover, individuals with disabilities who are diagnosed with these disorders should be more actively managed to avert the progression to the chronic stage.
残疾人往往面临更高的并发心理问题风险，但对这一人群的焦虑和睡眠障碍的综合评估仍然有限。本研究考察了残疾人群中焦虑和睡眠障碍的发生率和患病率的纵向趋势，并探讨了它们与残疾类型和严重程度的关系。
利用涵盖韩国全体人口的国民健康保险数据库和国家残疾登记处的索赔数据，我们估计了 2006 年至 2017 年期间焦虑和睡眠障碍的年龄标准化发生率和患病率。使用逻辑回归分析残疾类型和严重程度与这些障碍之间的关系。
在研究期间，残疾个体的焦虑和睡眠障碍的未经调整的发生率和患病率始终较高。即使考虑了社会经济地位和合并症，残疾个体和非残疾个体之间在这些障碍的患病率方面仍然存在显著差距。然而，发病率的结果则不一致，一些残疾类别的发病率比非残疾个体低。
还应采取行动，为残疾个体中未确诊的焦虑和睡眠障碍患者进行诊断。此外，应更积极地管理被诊断患有这些障碍的残疾个体，以避免病情进展至慢性阶段。
