Neuroticism and physical disorders among adults in the community: Results from the national comorbidity survey
Neuroticism and physical disorders among adults in the community: Results from the national comorbidity survey
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DOI：
10.1007/s10865-006-9048-5
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发表时间：
2006-06-01
影响因子：
3.1
通讯作者：
Clara, Ian
中科院分区：
文献类型：
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作者：
Goodwin, Renee D.;Cox, Brian J.;Clara, Ian
为了研究美国成年人神经质和身体障碍之间的关系，数据来自国家共病调查（n = 5877）。多元逻辑回归分析用于检验社区成年人神经质和身体障碍之间的关系，调整人口统计学特征和共病精神障碍的差异。结果表明，除中风外，神经质与一系列身体疾病的发生率显著升高有关。在调整了人口统计学特征和共病精神障碍的差异后，神经质与关节炎（OR = 1.5）、糖尿病（OR = 3.33）、肾脏/肝脏疾病（OR = 2.56）、胃/胆囊问题（OR = 2.27）和溃疡（OR = 3.23）的几率增加相关。基于这些发现，神经质似乎是美国成年人一系列身体健康问题的普遍预测指标。这种关联似乎部分是由共病性精神障碍介导的，然而，即使在调整了人口统计学特征和共病性精神障碍的差异后，神经质与关节炎、糖尿病、肾脏/肝脏疾病、胃病和溃疡之间的关联仍然存在。接下来需要进一步研究这些联系在整个生命周期中的性质和机制。
To examine the association between neuroticism and physical disorders among adults in the United States, data were drawn from the National Comorbidity Survey (n = 5877). Multiple logistic regression analyses were used to examine the relationship between neuroticism and physical disorders among adults in the community, adjusting for differences in demographic characteristics and comorbid mental disorders.Results indicated that neuroticism was associated with significantly elevated rates of a wide range of physical disorders, with the exception of stroke. After adjusting for differences in demographic characteristics and comorbid mental disorders, neuroticism was associated with increased odds of arthritis (OR = 1.5), diabetes (OR = 3.33), kidney/liver disease (OR = 2.56), stomach/gallbladder problems (OR = 2.27), and ulcer (OR = 3.23). Based on those findings, neuroticism appears to be a general predictor of a range of physical health problems among adults in the United States. Much of this association appears to be partially mediated by comorbid mental disorders, yet the association between neuroticism and arthritis, diabetes, kidney/liver disease, stomach problems, and ulcer persist even after adjusting for differences in demographic characteristics and comorbid mental disorders. Future studies that can examine the nature and mechanism of these linkages across the lifespan are needed next.