Anxiety, depression, and quality of life in primary care patients.
Anxiety, depression, and quality of life in primary care patients.
复制标题
DOI：
10.4088/pcc.v09n0606
复制
发表时间：
2007-12
期刊：
影响因子：
--
通讯作者：
G. Brenes
中科院分区：
文献类型：
--
作者：
G. Brenes
背景：焦虑和抑郁障碍对生活质量有显著的负面影响。然而，人们对焦虑和抑郁症状对生活质量的影响知之甚少。本研究的目的是检验焦虑和抑郁症状对情绪和身体功能的影响，焦虑症状对独立于抑郁症状的功能的影响，以及抑郁症状对独立于焦虑症状的功能的影响。方法参与者包括919名患者，从2004年5月至2006年9月从2所大学附属初级保健诊所招募，他们完成了焦虑症状、抑郁症状和生活质量的自我报告测量。结果：近40%的受试者报告焦虑症状，30%报告抑郁症状。在未调整和调整模型中，焦虑和抑郁症状与生活质量的所有领域都显著相关。当焦虑和抑郁症状同时出现时，两者仍然显著。随着焦虑或抑郁症状加重，生活质量下降。此外，与急性心肌梗死、充血性心力衰竭或糖尿病患者相比，中度至重度焦虑或抑郁症状患者在大多数生活质量领域的损害更大。结论应重视初级保健机构焦虑和抑郁症状的检测和治疗。
BACKGROUND Anxiety and depressive disorders have a significant and negative impact on quality of life. However, less is known about the effects of anxiety and depressive symptoms on quality of life. The purpose of this study was to examine the impact of anxiety and depressive symptoms on emotional and physical functioning, the effects of anxiety symptoms on functioning independent of depressive symptoms, and the effects of depressive symptoms on functioning independent of anxiety symptoms. METHOD Participants included 919 patients, recruited from 2 university-affiliated primary care clinics between May 2004 and September 2006, who completed self-report measures of anxiety symptoms, depressive symptoms, and quality of life. RESULTS Almost 40% of the sample reported anxiety symptoms and 30% reported depressive symptoms. In both unadjusted and adjusted models, anxiety and depressive symptoms were significantly associated with all domains of quality of life. When anxiety and depressive symptoms were added simultaneously, both remained significant. As the severity of anxiety or depressive symptoms increased, quality of life decreased. Furthermore, patients with moderate to severe anxiety or depressive symptoms had greater impairments in most quality of life domains than patients with acute myocardial infarction, congestive heart failure, or diabetes. CONCLUSION Detection and treatment of anxiety and depressive symptoms in the primary care setting should be emphasized.