Depression and anxiety associated with cardiovascular disease among persons aged 45 years and older in 38 states of the United States
Depression and anxiety associated with cardiovascular disease among persons aged 45 years and older in 38 states of the United States
复制标题
DOI：
10.1016/j.ypmed.2008.02.016
复制
发表时间：
2008-05-01
影响因子：
5.1
通讯作者：
Mokdad, Ali H.
中科院分区：
文献类型：
--
作者：
Fan, Amy Z.;Strine, Tara W.;Mokdad, Ali H.
Objective.为了强调心血管疾病（CVD）与美国非机构化成年人的抑郁和焦虑的密切联系，并研究CVD幸存者中抑郁和焦虑的社会人口学相关性。这些数据是从38个州获得的，这些州实施了焦虑和抑郁模块，作为2006年行为风险因素监测系统的一部分。通过三个关于冠心病和中风的问题来评估心血管疾病。应用SUDAAN 9.0软件对人口学特征进行校正后，获得校正后的患病率。研究人群中CVD病史的患病率为15.3%（样本量n = 129，499）。有心血管病史的人比没有心血管病史的人更有可能患上抑郁症（15.8% vs 7.1%，APR [95% CI] = 1.69 [1.54-1.85]），终生诊断为抑郁障碍（22.3% vs 15.1%，APR [95%CI] = 1.56 [1.45-1.67]）或焦虑障碍（16.6% vs 10.0%，APR [95%CI] = 1.46 [1.37-1.54]）。低文化程度或少数民族背景的脑血管病幸存者虽然抑郁经历与对照组相当或高于对照组，但抑郁诊断的可能性较低。CVD与抑郁和焦虑显著相关。心血管病幸存者在抑郁和焦虑的诊断上存在差异。爱思唯尔公司出版
Objective. To highlight the close association of cardiovascular disease (CVD) with depression and anxiety in US non-institutionalized adults and examine the sociodemographic correlates of depression and anxiety among CVD survivors.Method. The data were obtained from 38 states which administered an Anxiety and Depression Module as part of the 2006 Behavioral Risk Factor Surveillance System. CVD was assessed with three questions on coronary heart disease and stroke. Adjusted prevalence ratios (APRs) were obtained after adjustment for demographic characteristics using SUDAAN 9.0.Results. The prevalence of a CVD history was 15.3% among studied population (sample size n = 129,499). Persons with a CVD history were more likely than those without to experience current depression (15.8% versus 7.1%, APR [95% CI] = 1.69 [1.54-1.85]), to have a lifetime diagnosis of depressive disorders (22.3% versus 15.1%, APR [95%CI] = 1.56 [1.45-1.67]) or anxiety disorders (16.6% versus 10.0%, APR [95% CI] = 1.46 [1.37-1.54]). CVD survivors with low education attainment or minority background were less likely to receive a diagnosis of depression though their experience of depression was comparable with or higher than their counterparts.Conclusion. CVD is associated significantly with depression and anxiety. Disparities exist among CVD survivors on the diagnosis of depression and anxiety. Published by Elsevier Inc.