Mental disorders among adults with asthma: results from the World Mental Health Survey
Mental disorders among adults with asthma: results from the World Mental Health Survey
复制标题
DOI：
10.1016/j.genhosppsych.2006.12.006
复制
发表时间：
2007-03-01
影响因子：
7
通讯作者：
Haro, Josep Maria
中科院分区：
文献类型：
--
作者：
Scott, Kate M.;Von Korff, Michael;Haro, Josep Maria
目的：(A)在控制了年龄和性别后，确定哪些常见精神障碍与哮喘有关，以及(B)评估精神障碍与哮喘的相关性在不同国家是否一致。方法：在17个国家(N=85,088)对居住在家庭中的成年人进行了18项人口调查。精神障碍的评估采用完整结构的诊断性访谈--综合国际诊断访谈3.0。这里考虑的障碍是12个月的焦虑症(广泛性焦虑症、恐慌症/广场恐惧症、创伤后应激障碍和社交恐惧症)、抑郁障碍(恶劣心境障碍和严重抑郁障碍)和酒精使用障碍(滥用和依赖)。结果：与非哮喘者相比，哮喘者患精神障碍的合并估计数为1.6[95%可信区间(95%CI)=1.4，1.8]，焦虑症为1.5(95%CI=1.4，1.7)，焦虑症为1.7(95%CI=1.4，1.4，2.1)酒精使用障碍。结论：这项关于哮喘和精神障碍之间关系的第一项跨国研究证实，一系列常见的精神障碍在哮喘患者中发生的频率更高。这些结果证明了不同环境中的临床医生对这些情况的共同发生保持警惕的重要性。(C)2007 Elsevier Inc.保留所有权利。
Objective: Our objectives were (a) to determine which common mental disorders are associated with asthma in the general population after controlling for age and sex, and (b) to assess whether the associations of mental disorders with asthma are consistent across diverse countries.Method: Eighteen population surveys of household-residing adults were carried out in 17 countries (N=85,088). Mental disorders were assessed with the Composite International Diagnostic Interview 3.0, a fully structured diagnostic interview. The disorders considered here are 12-month anxiety disorders (generalized anxiety disorder, panic disorder/agoraphobia, posttraumatic stress disorder and social phobia), depressive disorders (dysthymia and major depressive disorder) and alcohol use disorders (abuse and dependence). Asthma was ascertained by self-reports of lifetime diagnosis among a subsample (n =42,697).Results: Pooled estimates of age-adjusted and sex-adjusted odds of mental disorders among persons with asthma relative to those without asthma were 1.6 [95% confidence interval (95% CI)= 1.4, 1.8] for depressive disorders, 1.5 (95% CI = 1.4, 1.7) for anxiety disorders and 1.7 (95% Cl = 1.4, 2.1) for alcohol use disorders.Conclusion: This first cross-national study of the relationship between asthma and mental disorders confirms that a range of common mental disorders occurs with greater frequency among persons with asthma. These results attest to the importance of clinicians in diverse settings being alert to the co-occurrence of these conditions. (c) 2007 Elsevier Inc. All rights reserved.