The association of medical comorbidity in schizophrenia with poor physical and mental health
The association of medical comorbidity in schizophrenia with poor physical and mental health
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DOI：
10.1097/00005053-199908000-00006
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发表时间：
1999-08-01
影响因子：
1.9
通讯作者：
Lehman, A
中科院分区：
文献类型：
--
作者：
Dixon, L;Postrado, L;Lehman, A
这项研究确定了接受精神分裂症治疗的人群中医疗合并症的患病率，以及医疗合并症与身心健康状况的关系。作为精神分裂症患者结果研究小组(PORT)的一部分，从各种社区和治疗环境中抽样的719名精神分裂症患者参加了一次调查访谈。采用多元回归分析作为社会人口学因素与当前医疗合并症的数量以及医疗合并症计数与患者的身体健康、心理健康、症状和生活质量评分之间的关系。大多数患者报告至少有一个医疗问题。视力、牙齿和高血压是最常见的问题。目前更多的医疗问题独立地导致了更糟糕的身体健康状况，更严重的精神病和抑郁，以及更大的自杀未遂病史。这项研究强调，必须关注精神分裂症患者的躯体保健以及身体和精神健康状况之间的联系。
This study determined the prevalence of medical comorbidities in a cohort of persons receiving treatment for schizophrenia and the association of medical comorbidity with physical and mental health status. A total of 719 persons with schizophrenia sampled from a variety of community and treatment settings as part of the schizophrenia Patient Outcomes Research Team (PORT) participated in a survey interview. Multiple regression analyses were used to as sess sociodemographic factors associated with the number of current medical comorbidities and the association of medical comorbidity count with patient ratings of physical health, mental health, symptoms, and quality of Life. The majority of patients reported at least one medical problem. Problems with eyesight, teeth, and high blood pressure were most common. A greater number of current medical problems independently contributed to worse perceived physical health status, more severe psychosis and depression, and greater Likelihood of a history of a suicide attempt. This study underscores the need to attend to somatic health care for persons with schizophrenia as well as the linkage of physical and mental health status.