Mental disorders among persons with heart disease - results from World Mental Health Surveys
Mental disorders among persons with heart disease - results from World Mental Health Surveys
复制标题
DOI：
10.1016/j.genhosppsych.2007.03.009
复制
发表时间：
2007-07-01
影响因子：
7
通讯作者：
Kessler, Ron
中科院分区：
文献类型：
--
作者：
Ormel, Johan;Von Korff, Michael;Kessler, Ron
目的：虽然抑郁症和心脏病在西方国家经常同时发生，但人们对焦虑和酒精使用障碍与心脏病的关系以及这种关系的跨文化一致性知之甚少。跨情绪障碍和文化的一致性表明，相对普遍的机制的基础association.Methods：调查与18个随机人口样本的家庭居住的成年人在17个国家在欧洲，美洲，中东，非洲，亚洲和南太平洋地区进行了。医学上公认的心脏病是通过自我报告确定的。精神障碍进行了评估与世界精神卫生复合国际诊断Interview. Results，一个完全结构化的诊断interview.Results：具体的情绪和焦虑障碍发生在心脏病患者的比率高于那些没有心脏病的人。经性别和年龄调整后，合并的优势比（95%置信区间）为2.1（1.9-2.5）情绪障碍，2.2（1.92.5）焦虑障碍和1.4（1.0-1.9）酒精滥用/依赖的人与那些没有心脏病。这些模式是相似的county.Conclusions：过度的焦虑症和情绪障碍被发现在心脏病患者。尽管各国在文化和精神障碍患病率方面存在很大差异，但这些关联在各国都成立。这些结果表明，类似的机制下的协会，并广泛的情绪焦虑障碍，应考虑在精神障碍和心脏病的共病研究。(c)2007年爱思唯尔公司All rights reserved.
Objectives: While depression and heart disease often co-occur in Western countries, less is known about the association of anxiety and alcohol use disorders with heart disease and about the cross-cultural consistency of this association. Consistency across emotional disorders and cultures would suggest that relatively universal mechanisms underlie the association.Methods: Surveys with 18 random population samples of household-residing adults in 17 countries in Europe, the Americas, the Middle East, Africa, Asia and the South Pacific were carried out. Medically recognized heart disease was ascertained by self-report. Mental disorders were assessed with the World Mental Health Composite International Diagnostic Interview, a fully structured diagnostic interview.Results: Specific mood and anxiety disorders occurred among persons with heart disease at rates higher than those among persons without heart disease. Adjusted for sex and age, the pooled odds ratios (95% confidence interval) were 2.1 (1.9-2.5) for mood disorders, 2.2 (1.92.5) for anxiety disorders and 1.4 (1.0-1.9) for alcohol abuse/dependence among persons with versus those without heart disease. These patterns were similar across countries.Conclusions: An excess of anxiety disorders and that of mood disorders are found among persons with heart disease. These associations hold true across countries despite substantial between-country differences in culture and mental disorder prevalence rates. These results suggest that similar mechanisms underlie the association and that a broad spectrum of mood-anxiety disorders should be considered in research on the comorbidity of mental disorders and heart disease. (c) 2007 Elsevier Inc. All rights reserved.