Psychological distress and mortality: Are women more vulnerable?

Psychological distress and mortality: Are women more vulnerable?
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DOI:
10.1177/002214650604700303
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发表时间:
2006-09-01
影响因子:
5
通讯作者:
Nuriddin, Tariqah A.
Nuriddin, Tariqah A.
中科院分区:
医学2区
文献类型:
--
作者:
Ferraro, Kenneth F.;Nuriddin, Tariqah A.

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心理困扰会增加死亡风险吗?如果确实如此,女性是否比男性更容易受到痛苦对死亡率的影响?根据累积劣势理论,这些问题是通过对全国25-74岁成年人样本进行20年随访的数据来解决的。进行事件历史分析,以检查男性和女性的一般和特殊原因的死亡率。研究结果显示,心理困扰对男性全因死亡率的影响是非线性的。适度的痛苦与较低的死亡风险相关,但高度的痛苦会增加男性的死亡风险。此外,痛苦与死亡率之间的曲线关系因男女死亡原因而异。心理困扰程度高的男性更容易因缺血性心脏病死亡。苦恼程度高的女性更容易患癌症死亡。
Does psychological distress increase mortality risk? If it does, are women more vulnerable than men to the effect of distress on mortality? Drawing from cumulative disadvantage theory, these questions are addressed with data from a 20-year follow-up of a national sample of adults ages 25-74. Event history analyses were performed to examine mortality from general and specific causes for men and women. Findings reveal that the effect of psychological distress on all-cause mortality was nonlinear for men. Moderate amounts of distress were associated with lower mortality risk, but high levels of distress raised men mortality risk. Moreover the curvilinear relationship between distress and mortality varied by cause of death for men and women. Men with high levels of psychological distress were more vulnerable to ischemic heart disease mortality. Women with high levels of distress were more vulnerable to cancer mortality.