No increased risk of developing depression in diabetes compared to other chronic illness
No increased risk of developing depression in diabetes compared to other chronic illness
复制标题
DOI：
10.1016/s0168-8227(03)00166-9
复制
发表时间：
2003-11-01
影响因子：
5.1
通讯作者：
Andersen, PK
中科院分区：
文献类型：
--
作者：
Kessing, LV;Nilsson, FM;Andersen, PK
几项研究发现，糖尿病患者抑郁症的患病率高于普通人群，但尚不清楚糖尿病患者与其他慢性病患者相比，患抑郁症的风险是否会增加。在一项全国性病例登记研究中，确定了1977年至1997年期间首次入院时出院诊断为糖尿病或骨关节炎的所有患者。在生存分析中，采用竞争风险模型估计抑郁症患者再次入院和出院的概率。总共确定了91507例首次出院时诊断为糖尿病的患者和108487例诊断为骨关节炎的患者。人口的中位年龄很高。两组患者诊断为抑郁症而再次入院的风险没有差异。1型糖尿病和2型糖尿病的风险没有差异。它的结论是，老年糖尿病患者似乎并没有增加患严重抑郁症的风险与其他慢性疾病的患者相比。(C)2003爱思唯尔爱尔兰有限公司保留所有权利。
Several studies have found that the prevalence of depression in patients with diabetes is higher than in the general population but it is unclear whether patients with diabetes have an increased risk of developing depression compared with patients with other chronic illnesses. In a nationwide case register study, all patients who had a discharge diagnosis of diabetes or of osteoarthritis at first admission in a period from 1977 to 1997 were identified. The probability of being readmitted and discharged with a diagnosis of depression was estimated with competing risks models in survival analysis. In total, 91 507 patients with a diagnosis of diabetes at first discharge and 108 487 patients with a diagnosis of osteoarthritis were identified. The median age of the populations was high. No difference in the risk of being readmitted with a diagnosis of depression was found between the two groups of patients. There was no difference in the risk for Type 1 and Type 2 diabetes. It is concluded that older patients with diabetes do not seem to have an increased risk of developing severe depression compared with patients with other chronic illness. (C) 2003 Elsevier Ireland Ltd. All rights reserved.