DEPRESSION AND CARDIOVASCULAR-DISEASES
DEPRESSION AND CARDIOVASCULAR-DISEASES
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DOI：
10.1111/j.1600-0447.1994.tb05807.x
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发表时间：
1994-01-01
影响因子：
6.7
通讯作者：
MAATELA, J
中科院分区：
文献类型：
--
作者：
AROMAA, A;RAITASALO, R;MAATELA, J
我们首先回顾了抑郁症与心血管疾病（CVD）之间的关系。然后，我们在全国代表性的小型芬兰健康调查中对他们进行了调查，该调查涵盖了8，000人。采用标准化方法诊断慢性躯体疾病和精神障碍。横截面，心血管疾病和神经症性抑郁症相关的协变量调整前后。在严重心血管疾病的情况下观察到最强的相关性。在6.6年的随访中，心血管疾病死亡和冠状动脉死亡的风险在有或没有心血管疾病的抑郁症患者中升高。大部分的横截面关联可能是由于心血管疾病引起的抑郁症。心血管疾病的结果可能是穷人在抑郁症的人。抑郁症是心血管疾病的一个原因的假设需要进一步研究。
We first review the associations between depression and cardiovascular diseases (CVDs). Then we examine them in the nationally representative Mini-Finland Health Survey, which covers 8,000 persons. Chronic somatic diseases and mental disorders were diagnosed using standardized methods. Cross-sectionally, CVDs and neurotic depression were associated both before and after adjustment for covariates. The strongest associations were observed in the case of severe CVDs. During a 6.6 year follow-up, the risk of CVD death and coronary death was elevated in depressed persons both with and without CVDs at entry. Much of the cross-sectional association is probably due to depression caused by CVDs. The outcome of CVD may be poorer in depressed persons. The hypothesis that depression is a cause of CVDs requires further study.