Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey
Comorbid mental disorders account for the role impairment of commonly occurring chronic physical disorders: Results from the national comorbidity survey
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DOI：
10.1097/01.jom.0000100000.70011.bb
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发表时间：
2003-12-01
影响因子：
3.2
通讯作者：
Stang, PE
中科院分区：
文献类型：
--
作者：
Kessler, RC;Ormel, J;Stang, PE
大多数健康和工作效率的研究都集中在个人情况上，而没有考虑共病。我们通过研究精神障碍对慢性身体疾病患者角色损害(过去一个月的病假和减少工作天数)的影响来说明这种忽视的含义。一项对5877名受访者进行的具有全国代表性的家庭调查评估了目前的精神和身体障碍以及角色障碍。有四种身体疾病足够常见，可以进行研究：高血压、关节炎、哮喘和溃疡。在双变量分析中，所有4种身体障碍都与显著的角色障碍相关。然而，进一步的分析表明，这些损害几乎完全局限于患有共病精神障碍的病例。需要在工作场所样本中进行有效性试验，以评估在患有慢性身体疾病的工人中治疗共病精神障碍的成本效益。
Most health and work productivity studies have focused on individual conditions without considering comorbidity. We illustrate the implication of this neglect by examining the effects of comorbid mental disorders on role impairment (number of sickness absence and work cut-back days in the past month) among people with chronic physical disorders. A nationally representative household survey of 5877 respondents assessed current mental and physical disorders and role impairments. Four physical disorders were sufficiently common to be studied: hypertension, arthritis asthma and ulcers. All,, 4 physical disorders were associated with significant role impairments in bivariate analyses. However, further analysis showed that these impairments were almost entirely confined to cases with comorbid mental disorders. Effectiveness trials in workplace samples are needed to evaluate the cost-effectiveness of treating comorbid mental disorders among workers with chronic physical disorders.