Title Disability and Comorbidity of Mood Disorders and Anxiety Disorders With Diabetes and Hypertension: Evidences From the China Mental Health Survey and Chronic Disease Surveillance in China
Authors Hu, Yuanyuan
Huang, Yueqin
Wang, Limin
Liu, Zhaorui
Wang, Linhong
Yan, Jie
Zhang, Mei
Lv, Ping
Guan, Yunqi
Ma, Chao
Huang, Zhengjing
Zhang, Tingting
Chen, Hongguang
Affiliation Peking Univ, Peking Univ Inst Mental Hlth, Peking Univ Sixth Hosp, Natl Hlth Comm,Key Lab Mental Hlth,Natl Clin Res C, Beijing, Peoples R China
Chinese Ctr Dis Control & Prevent, Natl Ctr Chron & Noncommunicable Dis Control & Pre, Beijing, Peoples R China
Peking Univ, Sch Govt, Beijing, Peoples R China
Peking Univ, Inst Social Sci Survey, Beijing, Peoples R China
Keywords MAJOR DEPRESSIVE DISORDER
PHYSICAL DISORDERS
TOTAL POPULATION
PREVALENCE
MORTALITY
ILLNESS
BURDEN
RISK
Issue Date 20-May-2022
Publisher FRONTIERS IN PSYCHIATRY
Abstract BackgroundThe China Mental Health Survey was carried out using the same sampling frame with the China Chronic Diseases and Risk Factors Surveillance. This paper explores the relationship between the disability and the comorbidity of mood disorders and anxiety disorders with diabetes and hypertension. MethodsA large-scale nationally representative sample with both mental disorders and chronic diseases was collected from 157 Disease Surveillance Points in 31 provinces across China. Face-to-face interviews were conducted by trained lay interviewers to make diagnoses of mood disorders and anxiety disorders using the Composite International Diagnostic Interview. Diabetes and hypertension were diagnosed from self-report and blood examination or body measurement. Sampling design weights, non-response adjustment weights, and post-stratification adjustment weights were applied during the analyses of comorbidity and disability. ResultsTotally 15,000 respondents had information of mental disorders and physical diseases. In the patients with mood disorders or anxiety disorders, the weighted prevalence rates of diabetes or hypertension were not higher than those in persons without the above mental disorders, but the weighed disability rates increased when having the comorbidity of hypertension (P < 0.05). The severity of disability was higher among patients with comorbidity of diabetes and anxiety disorders, or hypertension and mood disorders, compared with that among patients without the physical comorbidity (P < 0.05). After adjusted by age, gender and education, patients with comorbidity of mental disorders and physical disorders had the highest disability, followed by the patients with mental disorders only, and physical diseases only. ConclusionsThe disability of mood disorders and anxiety disorders comorbid with diabetes and hypertension are more serious than that of any single disease. The relationship of mental and physical diseases is worth exploring in depth for comprehensive and integrated intervention to decrease the disability.
URI http://hdl.handle.net/20.500.11897/647444
ISSN 1664-0640
DOI 10.3389/fpsyt.2022.889823
Indexed SCI(E)
Appears in Collections: 第六医院
政府管理学院
社会科学调查中心

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