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精神疾病与一般医学疾病和功能性体质疾病并发症:生命线队列研究
1Division of Psychology and Mental Health, University of Manchester, Manchester, United Kingdom.
PloS one
|May 30, 2023
概括
精神疾病在功能性体征综合征中比一般医学疾病更为常见,有类似的促成因素,如压力和先前的心理健康问题. 这些问题往往先于功能性体征综合征的出现.
科学领域:
- 精神病学和行为科学 精神病学和行为科学
- 流行病学 流行病学
- 内部医学 内部医学
背景情况:
- 功能性体征综合征的精神疾病患病率高于一般医学疾病,但原因尚不清楚.
- 了解这些情况中精神疾病的相关性对于有效的管理和预防至关重要.
研究的目的:
- 与一般医学疾病相比,研究功能性体力综合征中精神疾病的患病率和相关因素.
- 为了确定精神疾病是否先于功能性体力综合征的出现.
主要方法:
- 一项基于人口的队列研究 (Lifelines) 对122,366名成年人进行了自我报告的刺激性肠综合征,纤维肌痛,慢性疲劳综合征,炎症性肠病,类风湿性关节炎和糖尿病.
- 使用逻辑回归的横截面和纵向分析,以确定基线精神疾病的相关性以及疾病发病前的患病率.
主要成果:
- 精神疾病的患病率在功能性体征综合征 (17-27%) 和一般医学疾病 (10.4-11.7%) 中较高.
- 精神疾病的相关因素,包括压力生活事件,健康困难,神经病症和先前的精神病史,在两种疾病类型中都是相似的.
- 在这些疾病发展之前,精神疾病的患病率与已确定的疾病相比较.
结论:
- 尽管发病率不同,功能性体征综合征和一般医学疾病在精神疾病中具有相似的相关性,涉及倾向性和环境因素.
- 功能性体征综合征中精神疾病的高发病率似乎存在于综合征实际发病之前.
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