中年和老年中国人口中抑郁症状轨迹和新发性关节炎的研究
Dingliu He1, Yayun Fan1, Yanan Qiao2
1Department of Clinical Nutrition, Yancheng No.1 People's Hospital, Affiliated Hospital of Medical School, Nanjing University, Yancheng, 224001, PR China.
Journal of psychosomatic research
|June 28, 2023
概括
长期的抑郁症状模式显著增加了关节炎的风险. 即使抑郁症轨迹下降,与稳定低轨迹相比,关节炎风险也更高,这突显了抑郁症状的持久影响.
科学领域:
- 流行病学 流行病学
- 精神病学是一个精神病学.
- 类风湿病学 类风湿病学
背景情况:
- 以前的研究将抑郁症与关节炎风险增加联系在一起.
- 独特的长期抑郁症症状轨迹对关节炎风险的影响仍未得到充分研究.
研究的目的:
- 调查不同模式的长期抑郁症状轨迹与患关节炎的风险之间的关联.
主要方法:
- 利用了来自中国健康与退休长度研究 (2011-2018) 的5583名参与者的数据.
- 采用基于小组的轨迹建模来识别抑郁症状模式.
- 应用多变量竞争性考克斯回归来评估轨迹与关节炎风险之间的关系.
主要成果:
- 确定了五种不同的抑郁症状轨迹:稳定高,下降,增加,稳定中等,稳定低.
- 除了稳定低的外,所有轨迹都与明显更高的关节炎累积风险有关.
- 稳定高轨迹组表现出最高的关节炎风险 (HR: 2.19,95% CI: 1.38-3.48).
- 即使是抑郁症水平降低的轨迹也显示关节炎风险增加.
结论:
- 更高的抑郁症状轨迹与关节炎风险增加有显著联系.
- 长期的抑郁症状模式是关节炎发展的潜在强烈预测因素.
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