在配偶心血管事件发生后,抑郁症开始
Toshiaki Komura1, Yusuke Tsugawa2,3, Naoki Kondo4
1Department of Epidemiology, School of Public Health, Boston University, Boston, Massachusetts.
JAMA network open
|April 12, 2024
概括
一个配偶的心血管疾病 (CVD) 诊断会增加一个人患抑郁症的风险. 这凸显了对心血管疾病患者的伴侣提供心理健康支持的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 心血管疾病 (CVD) 是一种已知的抑郁症风险因素.
- 关于配偶心血管疾病对个人后续精神健康的影响的证据有限.
研究的目的:
- 调查配偶中某人患心血管疾病 (CVD) 的发病与另一配偶随后患抑郁症的风险之间的关联.
主要方法:
- 在全国范围内对277,142个匹配的日本已婚夫妇进行了队列研究.
- 使用考克斯的比例危险模型来分析配偶心血管疾病发病和个人抑郁症之间的关联.
- 调整为社会人口统计学因素,并发病症和健康行为.
主要成果:
- 在那些配偶经历了心血管疾病事件的人群中,观察到抑郁症的风险增加 (HR,1.13;95% CI,1.07-1.20).
- 在调整健康行为和身体健康状况后,结果保持一致 (HR,1.16;95% CI,1.06-1.28).
- 根据性别,年龄,收入或之前的心血管疾病病史,在子组中没有发现显著的异质性.
结论:
- 心血管疾病的配偶发病与个人患抑郁症的风险更高有关.
- 强调综合心理健康护理对支持心血管疾病配偶的个人的重要性.
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