抑郁症,焦虑和甲状腺疾病之间的关联:英国生物库前性队列研究
Tianqing Fan1, Xuerong Luo1, Xuting Li2,3
1Department of Psychiatry, National Clinical Research Center for Mental Disorders, and National Center for Mental Disorders, The Second Xiangya Hospital of Central South University, Changsha 410011, Hunan, China.
Depression and anxiety
|April 14, 2025
概括
抑郁和焦虑会增加患甲状腺疾病的风险,包括甲状腺功能低下和甲状腺功能过高. 这些精神健康状况的严重程度更高与甲状腺疾病的风险更高有关.
科学领域:
- 内分泌学和精神病学 在
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 关于抑郁症,焦虑和随后的甲状腺疾病风险之间的联系的数据有限.
- 了解这种关联对于公共卫生倡议和临床实践至关重要.
研究的目的:
- 为了前性地研究抑郁症,焦虑和患甲状腺疾病的风险之间的联系.
- 根据抑郁和焦虑症状的严重程度来量化风险.
主要方法:
- 一个大规模的前性队列研究,利用英国生物库的数据.
- 通过患者健康问卷-4 (PHQ-4) 评估抑郁和焦虑;使用ICD-10代码诊断甲状腺疾病.
- 考克斯的比例危险模型和受限立方线分析了13年的随访期间的关联.
主要成果:
- 超过349,000名参与者被跟踪了13年;9,877人患上了甲状腺疾病.
- 在抑郁症/焦虑症和甲状腺功能低下症和甲状腺功能过高症之间发现了显著的关联.
- 观察到较高PHQ得分的风险增加:整体甲状腺疾病的轻度 (HR 1.27),中度 (HR 1.33),严重 (HR 1.56).
结论:
- 抑郁和焦虑与随后甲状腺疾病的风险增加有关.
- 风险随着抑郁和焦虑的严重程度而升级.
- 在甲状腺疾病风险预测和预防策略中,应考虑所有程度的抑郁和焦虑.
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