精神疾病患者的癌症风险:基于人口的队列研究
Tak Kyu Oh1,2, Hye Yoon Park3, In-Ae Song1,2
1Department of Anesthesiology and Pain Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
BJPsych open
|June 20, 2025
概括
患有精神疾病的人患癌症的风险更高. 特定的疾病,如与酒精有关的,焦虑和严重抑郁症,与癌症发病率的增加有显著的关联.
科学领域:
- 精神病学是一个精神病学.
- 在瘤学瘤学.
- 流行病学 流行病学
背景情况:
- 精神疾病与癌症风险之间的联系尚未得到充分证实.
- 了解这种关联对于公共卫生和患者护理至关重要.
研究的目的:
- 研究精神疾病与患癌症的风险之间的关联.
- 为了确定癌症风险是否根据精神疾病的存在和类型而有所不同.
主要方法:
- 韩国的一项队列研究 (2017-2022) 包括被诊断患有精神疾病的患者和对照组.
- 倾向性得分匹配创建了可比较的组 (每组343,285个人).
- 在5年的随访期间,使用考克斯回归分析评估了癌症发病率.
主要成果:
- 与对照组 (12.8%) 相比,精神疾病组的癌症发病率高出23% (15.4%).
- 与癌症风险增加相关的特定精神疾病包括与酒精有关的疾病 (HR 1.27),严重抑郁症 (HR 1.16) 和焦虑症 (HR 1.15).
结论:
- 精神疾病与患癌症的风险增加有关.
- 与酒精有关的障碍,焦虑障碍和严重抑郁障碍与癌症风险增加特别相关.
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