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量化抑郁症和慢性肝病风险:来自大型纵向队列研究的结果
Hailiang Wang1, Shuju Zhao2, Xueqing Wang3
1Department of Hepatobiliary Surgery, Zibo First Hospital, Zibo, Shandong, China.
Frontiers in public health
|October 13, 2025
概括
抑郁症状与中国老年人患慢性肝病的风险增加有关. 早期的心理健康查可能有助于识别患肝病风险较高的人.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 慢性肝病和抑郁症是全球重要的健康问题,特别是在老龄化人口中.
- 关于抑郁症状与慢性肝病 (CLD) 风险之间的潜在联系的证据有限.
- 这项研究调查了中年和老年中国成年人的相关性.
研究的目的:
- 探索抑郁症状与患慢性肝病的风险之间的潜在关联.
- 在中年及以上的中国成年人群中评估这种关系.
主要方法:
- 利用了来自中国健康与退休长度研究 (CHARLS) 的数据.
- 包括11,272名没有先前肝病的参与者,通过CESD-10分数评估抑郁症.
- 采用Cox比例危险回归和受限制的立方斜线模型,对共变量进行调整.
主要成果:
- 在较高的CESD得分和慢性肝病风险增加之间发现了显著的关联 (HR: 1.020,95% CI: 1.006-1.033).
- 在调整多个共同变量后,这种关联仍然存在.
- 随访时间平均为6.85年,有570例新的CLD诊断.
结论:
- 抑郁症状与随后发展的慢性肝病有着显著的关联.
- 抑郁症状可能是肝病风险的早期指标.
- 强调将心理健康评估纳入常规临床护理的重要性.
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