中国心理卫生杂志2024，Vol.38Issue(12)：1021-1027,7.DOI:10.3969/j.issn.1000-6729.2024.12.001
高血压与抑郁障碍和焦虑障碍共患率及关联因素现况研究
Cross-sectional study of prevalence and association factors for hypertension comorbid depressive and anxiety disorders
摘要
Abstract
Objective:To study the prevalence and association factors of depressive and anxiety disorders in the hypertensive population.Methods:Using the database obtained from the 2013 China Chronic Disease and Risk Factor Surveillance and the 2013-2015 China Mental Health Survey,4 861 hypertensive residents were used as study subjects.And using the Diagnostic and Statistical Manual of Mental Disorders,Fourth Edition(DSM-Ⅳ)as diagnostic criterion for depressive and anxiety disorders,the 12-month prevalence was calculated.Multifactorial lo-gistic regression models were used to explore the association factors of hypertension comorbid depressive and anxie-ty disorders.Results:The 12-month prevalence rates of depressive disorders and anxiety disorders were 4.1％and 5.0％in 4 861 hypertensive residents.Chinese Han[OR(95％CI):2.00(1.01-3.93)],lack of sleep[OR(95％CI):1.82(1.34-2.48)],having myocardial infarction[OR(95％CI):2.35(1.18～4.67)]and stroke in the past year[OR(95％CI):2.10(1.19-3.72)],and chronic obstructive pulmonary disease[OR(95％CI):2.11(1.11-4.05)]were risk factors of hypertension comorbid depressive disorder.Hypertensive people with controlled blood pressure[OR(95％CI):2.01(1.30-3.13)]had a higher risk of co-morbid depressive disorder than those with blood pressure above the normal range on this measurement.Chinese Han[OR(95％CI):2.51(1.32-4.80)],Southwest China[OR(95％CI):1.64(1.02-2.63)],and lack of sleep[OR(95％CI):1.45(1.09-1.93)]were risk factors of hypertension comorbid anxiety disorder.Former but current non-smoking[OR(95％CI):0.48(0.23-0.99)]was a protective factor of hypertension comorbid anxiety disorder.Conclusion:The 12-month prevalence of anxiety disorder was higher than that of depressive disorder in this hypertensive population.Both Han and sleep deprived hypertensive people had a higher risk of comorbid depressive and anxiety disorders.关键词
高血压/抑郁/焦虑/共患病/关联因素Key words
hypertension/depressive disorder/anxiety disorder/comorbidity/association factors分类
医药卫生引用本文复制引用
张宇妹,张婷婷,高星星,姜博,王丽敏,黄悦勤,张梅,赵振平,张笑,李纯,黄正京,刘肇瑞..高血压与抑郁障碍和焦虑障碍共患率及关联因素现况研究[J].中国心理卫生杂志,2024,38(12):1021-1027,7.基金项目
国家重点研发计划(2018YFC1311706) （2018YFC1311706）
