高血压与抑郁障碍和焦虑障碍 共患率及关联因素现.

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 (1.013.93)], 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 (1.324.80)], Southwest China [ OR(95% CI): 1. 64(1.022.63)], 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. [ABSTRACT FROM AUTHOR]