The association of depressive symptoms with disability among adults in China

重性抑郁障碍 焦虑 萧条(经济学) 精神科 医学 身体残疾 临床心理学 心情 宏观经济学 经济
作者
Rui Peng,Yongshi Wang,Yueqin Huang,Zhaorui Liu,Xiangdong Xu,Yanjuan Ma,Limin Wang,Mei Zhang,Yongping Yan,Bo Wang,Shuiyuan Xiao,Liang Zhou,Lingjiang Li,Yan Zhang,Chao Ma,Tingting Zhang,Jie Yan,Hua Ding,Yaqin Yu,Changgui Kou
出处
期刊:Journal of Affective Disorders [Elsevier BV]
卷期号:296: 189-197 被引量:10
标识
DOI:10.1016/j.jad.2021.09.030
摘要

The symptoms that patients with major depressive disorder (MDD) experience are the dominant contributing factors to its heavy disease burden. This study sought to identify key symptoms leading to disability in patients with MDD.Subjects consisted of patients who had a 12-month MDD diagnosis based on the China Mental Health Survey (CMHS). World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) was used to assess the degree of disability. The associations between depressive symptoms and disability were analyzed using a linear regression and logistic regression with a complex sampling design.Of the 32,552 community residents, 655 patients were diagnosed with 12-month MDD. The disability rate due to MDD was 1.06% (95% CI: 0.85%-1.28%) among adults in Chinese community and 50.7% (95% CI: 44.3%-57.1%) among MDD patients. Depression was associated with all functional losses measured by the WHODAS. Feelings of worthlessness in life or inappropriate guilt, and psychomotor agitation or retardation were the key symptoms related to disability. Economic status, co-morbidity of physical diseases or anxiety disorders were correlates of disability scores.The disability rate might be underestimated due to the exclusion of MDD patients living in hospitals. The effect of treatments on disability was excluded.Psychological symptoms, not somatic symptoms, contribute to disability in MDD patients. Disability worsens when physical diseases or anxiety disorders are present. More attention could be paid to psychological symptoms, physical diseases, and anxiety disorders in MDD patients with disabilities.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
刚刚
科目三应助娇气的天亦采纳,获得10
1秒前
JiangHan发布了新的文献求助10
1秒前
3秒前
GGBOND发布了新的文献求助10
3秒前
4秒前
黄振全发布了新的文献求助10
4秒前
5秒前
Lu发布了新的文献求助10
6秒前
苯氮小羊发布了新的文献求助10
6秒前
hugdoggy发布了新的文献求助10
8秒前
8秒前
英姑应助shawn采纳,获得10
11秒前
完美世界应助22采纳,获得10
11秒前
Hululu完成签到,获得积分10
11秒前
12秒前
精美礼物发布了新的文献求助30
13秒前
anna发布了新的文献求助10
13秒前
GGBOND发布了新的文献求助10
18秒前
pomfret完成签到,获得积分10
18秒前
从容甜瓜完成签到 ,获得积分10
20秒前
量子星尘发布了新的文献求助10
20秒前
21秒前
22秒前
桐桐应助Lu采纳,获得10
23秒前
YWang发布了新的文献求助10
25秒前
han应助归华采纳,获得10
26秒前
26秒前
SYLH应助zly采纳,获得30
29秒前
完美世界应助娇气的天亦采纳,获得10
31秒前
33秒前
36秒前
科目三应助彭栋采纳,获得10
38秒前
方文浩发布了新的文献求助10
38秒前
ding应助YWang采纳,获得10
41秒前
41秒前
林宝雯关注了科研通微信公众号
46秒前
49秒前
斯文败类应助GGBOND采纳,获得10
49秒前
星辰大海应助科研通管家采纳,获得10
49秒前
高分求助中
A new approach to the extrapolation of accelerated life test data 1000
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 500
‘Unruly’ Children: Historical Fieldnotes and Learning Morality in a Taiwan Village (New Departures in Anthropology) 400
Indomethacinのヒトにおける経皮吸収 400
Phylogenetic study of the order Polydesmida (Myriapoda: Diplopoda) 370
基于可调谐半导体激光吸收光谱技术泄漏气体检测系统的研究 350
Robot-supported joining of reinforcement textiles with one-sided sewing heads 320
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3989115
求助须知:如何正确求助?哪些是违规求助? 3531367
关于积分的说明 11253688
捐赠科研通 3269986
什么是DOI,文献DOI怎么找? 1804868
邀请新用户注册赠送积分活动 882078
科研通“疑难数据库(出版商)”最低求助积分说明 809105