Physical illness as an outcome of chronic anxiety disorders

被引:37
作者
Bowen, RC
Senthilselvan, A
Barale, A
机构
[1] Univ Saskatchewan, Dept Psychiat, Saskatoon, SK S7N 0W8, Canada
[2] Univ Alberta, Edmonton, AB, Canada
[3] Nanaimo Reg Gen Hosp, Nanaimo, BC, Canada
来源
CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE | 2000年 / 45卷 / 05期
关键词
anxiety disorders; population; follow-up studies; cerebrovascular disorders; cardiovascular disease; atherosclerosis; ischemic heart disease; gastrointestinal disease; hypertension; respiratory disease;
D O I
10.1177/070674370004500506
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Background: The literature indicates increased rates of some medical conditions in patients with anxiety disorders. We used the Saskatchewan Health databases to examine the development of non psychiatric medical diseases in patients with anxiety disorders. This study has a large population base, and the Saskatchewan health plan does not limit the provision of services to this populaiton. Method: We observed the annual incidence of specified medical conditions inpatients with anxiety disorders and in control subjects over a 10-year period. Subjects in both groups had not been treated for the specified medical conditions before the start of the observation period. Results: The anxiety cohort had a significantly higher relative risk of developing medical diseases compared with the control group. The highest relative risk, indicated by the hazard ratio, was for cerebrovascular disease (hazard ratio 2, 95% CI 1.09-3.65). Hazard ratios were significant for cerebrovascular disease and atherosclerosis as well as for ischemic heart, gastrointestinal, hypertensive, and respiratory diseases. Conclusions: This study provides additional evidence for an association between anxiety disorder and the later development of medical morbidity.
引用
收藏
页码:459 / 464
页数:6
相关论文
共 31 条
[1]  
ALLGULANDER C, 1994, ARCH GEN PSYCHIAT, V51, P708
[2]  
ANGST J, 1990, COMORBIDITY OF MOOD AND ANXIETY DISORDERS, P123
[3]   Symptoms of depression, acute myocardial infarction, and total mortality in a community sample [J].
Barefoot, JC ;
Schroll, M .
CIRCULATION, 1996, 93 (11) :1976-1980
[4]  
BLACK D, 1985, ARCHIT DIGEST, V42, P82
[5]   PSYCHOLOGICAL PREDICTORS OF HEART-DISEASE - A QUANTITATIVE REVIEW [J].
BOOTHKEWLEY, S ;
FRIEDMAN, HS .
PSYCHOLOGICAL BULLETIN, 1987, 101 (03) :343-362
[6]  
BUTLER PD, 1990, COMORBIDITY OF MOOD AND ANXIETY DISORDERS, P413
[7]   Personality as independent predictor of long-term mortality in patients with coronary heart disease [J].
Denollet, J ;
Sys, SU ;
Stroobant, N ;
Rombouts, H ;
Gillebert, TC ;
Brutsaert, DL .
LANCET, 1996, 347 (8999) :417-421
[8]  
FIFER SK, 1994, ARCH GEN PSYCHIAT, V51, P740
[9]   IN-HOSPITAL SYMPTOMS OF PSYCHOLOGICAL STRESS AS PREDICTORS OF LONG-TERM OUTCOME AFTER ACUTE MYOCARDIAL-INFARCTION IN MEN [J].
FRASURESMITH, N .
AMERICAN JOURNAL OF CARDIOLOGY, 1991, 67 (02) :121-127
[10]   THE IMPACT OF NEGATIVE EMOTIONS ON PROGNOSIS FOLLOWING MYOCARDIAL-INFARCTION - IS IT MORE THAN DEPRESSION [J].
FRASURESMITH, N ;
LESPERANCE, F ;
TALAJIC, M .
HEALTH PSYCHOLOGY, 1995, 14 (05) :388-398