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首页> 外文期刊>The Australian and New Zealand journal of psychiatry >The co-occurrence of common mental and physical disorders within Australian families: A national population-based study.
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The co-occurrence of common mental and physical disorders within Australian families: A national population-based study.

机译：澳大利亚家庭内的共同心理和身体障碍的共同发生：基于国家的学习。

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Objective: Because comorbidity between mental and physical disorders is commonly found in patients, it would be expected that this pattern would also be reflected at the family level. During a recent population-based survey of common mental disorders, respondents were asked about the presence of selected mental and physical disorders in their relatives. The aim of this research was to describe the within-family co-occurrence of selected common physical and mental disorders in a population-based sample. Methods: Subjects were drawn from the Australian National Survey of Mental Health and Wellbeing 2007. A modified version of the World Mental Health Survey Initiative of the Composite International Diagnostic Interview (WMH-CIDI 3.0, henceforth CIDI) was used to identify lifetime-ever common psychiatric disorders (anxiety disorders, depression, drug or alcohol disorders). The respondents were asked if any of their relatives had one of a list of psychiatric (anxiety, bipolar disorder, depression, drug or alcohol problem, schizophrenia) or general physical disorders (cancer, heart problems, intellectual disability, memory problems). We examined the relationship between the variables of interest using logistic regression, adjusting for potential confounding factors. Results: Compared to otherwise-well respondents, those who had a CIDI diagnosis of major depressive disorders, anxiety disorders, or drug or alcohol abuse/dependence were significantly more likely to have first-degree relatives with (a) the same diagnosis as the respondent, (b) other mental disorders not identified in the respondent, and (c) a broad range of general physical conditions. Conclusions: Individuals with common mental disorders report greater familial co-occurrence for a range of mental and physical disorders. When eliciting family histories, clinicians should remain mindful that both mental and physical disorders can co-occur within families.
机译：目的：因为精神和物理障碍之间的合并症常见于患者，预计这种模式也将在家庭层面反映。在最近的基于人口的常见精神障碍的调查中，受访者被问及他们亲属中所选择的精神和身体障碍的存在。该研究的目的是描述基于人群的样本中所选常见的身体和精神障碍的家庭内部共同发生。方法：从澳大利亚的全国精神健康和福利调查中提出了科目。综合国际诊断访谈（WMH-CIDI 3.0，WMH-CIDI 3.0，WMH-CIDI）的世界精神卫生调查倡议进行了修改版本，用于识别终身常见精神病疾病（焦虑症，抑郁，药物或酒精疾病）。被问及受访者如果他们的任何亲属有一个精神病（焦虑，双相障碍，抑郁，药物或酒精问题，精神分裂症）或一般身体障碍（癌症，心脏问题，智力残疾，记忆问题）。我们检查了利用逻辑回归的兴趣变量与潜在混杂因素之间的关系。结果：与其他良好的受访者相比，那些对主要抑郁症，焦虑症或药物或酒精滥用/依赖的CIDI诊断的人显着更有可能具有一致亲属与（a）与受访者相同的诊断，（b）未在受访者中识别的其他精神障碍，（c）广泛的一般身体状况。结论：常见精神障碍的个体报告了一系列精神和物理障碍的家庭共同发生。当诱惑家庭历史时，临床医生应留意，心理和物理障碍都可以在家庭内共同发生。

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