Author/Editor		Klemenc-Ketiš, Zalika; Kersnik, Janko; Tratnik, Erika
Title		The presence of anxiety and depression in the adult population of family practice patients with chronic diseases
Translated title		Prisotnost anksioznosti in depresije v aktivni populaciji bolnikov s kroničnimi boleznimi
Type		članek
Source		Zdrav Vars
Vol. and No.		Letnik 48, št. 4
Publication year		2009
Volume		str. 170-6
Language		eng
Abstract		Izhodišča: Pogostnost prisotnosti več sočasnih bolezni pri bolnikih v ambulantah družinske medicine narašča. Prisotnost psihiatričnih sočasnih bolezni pri bolnikih s kroničnimi boleznimi pa je dejavnik tveganja za prezgodnjo umrljivost. Cilji: Cilj te raziskave je bil ugotoviti pogostnost anksioznosti in depresije med odraslo aktivno populacijo (starost med 18 in 64let) s pridruženimi kroničnimi boleznimi v ambulantah družinske medicine. Metode: Narejena je bila presečna raziskava na vzorcu 500 zaporednih obiskovalcev 12 ambulant družinske medicine. Za ugotavljanje prisotnosti anksioznosti in depresije sta bila uporabljena v slovenščino prevedena Zungova vprašalnika o anksioznosti in depresiji. Rezultati: Odzivnost bolnikov je bila 90,4 %. Anksioznost je bila prisotna pri 8,4 % bolnikov, depresija pa pri 15,2 % bolnikov. 40,7 % bolnikov je imelo vsaj eno kronično bolezen. Depresija in anksioznost sta bili prisotni pri statistično značilno večjem številu bolnikov s pridruženimi kroničnimi boleznimi glede na bolnike brez kroničnih bolezni (p=0.001, p<0.001; zaporedno; test ?2) in s pridruženo kronično bolečino glede na bolnike brez kronične bolečine (p<0.001, p<0.001; zaporedno; test ?2). Statistično značilno več bolnikov z revmatično boleznijo glede na bolnike brez le-tega je imelo prisotno depresijo (p=0.018; test ?2). Statistično značilno več bolnikov z migreno oziroma revmatičnim obolenjem v primerjavi z bolniki brez teh bolezni je imelo prisotno anksioznost (p=0.010, p=0.030; zaporedno; test ?2). Kronična bolečina je bila prisotna pri statistično značilno večjem številu bolnikov z določeno kronično boleznijo v primerjavi s tistimi brez nje (p<0.050; test ?2). Zaključki: Zdravniki družinske medicine naj aktivno iščejo in zdravijo pridružene psihiatrične bolezni tudi med aktivno populacijo bolnikov s kroničnimi boleznimi.
Summary		Background: The prevalence of multimorbidity in family practice is rising and psychiatric comorbidity presents a risk factor for premature mortality. Objective: The aim of this study was to determine the prevalence of anxiety and depression in the adult population of family practice patients with chronic somatic diseases, aged between 18 and 64 years old. Methods: We performed a cross sectional study in 500 consecutive patients from twelve family practices. Zung's self-assessment inventories for anxiety and depression were used to determine the presence of psychiatric comorbidity. The main outcome measures were depression and anxiety scores in patients with various comorbidities. Results: The response rate was 90.4 %. 8.4 % of family practice visitors suffered from anxiety symptoms and 15.2 % from depressive symptoms. At least one chronic disease was present in 40.7 % of the patients. Significantly higher rates of depression and anxiety were found among patientswith chronic somatic disease (p=0.001, P<0.001, respectively; ?2 test)or chronic pain (p<0.001, p<0.001, respectively; ?2 test). Significantly more patients with rheumatic diseases had depression in comparison to those without them (p=0.018; ?2 test). Significantly more patients with migraine or rheumatic diseases had anxiety in comparison to those without them (p=0.010, p=0.030, respectively; ?2 test). Chronic pain was present in significantly more patients with a particular chronic disease in comparison to the patients without it (p<0.050; ?2 test). Conclusions: Family doctors should actively search and treat psychiatric comorbidity also in the population of patients with chronic somatic diseases, aged between 18 and 64 years old.