Elsevier

General Hospital Psychiatry

Volume 11, Issue 5, September 1989, Pages 320-327
General Hospital Psychiatry

Affective, substance use, and anxiety disorders in persons with arthritis, diabetes, heart disease, high blood pressure, or chronic lung conditions,☆☆

https://doi.org/10.1016/0163-8343(89)90119-9Get rights and content

Abstract

The authors estimated the sex- and age-adjusted prevalence of affective, substance use, and anxiety disorders in persons in a general population sample who identified themselves as having arthritis, diabetes, heart disease, high blood pressure, chronic lung disease, or no chronic medical conditions. Persons who reported ever having arthritis, heart disease, chronic lung disease, or high blood pressure had a significantly increased adjusted prevalence of each of the three groups of lifetime psychiatric disorders, relative to a no-chronic conditions comparison group (each p < 0.05). Persons who ever had diabetes had an increased adjusted prevalence of lifetime affective and anxiety but not substance use disorder. Persons with current (i.e., active) arthritis, heart disease, or high blood pressure had a significantly increased adjusted prevalence of recent (6-month) anxiety disorder, whereas those with current chronic lung disease had an increased adjusted prevalence of recent affective and substance use but not anxiety disorder.

References (31)

  • N Cassem et al.

    Psychological aspects of myocardial infarction

    Med Clin No Am

    (1977)
  • CM Samet et al.

    Anxiety associated with cardiovascular disorders: A study using lorazepam

    Psychosomatics

    (1979)
  • P Lustman et al.

    Depression in diabetics: A critical appraisal

    Compr Psychiatry

    (1983)
  • RB Haynes et al.

    Increased absenteeism from work after detection and labeling of hypertensive patients

    N Engl J Med

    (1978)
  • CW Given

    Measuring the social psychological health states of ambulatory chronically ill patients: Hypertension and diabetes as tracer conditions

    J Community Health

    (1984)
  • SH Croog et al.
  • KB Wells et al.

    Psychiatric disorder and limitations in physical functioning in a general population

    Am J Psychiatry

    (1988)
  • D Goldberg et al.

    Ability of primary care physicians to make accurate ratings of psychiatric symptoms

    Arch Gen Psychiatry

    (1982)
  • LG Kessler et al.

    Psychiatric disorders in primary care: Results of a follow-up study

    Arch Gen Psychiatry

    (1985)
  • GD Foster et al.

    Relation of state and trait anxiety to essential hypertension

    Psychol Rep

    (1983)
  • WB White et al.

    Episodic hypertension secondary to panic disorder

    Arch Intern Med

    (1986)
  • KB Wells et al.

    Psychiatric disorder in a sample of the general population with and without chronic medical conditions

    Am J Psychiatry

    (1988)
  • RA Rosenblatt et al.

    The content of ambulatory medical care in the United States—and interspecialty comparison

    N Engl J Med

    (1983)
  • G Rodin et al.

    Depression in the medically ill: An overview

    Am J Psychiatry

    (1986)
  • M Stern et al.

    Life adjustment postmyocardial infarction: Determining predictive variables

    Arch Intern Med

    (1977)
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    This research was supported by the Epidemiologic Catchment Area Program (ECA). The ECA is a series of five epidemiologic research studies performed by independent research teams in collaboration with staff of the Division of Biometry and Epidemiology (DBE) of the National Institute of Mental Health (NIMH). The NIMH Principal Collaborators are Darrel A. Regier, Ben Z. Locke, and Jack D. Burke, Jr.; the NIMH Project Officer is William J. Huber. The Principal Investigators and Co-Investigators from the five sites are: Yale University, U01 MH 34224—Jerome K. Myers, Myrna M. Weissman, and Gary L. Tischler; the Johns Hopkins University, U01 MH 33870—Morton Kramer and Sam Shapiro; Washington University, St. Louis, U01 MH 33883—Lee N. Robins and John E. Helzer; Duke University, U01 MH 35386—Dan Blazer and Linda George; University of California, Los Angeles, U01 MH 35865—Marvin Karno, Richard L. Hough, Javier I. Escobar, M. Audrey Burnam, and Dianne M. Timbers.

    ☆☆

    The work reported here was supported in part by NIMH Research Scientist Development Award MH 00351 and NIMH Research Training Grant MH 14664.

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