Time-dependent association between the economic activity restriction due to health condition and mental illness: Finding from 15-year prospective cohort study

IF 2.5 4区 医学 Q2 PSYCHIATRY European Journal of Psychiatry Pub Date : 2023-12-02 DOI:10.1016/j.ejpsy.2023.100235
Jeong Min Yang , Jae Hyun Kim
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Abstract

Background and Objectives

The Economic Activity Restriction (EAR) due to health conditions is being utilized as a foundational measure for the European indicator Healthy Life Years (HLY). The EAR group is experiencing limitations not only in economic activities but also in overall activities, and it is a population with a high likelihood of transitioning to mental illness due to health condition. However, few studies have investigated the relationship between EAR and mental illness. Therefore, the purpose of this study was to identify the association between EAR due to health conditions and mental illness for those aged 45 and older in South Korea.

Methods

We obtained data from the 2006–2020 Korean Longitudinal Study of Aging. EAR was assessed using self-reported questionnaires based on the Global Activity Limitation Indicator. mental illness was assessed based on the diagnosis data for participants who had been diagnosed. After excluding missing values, the data of 9,574 participants were analyzed using the chi-square test, log-rank tests, and time-dependent Cox proportional hazard model to evaluate the association between EAR and mental illness.

Results

Out of the 9,574 participants gathered at baseline, the mental illness rate was 4.8 %. The hazard ratio (HR) of mental illness in those in the “very probable” of EAR was 2.351 times higher (p-value <0.0001) compared with “not at all” of EAR. In model 1 which includes under 64 years, HR of mental illness in “very probable” of EAR was 3.679 times higher (p-value: 0.000) and in “probable” of EAR was 2.535 time higher (p-value: 0.001) compared with “not at all” of EAR.

Conclusion

If we provide opportunities to participate in community activities or provide the mental health promotion programs for middle-aged population who are experiencing EAR due to health condition, it is expected to prevent the deterioration of mental health and reduce the incidence of mental illness among the middle-aged Korean population.

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健康状况导致的经济活动限制与精神疾病之间的时间依赖性关联:来自15年前瞻性队列研究的发现
背景和目的由于健康状况导致的经济活动限制(EAR)正被用作欧洲指标健康生命年(HLY)的基础措施。EAR群体不仅在经济活动方面受到限制,而且在整体活动方面也受到限制,这是一个由于健康状况而极有可能转变为精神疾病的人群。然而,很少有研究调查EAR与精神疾病之间的关系。因此,本研究的目的是确定韩国45岁及以上人群因健康状况导致的EAR与精神疾病之间的关系。方法我们获得了2006-2020年韩国老龄化纵向研究的数据。EAR采用基于全球活动限制指标的自我报告问卷进行评估。精神疾病是根据被诊断的参与者的诊断数据进行评估的。在排除缺失值后,对9574名参与者的数据进行分析,采用卡方检验、对数秩检验和时间相关的Cox比例风险模型来评估EAR与精神疾病之间的关系。结果在基线收集的9574名参与者中,精神疾病发生率为4.8%。EAR“极有可能”组的精神疾病风险比(HR)是EAR“完全不可能”组的2.351倍(p值<0.0001)。在64岁以下的模型1中,EAR“非常可能”组的精神疾病风险比EAR“完全不可能”组高3.679倍(p值0.000),EAR“可能”组的精神疾病风险比EAR“完全不可能”组高2.535倍(p值0.001)。结论为因健康状况导致EAR的中年人群提供参与社区活动的机会或提供心理健康促进项目,有望预防韩国中年人群心理健康恶化,降低心理疾病发病率。
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来源期刊
CiteScore
2.90
自引率
0.00%
发文量
40
审稿时长
43 days
期刊介绍: The European journal of psychiatry is a quarterly publication founded in 1986 and directed by Professor Seva until his death in 2004. It was originally intended to report “the scientific activity of European psychiatrists” and “to bring about a greater degree of communication” among them. However, “since scientific knowledge has no geographical or cultural boundaries, is open to contributions from all over the world”. These principles are maintained in the new stage of the journal, now expanded with the help of an American editor.
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