An Epidemiological Study of Physical-Mental Multimorbidity in Youth: Une étude épidémiologique de la morbidité physique-mentale chez les jeunes.

IF 3.3 3区医学 Q2 PSYCHIATRY Canadian Journal of Psychiatry-Revue Canadienne De Psychiatrie Pub Date : 2024-10-01 Epub Date: 2024-08-16 DOI:10.1177/07067437241271713

Shannon V Reaume, Joel A Dubin, Christopher Perlman, Mark A Ferro

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Abstract

Objective: This epidemiological study estimated the lifetime prevalence of chronic physical illness (i.e., an illness that lasted or was expected to last ≥6 months) and 6-month prevalence of mental disorder and multimorbidity (i.e., ≥1 physical illness and ≥1 mental disorder) in youth. Associations between physical illness and mental disorder were quantified, including the number of illnesses. Secondary objectives examined factors associated with mental disorder, after controlling for physical illness.

Methods: Data come from 10,303 youth aged 4-17 years in the 2014 Ontario Child Health Study (OCHS). Physical illness was measured using a list of chronic conditions developed by Statistics Canada. Mental disorders were measured using the OCHS Emotional Behavioural Scales. The Health Utility Index Mark III assessed overall functional health.

Results: Weighted prevalence estimates showed 550,090 (27.8%) youth had physical illness, 291,986 (14.8%) had mental disorder, and 108,435 (5.4%) had multimorbidity. Physical illness was not associated with mental disorder. However, youth with 2 physical illnesses, as compared to no physical illnesses, had increased odds of having any mental (OR = 1.75 [1.08, 2.85]), mood (OR = 2.50 [1.39, 4.48]) and anxiety disorders (OR = 2.40 [1.33, 4.31]). Mean functional health scores demonstrated a dose-response association across health status categories, with the highest scores among healthy youth and the lowest scores among multimorbid youth (all p < .05).

Conclusion: Chronic physical illness and mental disorders are prevalent in youth. Youths with 2 physical illnesses have a higher likelihood of mental disorders. Higher functional health scores protected against all mental disorders. Mental health interventions for youth should promote strong overall functional health.

Plain language summary title: Physical-Mental Multimorbidity in Ontario Youth.

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青少年身心多病流行病学研究。

研究目的这项流行病学研究估算了青少年一生中慢性身体疾病（即持续或预计持续≥6个月的疾病）的患病率以及精神障碍和多病（即≥1种身体疾病和≥1种精神障碍）的6个月患病率。对躯体疾病和精神障碍之间的关联进行量化，包括疾病的数量。次要目标是在控制躯体疾病后，研究与精神障碍相关的因素：数据来自2014年安大略省儿童健康研究（OCHS）中的10303名4-17岁青少年。身体疾病采用加拿大统计局制定的慢性病清单进行测量。精神障碍采用OCHS情绪行为量表进行测量。健康效用指数 Mark III 评估总体功能健康状况：加权患病率估计值显示，有 550,090 名青少年（27.8%）患有身体疾病，291,986 名青少年（14.8%）患有精神障碍，108,435 名青少年（5.4%）患有多病。躯体疾病与精神障碍没有关联。然而，与没有躯体疾病的青少年相比，患有两种躯体疾病的青少年患任何精神障碍（OR = 1.75 [1.08, 2.85]）、情绪障碍（OR = 2.50 [1.39, 4.48]）和焦虑障碍（OR = 2.40 [1.33, 4.31]）的几率更高。不同健康状况类别的功能性健康平均得分呈现剂量反应关系，健康青少年的得分最高，而多病青少年的得分最低（均为 p）：慢性躯体疾病和精神障碍在青少年中普遍存在。患有两种躯体疾病的青少年患精神障碍的可能性更高。较高的功能健康评分可以预防所有精神障碍。针对青少年的心理健康干预措施应促进其整体功能健康。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Canadian Journal of Psychiatry-Revue Canadienne De Psychiatrie 医学-精神病学

CiteScore

7.00

自引率

2.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Established in 1956, The Canadian Journal of Psychiatry (The CJP) has been keeping psychiatrists up-to-date on the latest research for nearly 60 years. The CJP provides a forum for psychiatry and mental health professionals to share their findings with researchers and clinicians. The CJP includes peer-reviewed scientific articles analyzing ongoing developments in Canadian and international psychiatry.