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Psychiatr Prax 2013; 40(04): 207-213
DOI: 10.1055/s-0033-1343103
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Chronische somatische Erkrankungen und Beeinträchtigung der psychischen Gesundheit bei Erwachsenen in Deutschland

Ergebnisse der bevölkerungsrepräsentativen Querschnittsstudie Gesundheit in Deutschland aktuell (GEDA) 2010Chronic Somatic Conditions and Mental Health Problems in the General Population in GermanyResults of the National Telephone Health Interview Survey “German Health Update (GEDA)” 2010
Ulrike E. Maske
1   Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsmonitoring, Berlin
,
Markus A. Busch
1   Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsmonitoring, Berlin
,
Frank Jacobi
2   Psychologische Hochschule Berlin
,
Steffi G. Riedel-Heller
3   Institut für Sozialmedizin, Arbeitsmedizin und Public Health, Universität Leipzig
,
Christa Scheidt-Nave
1   Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsmonitoring, Berlin
,
Ulfert Hapke
1   Robert Koch-Institut, Abt. Epidemiologie und Gesundheitsmonitoring, Berlin
› Author Affiliations
Further Information

Publication History

Publication Date:
05 April 2013 (online)

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Zusammenfassung

Anliegen: Untersuchung des Zusammenhangs von chronischen somatischen Erkrankungen und Beeinträchtigung der psychischen Gesundheit.

Methode: In einer repräsentativen Stichprobe Erwachsener in Deutschland (n = 22 050) wurden 19 somatische Erkrankungen, diagnostizierte Depression und aktuelle psychische Belastung erfasst.

Ergebnisse: Ein Zusammenhang von somatischer Erkrankung und psychischer Gesundheit liegt vor. Dieser ist je nach Lebensalter unterschiedlich stark.

Schlussfolgerungen: Besonders bei somatisch multimorbiden Patienten sollte eine komorbide psychische Störung in Betracht gezogen werden.

Abstract

Objective: To assess the association of chronic somatic diseases and mental health problems in the general population in Germany.

Methods: The data (n = 22 050) derived from the representative cross-sectional telephone survey “Gesundheit in Deutschland aktuell (GEDA) 2010”. It included self-reported information on diagnosis of 19 chronic physical conditions for at least 18-year-old people. Mental health problems encompass self-reported diagnosis of depression and recent mental distress according to the Mental Health Inventory (MHI-5). Age-specific adjusted logistic regressions were calculated.

Results: There was an association of chronic physical illness and mental health problems in all age groups. In 18 – 44 and 45 – 64-year-olds the association got stronger with each additional chronic disease. In all age groups mental health problems were most common in multimorbid subjects.

Conclusion: Comorbid mental health problems should be accounted for particularly in multimorbid subjects of all ages. In younger patients mental health problems should be considered even if only one chronic disease is present.

Schlüsselwörter

chronische Erkrankung - psychische Störung - Komorbidität - Depression - MHI-5

Keywords

chronic disease - psychologic impairment - comorbidity - depression - MHI-5
 

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