1
|
Guo S, Qing G, Yang G. The relationship between chronic disease variety and quantity and suicidal ideation: A cross-sectional study of NHANES. J Psychosom Res 2024; 184:111854. [PMID: 38943724 DOI: 10.1016/j.jpsychores.2024.111854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Revised: 06/24/2024] [Accepted: 06/25/2024] [Indexed: 07/01/2024]
Abstract
BACKGROUND This cross-sectional study examines the link between chronic diseases and suicidal thoughts in U.S. adults using 2013-2018 National Health and Nutrition Examination Survey (NHANES) data, aiming to identify potential risk factors for suicidal ideation. METHODS Using NHANES data, we analyzed the association between various chronic conditions (hypertension, diabetes, asthma, etc.) and suicidal thoughts, employing logistic regression models adjusted for demographics and lifestyle factors. RESULTS The analysis of 8891 participants revealed a significant association between suicidal thoughts and chronic diseases such as liver disease, diabetes, and asthma. The risk of suicidal ideation is higher with the number of chronic conditions. CONCLUSION Our findings suggest a strong link between the presence and number of chronic diseases and the risk of suicidal thoughts, emphasizing the importance of integrated care approaches that address both physical and mental health needs.
Collapse
Affiliation(s)
- Shijie Guo
- Department of Applied Social Sciences, The Hong Kong Polytechnic University, Kowloon, Hong Kong, China
| | - Guangwei Qing
- Department of Psychiatry, Jiangxi Mental Hospital & Affiliated Mental Hospital of Nanchang University, Nanchang, Jiangxi, China
| | - Guang Yang
- Department of Neurology, Kunshan Hospital of Traditional Chinese Medicine, Suzhou, China.
| |
Collapse
|
2
|
Pan T, Zhang C, Liang J, Wang X, Di X, Zhou Y, Bai P, Yuan H. Association between life-ever gallstones and depressive symptoms in U.S. adults: a cross-sectional study. Sci Rep 2024; 14:18845. [PMID: 39143232 PMCID: PMC11325026 DOI: 10.1038/s41598-024-69777-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Accepted: 08/08/2024] [Indexed: 08/16/2024] Open
Abstract
Research on the potential association between life-ever gallstones and depressive symptoms is limited. This study aims to evaluate whether the presence of gallstone disease is associated with depressive symptoms. In this cross-sectional study, we analyzed data from the National Health and Nutrition Examination Survey (NHANES) 2017-March 2020 cycles. The presence of depressive symptoms and gallstone disease was assessed using questionnaire responses. Adjusted odds ratios (OR) were calculated using a multivariate logistic regression model, with adjustments made for age, sex, race, body mass index, history of cardiovascular disease, hypertension, arthritis, and pulmonary disease across different models. Subgroup and sensitivity analyses were conducted to ensure the stability of the results. This study included 6201 adults aged 20 years and above, with 539(8.7%) experiencing depressive symptoms. After adjusting for age, sex, race, body mass index, CVD history, hypertension, arthritis, pulmonary disease, depressive symptoms were possibly associated with life-ever gallstones (OR 1.37, 95% CI 0.91-2.08).When depressive symptoms were categorized as mild, moderate, moderately severe, and severe,life-ever gallstones was possibly associated with mild depressive symptoms (OR 1.12, 95% CI 0.81-1.56), moderate depressive symptoms (OR 1.37, 95% CI 0.89-2.12), moderately severe depressive symptoms (OR 1.93, 95% CI 0.93-3.99), and severe depressive symptoms (OR 0.67, 95% CI 0.16-2.88).As a continuous variable, life-ever gallstones was associated with the PHQ-9 score (OR 0.42, 95% CI 0.02-0.83). The results remained stable after multiple imputation for all missing data. This cross-sectional study demonstrates no significant association between life-ever gallstones and depressive symptoms in US adults.
Collapse
Affiliation(s)
- Ting Pan
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China
| | - Chongyang Zhang
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China
| | - Junjie Liang
- Capital Medical University Beijing Hospital of Traditional Chinese Medicine, Beijing, China
| | - Xinru Wang
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China
| | - Xueshi Di
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China
| | - Yuqi Zhou
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China
| | - Peng Bai
- The Third Affiliated Hospital of Beijing University of Chinese Medicine, No. 51, Xiaoguan Street, Outside Andingmen, Chaoyang District, Beijing, 100029, China.
| | - Hongwei Yuan
- Dongzhimen Hospital of Beijing University of Chinese Medicine, No. 5 Haiyun Cang, Dongcheng District, Beijing, China.
| |
Collapse
|
3
|
Jiang L, Yang L, Hong Z, Yao X. Association between frailty status and falling in older adults with hip fracture: a cross-sectional study. Postgrad Med 2024; 136:651-658. [PMID: 39046320 DOI: 10.1080/00325481.2024.2384827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2024] [Revised: 06/17/2024] [Accepted: 07/23/2024] [Indexed: 07/25/2024]
Abstract
OBJECTIVES There is limited research on the relationship between frailty status and falls in hip fractures in older participants. This study aimed to investigate the relationship between frailty and falls in older adults who had experienced a hip fracture. METHODS From June 2023 to January 2024, the study population comprised 253 hip fracture patients aged 60 years and over. They were admitted to the orthopedic department of a tertiary care hospital. We excluded participants with incomplete information. The 5-item FRAIL scale (Fatigue, Resistance, Ambulation, Illnesses, and Loss of Weight) was used to assess frailty status and the patient's self-reported falls. We analyzed the relationship between frailty and falls in older hip fracture patients using logistic regression models, subgroup analyses, and stratified analyses. RESULTS Finally, 174 older participants with hip fractures were identified in this study, where 155 (89.1%) had falls. Among 155 falls, 39 (78.0%) were in the robust group, 65 (91.5%) were in the pre-frail group, and 51 (96.2%) were in the frail group. An analysis revealed that among more than 60 years old hip fracture patients, each additional point in frailty score was significantly linked to a higher likelihood of experiencing a fall (OR: 1.97, 95% CI: 1.10-3.52, p < 0.05). While frailty appeared as a categorical variable, this association was stronger with an OR of 2.68 (95% CI: 0.71-10.21) in the pre-frailty group and 7.95 (95% CI: 1.11-57.08), compared to the robust group (p for trend < 0.005). In subgroup analyses, an interaction was observed between frailty and falling according to sex. In stratified analyses, the relationship between frailty status and fall significantly differed between the male and female groups (male OR: 1.49, 95% CI: 0.71 -3.13; female OR: 7.54, 95% CI: 1.13 - 50.32, p for interaction = 0.035). CONCLUSIONS The study revealed a notable correlation between frailty and falls, with gender and frailty showing an interaction impact on the increased occurrence of falls. Therefore, further research across diverse disease populations is needed to explore the link between frailty status and falls. Large-scale prospective studies are necessary to clarify the causality of this relationship. CLINICAL TRIAL REGISTRATION Chinese Clinical Trial Registry (ChiCTR2300073031).
Collapse
Affiliation(s)
- Lan Jiang
- Department of Trauma and Orthopedic Surgery, The Huangshan City People's Hospital, Huangshan, China
| | - Lili Yang
- Department of Trauma and Orthopedic Surgery, The Huangshan City People's Hospital, Huangshan, China
| | - Ziyuan Hong
- Department of Trauma and Orthopedic Surgery, The Huangshan City People's Hospital, Huangshan, China
| | - Xuewei Yao
- Department of Trauma and Orthopedic Surgery, The Huangshan City People's Hospital, Huangshan, China
| |
Collapse
|
4
|
Pan T, Zhang Z, He T, Zhang C, Liang J, Wang X, Di X, Hong Y, Bai P. The association between urinary incontinence and suicidal ideation: Findings from the National Health and Nutrition Examination Survey. PLoS One 2024; 19:e0301553. [PMID: 38781254 PMCID: PMC11115289 DOI: 10.1371/journal.pone.0301553] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/10/2024] [Accepted: 03/15/2024] [Indexed: 05/25/2024] Open
Abstract
BACKGROUND Urinary incontinence (UI) might be linked to suicidal ideation, but we do not yet have all the relevant details. This study aimed to dig deeper into the connection between UI and suicidal ideation using data from the National Health and Nutrition Examination Survey (NHANES). METHODS We examined 31,891 participants aged ≥ 20 years from NHANES 2005-2018 who provided complete information. We used standardized surveys to check for UI and signs of suicidal ideation. To better understand this relationship, we used statistical tools such as multivariable logistic regression, subgroup analysis, and sensitivity analyses. RESULTS Among the 31,891 participants, 28.9% reported UI and 10.7% reported suicidal ideation. Those with UI exhibited a significantly greater incidence of suicidal ideation (15.5%) than did those without UI (8.8%, P < 0.001). After adjusting for various factors, including age, sex, marital status, socioeconomic status, educational level, lifestyle factors, and chronic comorbidities, UI remained significantly associated with suicidal ideation (OR:1.54, 95% CI = 1.39-1.7, P < 0.001). Among all types of UI, MUI participants were more likely to experience suicidal ideation. Compared with no UI, higher odds of suicidal ideation suffered from MUI (OR:2.11, 95%CI:1.83-2.44, P < 0.001), SUI (OR:1.4, 95%CI:1.19-1.65, P < 0.001), UUI(OR:1.37,95%CI:1.16-1.62, P < 0.001) after full adjustment. With the exception of individuals living with a partner, the remaining subgroups exhibited a positive correlation between urinary incontinence and suicidal ideation, considering that factors such as age, sex, and prevalent comorbidities such as hypertension, depression, and diabetes did not reveal any statistically significant interactions (all P > 0.05). Sensitivity analyses, incorporating imputed missing covariates, did not substantially alter the results (OR: 1.53, 95% CI: 1.4-1.68, P < 0.001). CONCLUSION Urinary incontinence may correlate with increased suicidal ideation risk, priority screening for suicidal ideation and timely intervention are essential for individuals with urinary incontinence, but prospective studies are needed to verify the results.
Collapse
Affiliation(s)
- Ting Pan
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Zhiguo Zhang
- China Academy of Chinese Medical Sciences Institute of Basic Theory in Chinese Medicine, Beijing, 100700, China
| | - Tiantian He
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Chongyang Zhang
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Junjie Liang
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Xinru Wang
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Xueshi Di
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Yuying Hong
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| | - Peng Bai
- Department of Acupuncture, Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing, 100029, China
| |
Collapse
|
5
|
Li SG, Mazor Y, Park CJ, Jones MP, Malcolm A. Faecal incontinence with concurrent disorders of gut-brain interaction: A worse outcome. United European Gastroenterol J 2024; 12:496-503. [PMID: 38412024 DOI: 10.1002/ueg2.12541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/22/2023] [Accepted: 12/22/2023] [Indexed: 02/28/2024] Open
Abstract
BACKGROUND Faecal incontinence is a common debilitating condition associated with poor quality of life that generates substantial economic strain on healthcare systems. OBJECTIVES We aimed to evaluate, in a tertiary referral population presenting with faecal incontinence, the impact of suffering additional disorders of gut-brain interaction (DGBI) on symptom severity, anxiety, depression and quality of life. METHODS Design: Retrospective cohort study. SETTING Tertiary referral Neurogastroenterology centre. PATIENTS All patients presenting with faecal incontinence from 2007 to 2020 were included. MAIN OUTCOME MEASURES The results from structured medical and surgical questionnaires including Rome III Integrative Questionnaire, Faecal Incontinence Severity Index, Hospital Anxiety and Depression Scale, SF-36, and anorectal physiology were analysed using Stata version 17. Patients were categorised into 3 groups: 0-1 additional DGBI, 2 DGBIs, and 3+ DGBI. Statistical significance was defined as p < 0.05 (two-tailed). KEY RESULTS Faecal incontinence patients (n = 249; mean age 63.4 ± 12.6 years; 93.6% female, 48.1% urge subtype) met diagnostic criteria for mean 2.2 additional DGBI each, mostly affecting bowel (n = 231, 42.4%) and anorectal (n = 150, 27.5%) regions. A greater number of DGBIs was associated with higher faecal incontinence symptom severity (p < 0.001), higher anxiety (p = 0.002) and depression (p = 0.003), and worse quality of life in areas of mental health (p = 0.037) and social effect (p < 0.001). Patients with a greater number of concurrent DGBI demonstrated a greater family history of gastrointestinal problems (p = 0.004). There were no associations found between a greater amount of DGBIs and anorectal physiology. CONCLUSIONS AND INFERENCES A greater number of additional DGBIs in faecal incontinence patients was associated with worse faecal incontinence symptoms, higher anxiety and depression scores, and worse quality of life but was unrelated to physiology. This highlights the need to proactively search for comorbid DGBI in patients presenting with faecal incontinence.
Collapse
Affiliation(s)
- Sarah G Li
- The University of Sydney, Sydney, New South Wales, Australia
- Neurogastroenterology Unit and Department of Gastroenterology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
- Hornsby Hospital, Sydney, New South Wales, Australia
| | - Yoav Mazor
- Department of Gastroenterology, Rambam Health Care Campus, Haifa, Israel
- Department of Medical Neurobiology, The Hebrew University of Jerusalem, Jerusalem, Israel
| | - Calvin Joomann Park
- The University of Sydney, Sydney, New South Wales, Australia
- Neurogastroenterology Unit and Department of Gastroenterology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| | - Michael P Jones
- Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
| | - Allison Malcolm
- The University of Sydney, Sydney, New South Wales, Australia
- Neurogastroenterology Unit and Department of Gastroenterology, Royal North Shore Hospital, St Leonards, New South Wales, Australia
| |
Collapse
|
6
|
Cerdán-Santacruz C, Roca Font Á, Carreras Alberti M. "You will never walk alone… anymore". Cir Esp 2024; 102:125-126. [PMID: 38342138 DOI: 10.1016/j.cireng.2023.12.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2023] [Accepted: 12/17/2023] [Indexed: 02/13/2024]
|