Zhang AZ, Wang QC, Huang KM, Huang JG, Zhou CH, Sun FQ, Wang SW, Wu FT. Prevalence of depression and anxiety in patients with chronic digestive system diseases: A multicenter epidemiological study. World J Gastroenterol 2016; 22(42): 9437-9444 [PMID: 27895432 DOI: 10.3748/wjg.v22.i42.9437]
Corresponding Author of This Article
Dr. Qing-Cai Wang, Professor, Department of Gastroenterology, Taian City Central Hospital, No. 29 Longtan Road, Taian 271000, Shandong Province, China. wqczs@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 14, 2016; 22(42): 9437-9444 Published online Nov 14, 2016. doi: 10.3748/wjg.v22.i42.9437
Table 1 Detection rates of depression and anxiety symptoms in subjects with different demographic characteristics
Variable
n (%)
Depression symptoms
Anxiety symptoms
n (%)
χ2
P value
n (%)
χ2
P value
Sex
1.681
0.195
0.779
0.377
Male
937 (53.97)
279 (29.78)
245 (26.15)
Female
799 (46.03)
332 (32.67)
224 (28.04)
Age, yr
48.522
< 0.001
24.254
< 0.001
18-30
164 (9.45)
38 (23.17)
31 (18.90)
30-40
234 (13.48)
57 (24.36)
50 (21.37)
40-50
363 (20.91)
81 (22.31)
83 (22.87)
50-60
375 (21.60)
135 (36.00)
123 (32.80)
60-70
339 (19.53)
114 (33.63)
95 (28.02)
> 70
261 (15.03)
115 (44.06)
87 (33.33)
Marital status
14.656
0.001
8.490
0.014
Married
1523 (87.73)
478 (31.39)
416 (27.31)
Divorced/widowed
104 (5.99)
43 (41.35)
35 (33.65)
Unmarried
109 (6.28)
19 (17.43)
18 (16.51)
Education
55.293
< 0.001
13.184
0.010
Primary school or below
386 (22.24)
176 (45.60)
128 (33.16)
Junior high school
440 (25.35)
137 (31.14)
120 (27.27)
Senior high school or polytechnic school
424 (24.42)
108 (25.47)
105 (24.76)
College or bachelor’s degree
454 (26.15)
114 (25.11)
112 (24.67)
Master’s degree or above
32 (1.84)
5 (15.63)
4 (12.50)
Body mass index, kg/m2
16.273
< 0.001
9.092
0.011
< 18.5
88 (5.07)
42 (47.19)
31 (34.83)
18.5-23.99
947 (54.55)
307 (32.42)
274 (28.93)
≥ 24
697 (40.15)
191 (27.29)
164 (23.43)
Chronic pain
6.426
0.011
1.540
0.215
Yes
262 (15.09)
99 (37.79)
79 (30.15)
No
1474 (84.91)
441 (29.92)
390 (26.46)
Daily activities
132.199
< 0.001
108.699
< 0.001
Non-limited
1457 (83.93)
373 (25.60)
325 (22.31)
Limited but independent
253 (14.57)
147 (58.10)
125 (49.41)
Limited but dependent
26 (1.50)
20 (76.92)
19 (73.08)
Sleep quality
87.741
< 0.001
53.651
< 0.001
Good
539 (31.05)
104 (19.29)
99 (18.37)
Fair
898 (51.73)
285 (31.74)
245 (27.28)
Poor or very poor
299 (17.23)
151 (50.50)
125 (41.81)
Table 2 Detection rates of depression and anxiety symptoms in subjects with different diseases n (%)
Disease
Total
Depression symptoms
Anxiety symptoms
Peptic ulcer
187 (10.77)
50 (26.74)
42 (22.50)
Digestive system tumors
212 (12.21)
122 (57.55)
117 (55.19)
Chronic gastritis
807 (46.49)
221 (27.39)
177 (21.93)
Functional dyspepsia
227 (13.08)
78 (34.36)
58 (25.55)
Inflammatory bowel disease
181 (10.43)
58 (32.04)
46 (25.41)
Irritable bowel syndrome
96 (5.53)
28 (29.17)
24 (25.00)
Chronic viral hepatitis
59 (3.40)
20 (33.90)
16 (27.12)
Liver cirrhosis
104 (5.99)
43 (41.35)
50 (48.08)
Gastroesophageal reflux disease
141 (8.12)
34 (24.11)
29 (20.57)
Table 3 Overall detection rates of depression and anxiety symptoms n (%)
Patients
n
Depression symptoms
Anxiety symptoms
Depression and anxiety symptoms
Depression or anxiety symptoms
Outpatients
871
244 (28.01)
200 (22.96)
161 (18.48)
283 (32.49)
In-patients
865
296 (34.22)
269 (31.10)
198 (22.89)
367 (42.43)
Overall
1736
540 (31.11)
469 (27.02)
359 (20.68)
650 (37.44)
Table 4 Detection rates of depression and anxiety symptoms in subjects with different comorbidities
Comorbidity
n (%)
Depression symptoms
Anxiety symptoms
n (%)
χ2
P value
n (%)
χ2
P value
Hypertension
6.402
0.011
5.734
0.017
No
1342 (77.30)
397 (29.58)
344 (25.63)
Yes
394 (22.70)
143 (36.29)
125 (31.73)
Diabetes
7.646
0.006
7.424
0.006
No
1585/91.30
478/30.16
414/26.12
Yes
151/8.70
62/41.06
55/36.42
Coronary heart disease
6.060
0.014
3.396
0.065
No
1603/92.34
486/30.32
424/26.45
Yes
133/7.66
54/40.60
45/33.83
Cerebrovascular disease
0.766
0.382
0.120
0.729
No
1627/93.72
502/30.85
438/26.92
Yes
109/6.28
38/34.86
31/28.44
Citation: Zhang AZ, Wang QC, Huang KM, Huang JG, Zhou CH, Sun FQ, Wang SW, Wu FT. Prevalence of depression and anxiety in patients with chronic digestive system diseases: A multicenter epidemiological study. World J Gastroenterol 2016; 22(42): 9437-9444