{"id":10750,"date":"2013-02-15T10:24:29","date_gmt":"2013-02-15T15:24:29","guid":{"rendered":"http:\/\/therapytoronto.ca\/news\/?p=10750"},"modified":"2013-02-15T12:34:28","modified_gmt":"2013-02-15T17:34:28","slug":"study-examines-effect-of-illnesses-on-depression-anxiety-disorders","status":"publish","type":"post","link":"https:\/\/therapytoronto.ca\/news\/2013\/02\/study-examines-effect-of-illnesses-on-depression-anxiety-disorders\/","title":{"rendered":"Study examines effect of illnesses on depression, anxiety disorders"},"content":{"rendered":"<p>From the <em>Journal of Psychotherapy and Psychosomatics<\/em> press release via AlphaGalileo:<\/p>\n<blockquote><p><img loading=\"lazy\" class=\"alignright size-full wp-image-10540\" alt=\"depression\" src=\"http:\/\/therapytoronto.ca\/news\/wp-content\/uploads\/2013\/02\/depressed_bullied_worker.jpg\" width=\"200\" height=\"300\" \/>A group of Dutch investigators has published a study in one of the last issue of <em>Psychotherapy and Psychosomatics<\/em> <strong>examined the influence of specific somatic diseases on the 2-year course of depressive and anxiety disorders<\/strong>.<\/p>\n<p>Investigators used data from the Netherlands Study of Depression and Anxiety, an ongoing cohort study including 2,981 participants aged 18\u201365 years. <strong>At baseline, depressive (major depressive disorder, dysthymia) and anxiety disorders (panic disorder, social phobia, generalized anxiety disorder)<\/strong> were assessed using the Composite International Diagnostic Interview (CIDI). Of the eligible participants with a current 6-month depressive or anxiety diagnosis, 1,209 participated in the 2-year follow-up assessment and were included in the study.<\/p>\n<p>Chronic somatic diseases were self-reported diseases monitored by a healthcare professional and\/or treated with medication. To assess the course of depressive and anxiety disorders investigators used (a) the psychiatric status after 2 years based on the presence of CIDI DSM-IV diagnosed depressive or anxiety disorder (6-month recency) and (b) the clinical course trajectory of the psychiatric disorder based on the Life Chart Inventory (LCI).<\/p>\n<p><strong>Based on both the depressive and anxiety symptoms over time, the investigators discerned three clinical course trajectories: (a) early sustained remission (within 6 months), (b) late sustained remission (after 6 months) and (c) remission with recurrence of symptoms (at least 3 months symptom-free interval) or a chronic course<\/strong> (symptoms during the entire follow-up). In age-, sex- and education-adjusted analyses, only the musculoskeletal disease category was significantly associated with still having a depressive and\/or anxiety disorder at 2-year follow up (OR = 1.97; 95% CI = 1.29\u20133.01).<\/p>\n<p>Results for medication-confirmed disease categories were very similar to self-reported data results. <strong>For specific somatic diseases within categories we found that only osteoarthritis showed a significant association with a persistent mental disorder<\/strong> (OR = 1.69; 95% CI = 1.05\u20132.71). The OR for diabetes was tentative but non significant (OR = 1.81; 95% CI = 0.87\u20133.76).<\/p>\n<p>The results for the association between somatic disease categories and the three clinical course trajectories over 2 years showed that the cardiometabolic disease category was associated with having a recurrent or chronic course (OR = 1.54; 95% CI = 1.02\u20132.31). This association was mainly driven by diabetes (OR = 2.77; 95% CI = 1.15\u20136.66). <strong>In sum, the results of this longitudinal study indicate that musculoskeletal disease and diabetes influenced the course of depression and anxiety negatively, whereas other specific somatic diseases did not<\/strong>. Consequences of these findings for future treatment urgently deserve further study.<\/p><\/blockquote>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>From the Journal of Psychotherapy and Psychosomatics press release via AlphaGalileo: A group of Dutch investigators has published a study in one of the last issue of Psychotherapy and Psychosomatics&#8230; <a class=\"read-more-link\" href=\"https:\/\/therapytoronto.ca\/news\/2013\/02\/study-examines-effect-of-illnesses-on-depression-anxiety-disorders\/\">Read more &raquo;<\/a><!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,10],"tags":[123,14,49,27,12],"_links":{"self":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/10750"}],"collection":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/comments?post=10750"}],"version-history":[{"count":3,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/10750\/revisions"}],"predecessor-version":[{"id":10816,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/posts\/10750\/revisions\/10816"}],"wp:attachment":[{"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/media?parent=10750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/categories?post=10750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/therapytoronto.ca\/news\/wp-json\/wp\/v2\/tags?post=10750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}