Physical Comorbidities in Depression Co-Occurring with Anxiety: A Cross Sectional Study in the Czech Primary Care System

Petr Winkler, Jiří Horáček, Aneta Weissová, Martin Šustr and Martin Brunovský
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Petr Winkler: National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czech Republic
Jiří Horáček: National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czech Republic
Aneta Weissová: National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czech Republic
Martin Šustr: KRKA Čr, S.r.o, Mezibranská 579/7, 110 00 Prague, Czech Republic
Martin Brunovský: National Institute of Mental Health, Topolová 748, 250 67 Klecany, Czech Republic

IJERPH, 2015, vol. 12, issue 12, 1-11

Abstract: Comorbidities associated with depression have been researched in a number of contexts. However, the epidemiological situation in clinical practice is understudied, especially in the post-Communist Central and Eastern Europe region. The aim of this study was to assess physical comorbidities in depression, and to identify whether there are increased odds of physical comorbidities associated with co-occurring depressive and anxiety disorders. Data on 4264 patients aged 18–98 were collected among medical doctors in the Czech Republic between 2010 and 2011. Descriptive statistics were calculated and multiple logistic regressions were performed to assess comorbidities among patients with depressive disorder. There were 51.29% of those who have a physical comorbidity, and 45.5% of those who have a comorbid anxiety disorders among patients treated with depression in Czech primary care. Results of logistic regressions show that odds of having pain, hypertension or diabetes mellitus are particularly elevated at those who have co-occurring depressive and anxiety disorder. Our findings demonstrate that comorbidities associated with depressive disorders are highly prevalent in primary health care practice, and that physical comorbidities are particularly frequent among those with co-occurring depressive and anxiety disorders.

Keywords: depression; anxiety; comorbidity; primary care; cross-sectional study; prevalence; Czech Republic (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2015
References: View complete reference list from CitEc
Citations: View citations in EconPapers (1)

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