Changes in cardiovascular disease burden associated with psychopathology in Australian adults 2004-2008

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dc.contributor.authorAtlantis, E.
dc.contributor.authorSullivan, T.
dc.date.issued2012
dc.description.abstract<h4>Objective</h4>The objective was to investigate changes in self-reported cardiovascular disease (CVD) burden associated with psychopathology for Australia from 2004 to 2008.<h4>Method</h4>Data analyzed were from 32,073 participants aged ≥25 years from the 2004-2005 or 2007-2008 National Health Surveys. Lifetime diagnosis of CVD (heart attack or stroke) was by self-report. Psychopathology was determined by the 10-item Kessler Psychological Distress Scale (using scores ≥30) and use of antidepressants or antianxiety (AD/AA) medications.<h4>Results</h4>The prevalence of CVD (4.1% to 4.5%, P=.045) had increased slightly from 2004 to 2008 for the general population, but not among those with psychopathology. On average, psychological distress only [odds ratio (OR) 2.00; 95% confidence interval, 1.52-2.62] and AD/AA medications with (OR 2.02; 1.41-2.88) and without psychological distress (OR 1.24; 1.00-1.55) were associated with increased odds of CVD over the 4-year period, independent of sociodemographic, lifestyle and chronic disease covariates. Both psychological distress only (OR 1.61; 1.15-2.25) and AD/AA medications with psychological distress (OR 1.62; 1.08-2.44) conferred higher odds of CVD than AD/AA medications without psychological distress.<h4>Conclusion</h4>In comparison to those without psychopathology, the odds of self-reported CVD were persistently higher among people with psychopathology from 2004 to 2008, particularly for psychological distress.
dc.description.statementofresponsibilityEvan Atlantis, Thomas Sullivan
dc.identifier.citationGeneral Hospital Psychiatry, 2012; 34(4):345-351
dc.identifier.doi10.1016/j.genhosppsych.2012.02.006
dc.identifier.issn0163-8343
dc.identifier.issn1873-7714
dc.identifier.orcidAtlantis, E. [0000-0001-5877-6141]
dc.identifier.orcidSullivan, T. [0000-0002-6930-5406]
dc.identifier.urihttp://hdl.handle.net/2440/72644
dc.language.isoen
dc.publisherElsevier Science Inc
dc.rights© 2012 Elsevier Inc. All rights reserved.
dc.source.urihttps://doi.org/10.1016/j.genhosppsych.2012.02.006
dc.subjectPsychological distress
dc.subjectDepression
dc.subjectAnxiety
dc.subjectAntidepressants
dc.subjectTrends
dc.titleChanges in cardiovascular disease burden associated with psychopathology in Australian adults 2004-2008
dc.typeJournal article
pubs.publication-statusPublished

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