The association between depression and esophageal cancer in China: a multicentre population-based study | |
Zhu, Juan2; Ma, Shanrui2; Zhou, Yueyue1; Chen, Ru2; Xie, Shuanghua2; Liu, Zhengkui1; Li, Xinqing2; Wei, Wenqiang2 | |
刊名 | BMC PSYCHIATRY |
2021-11-10 | |
通讯作者邮箱 | weiwq@cicams.ac.cn (wenqiang wei) |
卷号 | 21期号:1页码:13 |
关键词 | Esophageal cancer Depression PHQ-9 Endoscopy High-risk regions |
DOI | 10.1186/s12888-021-03534-2 |
产权排序 | 2 |
文献子类 | 实证研究 |
英文摘要 | Background Esophageal cancer (EC) is one of the leading contributors to the global burden of cancer, and the underlying mechanism is still unknown. Recently, there has been a growing interest in understanding modifiable psychosocial risk factors, particularly depression, to prevent EC and reduce morbidity and mortality. However, related research is sparse and has been ignored. The study was designed to assess the association between depression and EC in China. Methods From 2017 to 2019, a population-based multicenter study was conducted in high-risk regions of EC. Participants underwent a free endoscopy screening. If the endoscopic results were suspicious, a pathological biopsy was applied to confirm. Depression was measured with Patient Health Questionnaire-9 (PHQ-9). In addition, information on demographic characteristics and risk factors was collected from participants by trained interviewers using uniform questionnaires. Results After Endoscopy and pathologic diagnosis, 15,936 participants in high-risk regions of EC (ECHRRs) were enrolled, 10,907 (68.44%) of which were diagnosed health, 4048 (25.40%) with esophagitis, 769 (4.83%) with low-grade intraepithelial neoplasia (LGIN), 157 (0.99%) with high-grade intraepithelial neoplasia (HGIN), and 55 (0.35%) with EC, respectively. The overall prevalence of depression symptoms of participants was 4.16% (health: 4.63%, esophagitis: 2.99%, LGIN: 2.99%, HGIN: 5.73%, and EC: 9.09%). Multiple logistic regression analyses revealed that the unadjusted OR (95% CI) between depression and each esophageal pathology grades were esophagitis 0.93 (0.92-0.95), LGIN 0.97 (0.94-0.99), HGIN 1.05 (1.00-1.10), and EC 1.04 (0.97-1.14), respectively. However, after adjustment for potential confounders (age, gender, region, alcohol consumption, BMI), no statistically significant associations between depression and EC (adjusted OR = 1.10, 0.99-1.21) and esophageal lesions (esophagitis: adjusted OR = 1.02, 0.99-1.04; LGIN: adjusted OR = 0.98, 0.95-1.01; HGIN: adjusted OR = 1.04, 0.98-1.11) were observed in this study. Conclusions No significant association was observed between depression and EC in the study. Future prospective cohort studies are needed to verify this preliminary finding. |
收录类别 | SCI |
资助项目 | National Science & Technology Fundamental Resources Investigation Program of China[2019FY101101] ; National Key Research and Development Program (Precision Medicine Research)[2016YFC0901400] ; National Key Research and Development Program (Precision Medicine Research)[2016YFC0901404] |
WOS关键词 | BODY-MASS INDEX ; GENOME-WIDE ASSOCIATION ; MENTAL-DISORDERS ; MORTALITY ; METAANALYSIS ; RISK ; EPIDEMIOLOGY ; SURVIVAL ; VALIDITY ; ADULTS |
WOS研究方向 | Psychiatry |
语种 | 英语 |
出版者 | BMC |
WOS记录号 | WOS:000716933500001 |
资助机构 | National Science & Technology Fundamental Resources Investigation Program of China ; National Key Research and Development Program (Precision Medicine Research) |
内容类型 | 期刊论文 |
源URL | [http://ir.psych.ac.cn/handle/311026/41015] |
专题 | 心理研究所_中国科学院心理健康重点实验室 |
通讯作者 | Wei, Wenqiang |
作者单位 | 1.Chinese Acad Sci, Inst Psychol, Key Lab Mental Hlth, Beijing 100101, Peoples R China 2.Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Cent Canc Registry, Natl Clin Res Ctr Canc,Canc Hosp, Beijing 100021, Peoples R China |
推荐引用方式 GB/T 7714 | Zhu, Juan,Ma, Shanrui,Zhou, Yueyue,et al. The association between depression and esophageal cancer in China: a multicentre population-based study[J]. BMC PSYCHIATRY,2021,21(1):13. |
APA | Zhu, Juan.,Ma, Shanrui.,Zhou, Yueyue.,Chen, Ru.,Xie, Shuanghua.,...&Wei, Wenqiang.(2021).The association between depression and esophageal cancer in China: a multicentre population-based study.BMC PSYCHIATRY,21(1),13. |
MLA | Zhu, Juan,et al."The association between depression and esophageal cancer in China: a multicentre population-based study".BMC PSYCHIATRY 21.1(2021):13. |
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