2026-05-17T01:15:59Zhttps://repisalud.isciii.es/rest/oai/request

oai:repisalud.isciii.es:20.500.12105/259342025-12-18T12:56:18Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19608

00925njm 22002777a 4500 dc Lopez-Cuadrado, Teresa author Ortiz Burgos, Cristina author Ayuso-Alvarez, Ana Maria author Galan, Iñaki author 2023 Background: Mental health problems account for 14% of mortality worldwide. The aim of this study was to evaluate the association between psychological distress and mortality in the Spanish adult population. Methods: Data came from a longitudinal study in population ≥15 years of age (n=21,005) who participated in the 2011-12 Spanish National Health Survey, which was linked to mortality records as of December 2020. Mental health was assessed with the GHQ-12, defining psychological distress as a dichotomous variable using a GHQ-12 score ≥3 as the cutoff point. Using Poisson regression, standardized mortality rate ratios (SRR) were estimated for all-cause, cardiovascular disease, and tumor-related mortality, adjusting for sociodemographic variables, lifestyles, and comorbidities. Results: The standardized overall mortality rate in individuals with and without psychological distress was 14.58 and 10.90 per 1000 person-years, respectively, estimating an SRR of 1.34 (95%CI: 1.19-1.50). The SRR for tumor-related mortality was 1.17 (95%CI: 0.90-1.53), and cardiovascular-related mortality was related to higher distress (GHQ-12 ≥ 4): SRR of 1.22 (95%CI: 0.98-1.51). Among psychological distressed individuals, the overall mortality SRR for those with a previous mental disorder diagnosis was 1.18 (95%CI: 0.91-1.53) versus 1.34 (95%CI: 1.18-1.54) for those without such diagnosis (p for interaction=0.067). Similarly, distressed participants taking prescription drugs for mental disorders had a lower mortality risk than those not taking them (p for interaction=0.016). Conclusions: Individuals with psychological distress had a higher risk of overall-, cardiovascular disease- and tumor-related mortality. This association was higher among participants not previously diagnosed with a mental disorder and those not taking medication for mental issues. López-Cuadrado T, Ortiz C, Ayuso-Álvarez A, Galán I. Impact of psychological distress on mortality in Spain. The importance of early detection and treatment of mental disorders. J Psychiatr Res. 2023. doi: 10.1016/j.jpsychires.2023.11.045. Epub 2023 Dec 3. PMID: 38065054. 10.1016/j.jpsychires.2023.11.045 0022-3956 Journal of Psychiatric Research 38065054 https://hdl.handle.net/20.500.12105/25934 Diagnosis Mortality Psychological distress Treatment Impact of psychological distress on mortality in Spain. The importance of early detection and treatment of mental disorders.