生物疗法降低了疾病的严重程度,改善了牛皮患者的抑郁和焦虑症状
Teodora-Larisa Timis1, Lehel Beni2, Teodora Mocan1
1Department of Physiology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.
Life (Basel, Switzerland)
|May 27, 2023
概括
生物疗法显著降低了牛皮的严重程度,并改善了相关的抑郁和焦虑. 所有评估的生物药物都表现出有效性,没有任何单一药物在这些结果中表现出优势.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一种精神病学.
- 免疫学 免疫学 免疫学
背景情况:
- 牛皮是一种慢性,免疫介导的皮肤疾病,具有相当大的心理影响.
- 生物药物代表了治疗牛皮的新疗法.
- 像抑郁症和焦虑症这样的心理并发症在牛皮患者中很普遍.
研究的目的:
- 评估生物疗法在治疗牛皮的疗效.
- 评估生物制剂对疾病严重程度和心理并发症的影响.
- 为了比较牛皮患者与对照人群中抑郁和焦虑的患病率.
主要方法:
- 一项前性病例对照研究,将106名牛皮患者与106名对照人进行比较.
- 评估抑郁症 (PHQ-9) 和焦虑症 (GAD-7) 在基线和6个月的得分.
- evaluation of Psoriasis Area and Severity Index (PASI) 和皮肤病生活质量指数 (DLQI) 的评价. 这些评分.
- 使用七种生物药物中的一种治疗:ixekizumab,secukinumab,guselkumab,certolizumab,ustekinumab,risankizumab或adalimumab.
主要成果:
- 牛皮患者表现出明显更高的抑郁和焦虑率 (p < 0.0001).
- 女性患者在两组中都报告了更高的抑郁和焦虑患病率.
- 6个月后,生物治疗导致PASI,DLQI,PHQ-9和GAD-7得分显著降低 (p < 0.0001).
- 改善的PASI得分与减少的抑郁和焦虑相关 (p < 0.005),但DLQI没有.
结论:
- 生物疗法在治疗牛皮的严重程度方面是有效的.
- 生物药物显著缓解牛皮患者的抑郁和焦虑症状.
- 没有一种特定的生物药物在七种研究药物中表现出优越性.
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