持续的姿势感知头 (PPPD) 和生活质量:一个横截面研究
Malin Herwander Steensnaes1, Mari Kalland Knapstad2,3, Frederik Kragerud Goplen2,4
1Department of Child and Adolescent Psychiatry, Helse Fonna, Haugesund, Norway.
概括
持久的姿势感知头 (PPPD) 显著增加头负担,并降低生活质量,独立于焦虑和抑郁. 这凸显了PPPD作为影响患者福祉的独特疾病.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 慢性头影响了相当一部分人口,往往导致生活质量下降.
- 持续的姿势感知头 (PPPD) 是慢性头的常见原因,但它对患者负担和生活质量的影响需要进一步阐明.
- PPPD,焦虑和抑郁之间的关系是复杂的,需要明确定义.
研究的目的:
- 调查持久性姿势感知头 (PPPD) 与头负担和生活质量之间的联系.
- 确定焦虑和/或抑郁是否调解PPPD与健康结果之间的关系.
- 为了区分PPPD的影响与常见的精神病并发症.
主要方法:
- 在门诊耳鼻喉科诊所进行了一项横截面研究.
- 202名患有慢性头的患者使用头障碍库存 (DHI),RAND-12和医院焦虑和抑郁量表 (HADS) 进行了评估.
- 在被诊断为PPPD的患者和没有PPPD的患者之间,将头负担和生活质量得分进行了比较.
主要成果:
- 被诊断为PPPD的患者 (18%) 报告说,头的负担显著增加 (DHI得分更高) 和生活质量降低 (RAND-12物理得分更低).
- 即使调整了年龄,性别,焦虑和抑郁症,这些差异仍然存在.
- PPPD与DHI得分增加15.3个点,RAND-12物理得分减少4.0个点有关.
结论:
- 持续的姿势感知头 (PPPD) 独立地与更大的头负担和较低的身体健康相关的生活质量有关.
- 这些发现表明,PPPD是一个独特的临床实体,与焦虑和抑郁症分开,尽管这些并发症很常见.
- 这些结果强调了识别和管理PPPD的重要性,以改善患者的治疗结果和生活质量.
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