患有严重抑郁症的青少年甲状腺功能与精神病症状之间的关联:中国的一项大型样本尺寸横截面研究
Ruchang Yang1,2, Feng Zhu2, Yan Yue1,2
1Medical College of Soochow University, Suzhou, China.
Heliyon
|June 12, 2023
概括
精神病性抑郁症在青少年中很常见,与年轻,女性性别和较低的FT4水平有关. 建议定期进行FT4查,以获得抑郁症青少年更好的治疗结果.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 青少年健康 青少年健康
背景情况:
- 甲状腺功能与抑郁症和精神病有关.
- 有限的研究存在于伴随性抑郁和精神病症状的青少年甲状腺功能.
研究的目的:
- 调查被诊断患有抑郁症的青少年甲状腺功能和精神病症状之间的关联.
主要方法:
- 分析了679名患有抑郁症的青少年 (12-18岁) 患者.
- 数据包括社会人口统计,临床细节和甲状腺功能参数.
- 使用DSM-5标准评估精神病症状严重程度,将患者分为精神病性抑郁症 (PD) 和非精神病性抑郁症 (NPD) 分组.
主要成果:
- 患PD的患病率为52.7%.
- 患有PD的患者年轻,更常见的是女性,非汉族国籍,血清FT4水平降低.
- 在PD患者中,甲状腺异常参数的发生率较高 (35.2%与27.4%相比).
- 血清FT4水平增加显示出对PD的保护作用 (OR=0.615).
结论:
- 青少年患PD的高患病率与年龄较小,女性性别,非汉族国籍和较低的FT4水平有关.
- 建议对患有抑郁症的青少年进行血清FT4水平的定期查,以改善临床结果.
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