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庞菲古斯患者的心理发病率及其临床人口统计风险因素:一项比较研究
Jingying Wang1, Haixi Wu1, Weiting Cong1
1Department of Dermatology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
The Journal of dermatology
|June 29, 2023
概括
虫病患者的焦虑和抑郁症的发病率很高,抑郁症比牛皮病患者更严重. 早期识别pemphigus的情绪障碍对于全面的疾病管理至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 自免疫性疾病 自免疫性疾病
背景情况:
- 庞菲古斯是一种自身免疫性突发性疾病,由于慢性持续时间,外观变化,耻辱和治疗副作用,严重影响患者的心理健康.
- 情绪障碍和尾虫之间存在双向关系,心理困扰可以使疾病自我管理恶化,创造一个有害的循环.
研究的目的:
- 在被诊断为尾虫的患者中调查焦虑和抑郁障碍的患病率和严重程度.
- 为了比较pemphigus患者和患有牛皮的对照组之间的情绪障碍的患病率和严重程度,这是已知的精神病性皮肤病.
主要方法:
- 一项涉及140名虫患者和118名牛皮患者 (对照组) 的横截面回顾性研究.
- 用贝克焦虑库和贝克抑郁库 (第二版) 来评估情绪障碍.
- 倾向性得分匹配被用来创建可比的尾虫和牛皮队伍进行分析.
主要成果:
- 30.7%的虫患者表现出焦虑或抑郁症 (25%的焦虑,14.3%的抑郁症).
- 在倾向性得分匹配 (34对) 后,菲古斯患者与牛皮患者相比,抑郁症的患病率和严重程度明显更高.
- 焦虑障碍水平在两组之间是可比的.
结论:
- 虫患者表现出高患病率和情绪障碍的严重程度,特别是抑郁症.
- 与疾病相关的住院治疗,活跃的粘膜损伤和同时存在的甲状腺疾病是尾虫情绪障碍的独立风险因素.
- 通过临床人口统计学指标及加强医生教育,早期识别情绪障碍对于有效的尾腺管理至关重要.
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