在患有BPPV的老年人中,认知,焦虑,抑郁和残留头之间的联系
Jin Sun1,2,3, Xiaobao Ma1,2,3, Ying Yang1,2,3
1Department of Otorhinolaryngology-Head and Neck Surgery, Xinhua Hospital Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Frontiers in aging neuroscience
|September 18, 2023
概括
在治疗前的焦虑和抑郁水平预测,在患有良性发性定位 (BPPV) 的老年患者中,残留的头. 在成功重新定位 BPPV 后,焦虑是持续头的最强预测因素.
科学领域:
- 老年医学 老年医学
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在老年人中,良性发性定位 (BPPV) 是常见的.
- 剩余的头 (RD) 可能会在重新定位操作后持续存在,影响生活质量.
- 认知功能,焦虑和抑郁症可能会影响BPPV的结果.
研究的目的:
- 调查老年BPPV患者的认知,焦虑,抑郁和残留头之间的联系.
- 为了确定BPPV治疗成功后残留头的预测因素.
主要方法:
- 在重新定位之前,对40名老年BPPV患者进行了头 (头障碍清单 - DHI),焦虑 (通用焦虑障碍问卷-7 - GAD-7) 和抑郁 (患者健康问卷-9 - PHQ-9) 的评估.
- 认知功能使用迷你精神状态检查 (MMSE) 进行评估.
- 在1周的随访后,重新评估患者,将他们分为残留 (RD) 或没有残留 (NRD) 组.
主要成果:
- 与NRD组相比,RD组的患者在治疗前的DHI,GAD-7和PHQ-9得分显著更高.
- 治疗前的焦虑和抑郁的得分与随访的DHI得分正相关.
- 多变量回归确定了治疗前的GAD-7得分作为残留头的唯一显著预测因素 (p < 0.001).
结论:
- 治疗前的头,焦虑和抑郁的水平预测了老年BPPV患者的残留头.
- 在这个人群中,焦虑似乎是治疗后残留头的最强预测因素.
- 这些发现强调了在BPPV管理中解决心理因素的重要性.
关键词:
BPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVBPPVB焦虑是一种焦虑.认知 认知 认知抑郁 抑郁症 抑郁症 抑郁症 是一种年长的老人老年人老年人.有残留的头.头 (vertigo) 是一种令人头的情况.
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