抑郁症和焦虑症在具有炎症性肠道疾病的社会脆弱患者中被低估了吗?
Jessica L Sheehan1,2, Ariel A Jordan3, Kira L Newman1
1Department of Internal Medicine, Division of Gastroenterology and Hepatology, Michigan Medicine, Ann Arbor, MI, USA.
Inflammatory bowel diseases
|October 25, 2023
概括
社会脆弱性与炎症性肠病 (IBD) 患者的抑郁率更高有关. 心理健康查水平较低,特别是在易受IBD影响的人群中,这凸显了护理方面的差异.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 炎症性肠病 (IBD) 与高抑郁和焦虑率有关.
- 健康的社会决定因素 (SDOH) 影响IBD患者的心理健康,但这种关系尚未得到充分理解.
- 社会脆弱性指数 (SVI) 可以量化IBD人群中的SDOH.
研究的目的:
- 研究SDOH,使用SVI和IBD患者的心理健康诊断之间的关联.
- 根据SVI. 评估IBD患者的抑郁和焦虑心理健康查率.
- 发现易受IBD影响的人群在心理健康护理方面的潜在差异.
主要方法:
- 对9644名IBD患者进行了回顾性队列研究.
- 将家庭地址地理编码为人口普查区,用于SVI计算.
- 多变量逻辑回归分析SVI和心理健康诊断之间的关系.
- 对查率的标准化健康问卷的分析.
主要成果:
- 抑郁症与更高的社会脆弱性有关 (OR,1.27;95% CI,1.02-1.56).
- 焦虑和任何心理健康诊断都没有与社会脆弱性有显著的关联.
- 抑郁症 (15%) 和焦虑症 (8%) 的整体查率较低,其中社会最脆弱的人群的查率最低.
结论:
- 对于社会脆弱的IBD患者来说,抑郁症和焦虑症诊断存在差异.
- 低查率,特别是在弱势群体中,表明需要改善心理健康管理.
- 解决不平等问题需要提高意识,有针对性的干预措施,并改善IBD患者的转诊途径.
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