在患者中使用医院焦虑和抑郁度量:重叠的症状是否是一个问题?
Elisa Tye1, Sallie Baxendale1,2
1University College Hospital, London, United Kingdom.
Epilepsy & behavior reports
|January 18, 2024
概括
医院焦虑和抑郁量表 (HADS) 可能会误解症状为焦虑或抑郁. 分析物品认可可以提高患者查准确度 (PWE).
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 医院焦虑和抑郁量表 (HADS) 被广泛用于查焦虑和抑郁.
- 一些HADS项目可能会与症状及其治疗重叠,可能导致误诊.
- 这些重叠症状对患者 (PWE) 的HADS得分的影响需要调查.
研究的目的:
- 检查特定的HADS项目是否不成比例地表明患者 (PWE) 的焦虑和抑郁.
- 评估PWE中HADS子级分数和人口/临床因素之间的关系.
- 识别可能反映相关症状而不是主要焦虑或抑郁的HADS项目.
主要方法:
- 546名患有的成年人作为常规临床评估的一部分完成了HADS.
- 进行了统计分析,以检查HADS得分,人口变量,类型和特定项目认可之间的关联.
- 高度焦虑和抑郁症状的患病率是根据HADS分级得分计算的.
主要成果:
- 56.2%的PWE报告过度焦虑,27.3%报告抑郁症状 (HADS得分≥8).
- 哈德斯分级得分显示,与年龄,性别或类型没有关联.
- 在恐慌/恐惧和叶的诊断项目之间没有发现任何关系.
- 在焦虑子表格上",令人担忧的想法"是最常见的; "我觉得我被减速了"得到了高度认可,可能反映了而不是抑郁症.
结论:
- HADS在患者中发现了高频率的焦虑和抑郁症状 (PWE).
- 某些HADS项目,特别是"我觉得我被减速了",可能不会准确地反映PWE中的抑郁症.
- 改进HADS项目分析可以提高其检测患者抑郁症的灵敏度.
相关概念视频
01:18Anxiety: Overview
273
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
273
01:18Depression: Overview
247
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
247
01:27Depressive Disorders: MDD and Dysthymia
136
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
136
01:14CNS Depressants: Barbiturates and Benzodiazepines
271
CNS depressants include drugs from the category of barbiturates and benzodiazepines. They are valuable medications for managing anxiety disorders and insomnia. Barbiturates, once used to induce and maintain sleep, have been replaced mainly by benzodiazepines due to barbiturate's toxicity, tolerance, and overdose risks. They interact with GABAA receptors, leading to sedation at low doses and potentially coma and death at higher doses. Phenobarbital, a long-acting barbiturate, possesses...
271
01:30Generalized Anxiety Disorder
135
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
135
01:24Arteries of the Lower Limbs
190
Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
Various factors can trigger epilepsy, including genetic factors, brain damage, metabolic causes, and unknown etiology. Diagnosis of epilepsy involves electroencephalography (EEG), which...
190