抑郁症:在肌痛性硬化症患者的临床过程中起作用的因素
Oana Antonia Mihalache1,2, Crisanda Vilciu2,3, Diana-Mihaela Petrescu3
1Department of Doctoral Studies, "Carol Davila" University of Medicine and Pharmacy, 020021 Bucharest, Romania.
骨髓灰质炎 (MG) 患者经常经历抑郁症,疾病严重程度与抑郁症得分相关. 与MG一起治疗抑郁症可以改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 临床研究 临床研究
背景情况:
- 骨髓灰质炎 (MG) 和抑郁症有着复杂的双向关系.
- MG可以导致抑郁症,而抑郁症可以加剧MG症状.
研究的目的:
- 为了研究患有并发性抑郁症和没有并发性抑郁症的患者之间MG疾病进展的差异.
- 为了测试一种假设,即更严重的MG症状与更高的抑郁症可能性相关.
主要方法:
- 122名成年MG患者在基线和六个月后被评估.
- 用汉密尔顿抑郁评分表 (HAM-D) 评估精神病状况.
- 神经状况通过量化肌痛严重症 (QMG) 和MG日常生活活动 (MG-ADL) 尺度进行测量.
主要成果:
- 40.16%的MG患者被诊断患有并发性抑郁症.
- 患有抑郁症的MG患者在6个月后MG-ADL,QMG和HAM-D得分显著下降.
- 更高的MG严重程度和HAM-D得分显著相关. 患有抑郁症的患者需要更高的pyridostigmine剂量.
结论:
- 抑郁症状在MG患者中非常普遍.
- 疾病的严重程度,年轻的年龄和较高的皮质类固醇剂量与MG的抑郁症有关.
- 综合管理MG和抑郁导致改善的临床结果.
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