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在勃起功能障碍患者中预测焦虑和抑郁:一个横截面研究
Nguyen Quang1,2, Le Van Truong3, Eric Chung4
1Center for Andrology, Viet Duc University Hospital, Hanoi, Vietnam.
越南的勃起功能障碍 (ED) 与更高的焦虑和抑郁症 (HAD) 有关. 工作压力,羞耻感和ED严重程度等因素增加了HAD风险,突出了综合心理健康护理的需要.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 勃起功能障碍 (ED) 在越南很常见,与心理健康问题有关.
- 社会禁忌阻碍了理解ED和精神障碍之间的联系.
- 在ED患者中调查与焦虑和/或抑郁 (HAD) 相关的因素至关重要.
研究的目的:
- 在越南的ED患者中确定与更高水平的焦虑和/或抑郁症 (HAD) 相关的因素.
- 量化特定因素对ED患者中HAD患病率的影响.
主要方法:
- 在越南杜克大学医院对390名ED患者进行了面对面的调查.
- 收集的数据包括一般信息,国际勃起功能指数-15 (IIEF-15),患者健康问卷-9 (PHQ-9),以及全局焦虑障碍-7 (GAD-7).
- 逐步的Akaike信息标准 (AIC) 方法被用于统计分析.
主要成果:
- 在ED患者中,HAD的患病率为17.69%.
- 与高HAD相关的因素包括非办公室工作,与工作有关的压力,与ED相关的多次可耻经历,中度至重度的ED,以及对性交技能的不满.
- 多次可耻的经历增加了16%的HAD概率;中度和严重的ED分别增加了17%和31%.
结论:
- 心理健康,特别是焦虑和抑郁,与越南人口的勃起功能障碍有很大关系.
- 与工作有关的压力,负面经历和ED严重程度是导致ED患者心理健康挑战的关键因素.
- 针对身体和精神健康的综合护理对于有效管理ED至关重要.
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