患有类风湿性关节炎的中国患者的抑郁症患病率:系统性审查和元分析
Jiawei Huang1, Wenyuan Chen1, Peijun Zhu1
1Department of Rheumatology, Taizhou Municipal Hospital, 318000 Taizhou, Zhejiang, China.
Actas espanolas de psiquiatria
|February 7, 2024
概括
抑郁症在37%的中国类风湿性关节炎 (RA) 患者中普遍存在,特别影响女性和50岁以下的患者. 早期检测和管理对于改善RA患者的心理健康至关重要.
科学领域:
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 类风湿性关节炎 (RA) 显著影响患者的心理和精神健康.
- 慢性RA过程和急性发作有助于心理健康挑战.
研究的目的:
- 调查患有类风湿性关节炎 (RA) 的中国患者抑郁症的患病率.
- 进行系统审查和元分析,以确定抑郁症的发病率.
主要方法:
- 在2023年4月之前对电子数据库进行全面的文献搜索.
- 包括具有≥50名参与者的横截面或病例控制研究.
- 使用Review Manager 5.3软件计算的综合抑郁症患病率.
主要成果:
- 包括13项研究 (n=29,113);在中国RA患者中,整体抑郁症患病率为37%.
- 在女性 (45%) 和年轻成年人 (<50岁:48%) 中,患病率更高.
- 抑郁症的患病率因评估尺度而异,在HAMD和CES-D尺度上发现了显著的相关性.
结论:
- 在中国RA患者中观察到高抑郁症患病率,特别是女性和50岁以下的患者.
- 这些发现突显了在RA护理中加强抑郁症查和管理策略的需要.
- 建议针对有风险的子组进行有针对性的干预.
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