与没有的患者相比,皮肤病患者报告更多的压力,耻辱化经历,焦虑和抑郁:来自欧洲多中心研究的结果
C Zeidler1, J Kupfer2, F J Dalgard3,4
1Department of Dermatology and Center for Chronic Pruritus, University Hospital Münster, Münster, Germany.
概括
心理因素,如压力,焦虑和抑郁症显著恶化皮肤病患者的强度. 与一起解决这些心理因素对于有效治疗至关重要.
科学领域:
- 皮肤病学 皮肤病学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 是一种常见的皮肤病症状,与压力,焦虑和抑郁等心理因素有关.
- 以前的研究指出,感知到的污名化和之间存在关联.
- 缺乏对有皮肤病患者和没有皮肤病患者心理因素进行比较的研究.
研究的目的:
- 研究各种皮病患者感知到的压力,耻辱化,焦虑和抑郁之间的关系.
- 为了比较患有和没有的患者中的这些心理因素.
主要方法:
- 在17个欧洲国家招募了3399名患有14种不同的皮肤病的患者.
- 患者填写了调查问卷,评估他们感知到的污名化,压力,焦虑,抑郁和的严重程度.
- 使用统计分析,包括渐进线性回归来确定关联.
主要成果:
- 的严重程度和压力之间的最强的关联是在粉红患者中发现的 (r=0.314).
- 斑疹性皮肤炎患者在强度和污名化 (r=0.317),焦虑 (r=0.356) 和抑郁 (r=0.400) 之间显示出最强的联系.
- 性别,焦虑,抑郁和污名化占整个队列的强度变化的9.3%.
结论:
- 的强度与心理痛苦有显著的联系.
- 心理干预应该解决症状和相关的心理因素.
- 皮肤科医生应考虑在必要时将患者转诊进行心理评估.
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