波兰成年患有先天性免疫缺陷的患者的焦虑:一个横截面研究
Kinga Grochowalska1, Marcin Ziętkiewicz1, Katarzyna Nowicka-Sauer2
1Department of Rheumatology, Clinical Immunology, Geriatrics and Internal Medicine, Faculty of Medicine, Medical University of Gdańsk, Gdańsk, Poland.
Frontiers in psychiatry
|March 22, 2024
概括
患有先天性免疫缺陷 (IEI) 的患者中,焦虑很普遍,通常与睡眠不足和疼痛有关,而不是疾病严重程度. 心理支持可能有利于这些患者.
科学领域:
- 免疫学 免疫学 免疫学
- 精神病学是一个精神病学.
- 医学心理学 医学心理学
背景情况:
- 免疫的先天性错误 (IEI) 使患者易患感染,自身免疫和恶性瘤.
- 长期性质的IEI需要不断的医疗护理,增加了对焦虑等心理健康问题的脆弱性.
- 成年波兰IEI患者被评估焦虑症状及其促成因素.
研究的目的:
- 确定EPI诊断的波兰成年患者焦虑症状的患病率和严重程度.
- 在这个特定的患者群体中确定与焦虑相关的关键决定因素.
主要方法:
- 使用了经过验证的问卷,包括医院焦虑和抑郁量表 (HADS),简要疾病感知问卷 (B-IPQ),疾病认知问卷 (ICQ) 和匹兹堡睡眠质量指数 (PSQI).
- 收集了来自105名波兰IEI患者的人口统计和一般健康数据.
- 使用统计分析,如相关性,组差异分析和路径分析来探索关系和因果关系,显著性设置为p < 0.050.
主要成果:
- 36.2%的患者表现出焦虑症状 (HADS-A ≥8),其中13.3%的患者出现严重焦虑 (得分≥11).
- 与更高的焦虑分数相关的因素包括睡眠质量差,频繁疼痛,年龄较小和缺乏稳定的收入.
- 焦虑水平与情绪和认知疾病的表现,负面的疾病感知,无助感和较低的疾病接受度以及感知到的好处正相关.
结论:
- 焦虑是IEI患者常见的并发症.
- 疼痛频率和睡眠质量差是导致IEI患者焦虑的重要临床因素.
- 鉴于焦虑与负面的疾病感知之间的联系,建议对这个患者群体进行心理干预.
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