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干眼疾病的一个重要因素:体化.
Fuat Yavrum1, Melike Ezerbolat Ozates2, Serdar Ozates3
1Ophthalmology Department, Faculty of Medicine, Alanya Alaaddin Keykubat University, st. no: 80, Kestel, 07425, Antalya, Turkey. fuatyavrum@gmail.com.
International ophthalmology
|April 23, 2024
概括
身体化,一种导致不明原因症状的心理过程,与干眼病 (DED) 有关. 患有DED和持续的主观症状的患者可能表现出体化,表明需要心理考虑.
科学领域:
- 眼科医生 眼科 眼科
- 精神病学是一个精神病学.
- 精神病体医学是一种精神病体医学.
背景情况:
- 身体化可以表现为医学上无法解释和耐治疗的身体症状.
- 干眼病 (DED) 经常表现为慢性眼睛表面症状.
- 了解DED症状的心理基础对于全面的患者护理至关重要.
研究的目的:
- 调查诊断为DED.患者的体化发生率和特征.
- 探索主观DED症状与体化特征之间的关系.
主要方法:
- 一项前性观察性研究包括88名患有DED和正在进行治疗的患者.
- 患者被分为一个症状组 (主观症状) 和一个控制组 (没有主观症状).
- 标准化问卷评估了眼部表面疾病 (OSDI),抑郁 (HAM-D),焦虑 (HAM-A),体化 (SCL-90R),亚历克西西米亚 (TAS),疼痛灾难化 (PCS) 和症状解释 (SIQ).
主要成果:
- 与对照组相比,症状组报告的OSDI,SCL-90R体化,TAS,PCS和体性归因风格得分显著更高.
- 两组之间没有发现抑郁症 (HAM-D) 或焦虑症 (HAM-A) 评分的显著差异.
- 在症状组中,体化分级,PCS和体性归因风格与OSDI得分呈现轻度至中度的正相关性.
结论:
- 在评估患有慢性,耐治疗的眼表面症状的DED患者时,应考虑体化.
- 在DED中存在持久的主观症状可能作为潜在体化的临床指标.
- 整合心理评估可以增强具有复杂症状概况的DED患者的管理.
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