肢体截肢后患有抑郁症的人的患病率:系统性审查和元分析
Swarndeep Singh1, Romil Saini2, Rahul Mathur3
1Assistant Professor, Department of Psychiatry, Vardhman Mahavir Medical College & Safdarjung Hospital, Delhi, India.
Journal of psychosomatic research
|April 24, 2024
概括
抑郁症影响超过三分之一的肢体截肢患者. 解决诸如社会支持和应对策略等因素对于降低这一群体中抑郁率至关重要.
科学领域:
- 精神病学是一种精神病学.
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- 肢体截肢显著影响心理健康.
- 抑郁症是肢体丧失后常见的并发症.
研究的目的:
- 为了确定肢体截肢的个体中抑郁症的患病率.
- 为了确定肢体截肢后与抑郁症相关的因素.
主要方法:
- 在主要数据库 (PubMed/MEDLINE,Scopus,Embase,Web of Science) 进行了系统的文献搜索,直到2021年12月.
- 使用随机效应模型的元分析被用于汇集患病率数据.
- 包括61项研究,涉及9852名截肢者.
主要成果:
- 在截肢者中,抑郁症的综合患病率为33.85%.
- 与高收入国家 (28.31%) 相比,中等收入国家 (45.31%) 的抑郁率更高.
- 与抑郁症相关的因素包括活动限制,身体形象问题,社会不适以及避免性应对;保护因素包括社会支持和积极的应对策略.
结论:
- 大约三分之一的肢体截肢者经历了严重的抑郁.
- 医疗保健专业人员应对截肢者进行抑郁症查,并与精神病学家合作.
- 针对已识别的风险和保护因素可以减轻截肢后抑郁症.
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