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功能性消化不良症患者的焦虑和抑郁量表的应用和价值
Yejiao Ruan1, Hao Lin1, Xinru Lu1
1The Second Affiliated Hospital & Yuying Children's Hospital of Wenzhou Medical University, 1111 East Wenzhou Dadao, Longwan District, Wenzhou, 325000, Zhejiang, China.
BMC psychology
|April 30, 2024
概括
这项研究发现,PHQ-9,SAS,HAMD和HAMA等级有效地评估功能性消化不良 (FD) 患者的焦虑和抑郁. 这些工具有助于胃肠科医生诊断和规划与精神健康相关疾病的FD的治疗.
科学领域:
- 胃肠病学 胃肠病学
- 精神病学是一个精神病学.
- 临床心理学 临床心理学
背景情况:
- 功能性消化不良 (FD) 在评估患者心理健康方面存在挑战.
- 现有的措施缺乏实用性和适合FD患者.
- 焦虑和抑郁是FD中常见的并发症,影响患者的结果.
研究的目的:
- 评估各种焦虑和抑郁等级在FD患者中的有用性.
- 确定用于临床查和治疗指导的可靠工具.
- 改进FD和心理健康状况的综合管理.
主要方法:
- 一项前性研究涉及113名FD患者和142名健康对照 (2021年9月至2022年9月).
- 心理症状的评估使用十个抑郁和焦虑问卷.
- 统计分析包括ROC曲线,斯皮尔曼,皮尔森相关性和单因素分析.
主要成果:
- 与对照组相比,FD患者表现出更高的焦虑和抑郁率.
- 十个尺度表现出强大的有效性和可靠性,用于评估FD的心理健康.
- PHQ-9,SAS,HAMD和HAMA在检测焦虑/抑郁的FD方面表现出色 (AUC从0.70到0.77不等).
结论:
- PHQ-9,SAS,HAMD和HAMA尺度对于FD患者来说非常适用.
- 这些经过验证的尺度可以帮助胃肠科医生识别和管理焦虑和抑郁.
- 这些发现为改善FD的临床评估和治疗策略提供了基础.
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