慢性鼻疾病中的精神负担:一个单一中心的横截面观察性研究
Francesco Giombi1,2, Luca Canali1,2, Jessica Zuppardo1,2
1Department of Biomedical Sciences, Humanitas University, Milan, ITA.
Cureus
|May 3, 2024
概括
慢性鼻炎 (CRS) 和鼻腔隔膜偏差 (SD) 显著影响心理健康,在年轻患者中观察到更高的焦虑和抑郁症得分. 年龄影响患者报告的结果,突出显示了在鼻鼻腔疾病中需要个性化治疗的需要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病学是一个精神病学.
- 生活质量研究 研究 生命质量研究
背景情况:
- 慢性鼻炎 (CRS) 和鼻隔膜偏差 (SD) 是普遍存在的疾病.
- 患有CRS或SD的患者报告的焦虑和抑郁率高于一般人群.
- 鼻功能障碍超越局部症状,影响到精神健康.
研究的目的:
- 评估CRS和SD患者的精神负担 (焦虑和抑郁症).
- 分析精神病症状,临床表型和年龄之间的关系.
- 了解对生活质量 (QoL) 和患者报告结果 (PRO) 的影响.
主要方法:
- 单心,横截面的观察性研究.
- 连续150名患有CRS (有或没有鼻) 或SD的患者被纳入.
- 鼻腔内镜,医院焦虑和抑郁量表 (HADS),SNOT-22和VAS用于评估.
主要成果:
- 在带有鼻息肉的CRS和没有息肉或SD的CRS之间发现了平均HADS得分的显著差异.
- 与老年患者相比,患有SD的年轻患者的平均HADS得分较高.
- 在SD患者中观察到年龄和HADS得分之间的反相关性;HADS得分与总人口中的PRO直接相关.
结论:
- 焦虑和抑郁症显著影响患有鼻腔疾病的患者的QoL.
- 年龄是影响PRO的关键因素,应在治疗决策中考虑.
- 个性化医疗方法对于管理与CRS和SD相关的精神疾病负担至关重要.
相关概念视频
Psychological and Sociocultural Causes of Schizophrenia
84
Schizophrenia, a complex psychiatric disorder, has been historically misunderstood. Early psychological theories attributed its origins to childhood trauma and unresponsive parenting. However, contemporary research largely rejects these notions, favoring the vulnerability-stress hypothesis. This model proposes that individuals with a genetic predisposition to schizophrenia may develop the disorder following exposure to significant environmental stressors. Notably, studies on high-risk...
84
Stress and Mental Health
131
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
131
Chronic Obstructive Pulmonary Disease-IV: Assessement and Diagnostic Studies
2.5K
Assessing and diagnosing Chronic Obstructive Pulmonary Disease (COPD) involves a detailed approach that includes a comprehensive review of medical history, physical examination, and a variety of diagnostic tests. This thorough evaluation is essential to ensure an accurate diagnosis and guide effective management strategies.
Medical History
Medical History
2.5K
Negative and Cognitive Symptoms of Schizophrenia
48
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
48
Depressive Disorders: Etiology
71
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
71
Chronic Pharyngitis
1.9K
Chronic pharyngitis refers to persistent inflammation of the pharyngial mucosa.
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
Etiology
It often arises from persistent viral or bacterial infections affecting sinuses and tonsils.
Additional contributing factors include inadequate dental hygiene, mouth breathing, recurring tonsillitis, allergic rhinitis, laryngopharyngeal reflux, and exposure to smoke, chemicals, and other environmental pollutants. Allergic reactions to pollen, mold, and pet dander, chronic cough, excessive voice usage,...
1.9K


