焦虑和抑郁之间的关联在代谢功能障碍相关的静态肝脏疾病 (MASLD) 中
Eloyse Cristina Botacin1, Sebastião Mauro Bezerra Duarte1, José Tadeu Stefano1
1Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Laboratório de Gastroenterologia Clínica e Experimental (LIM-07), Departamento de Gastroenterologia e Hepatologia, São Paulo, SP, Brasil.
Arquivos de gastroenterologia
|July 24, 2024
概括
焦虑和抑郁症在代谢功能障碍相关的脂肪性肝病 (MASLD) 患者中很常见,特别是女性和患有代谢综合征等并发病症的老年人. 许多人经历了严重的症状.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 精神病学是一个精神病学.
- 代谢疾病 代谢疾病
背景情况:
- 与代谢功能障碍相关的脂肪性肝病 (MASLD) 越来越普遍.
- 在MASLD患者中,人们怀疑同时出现的精神健康状况,如焦虑和抑郁症.
- 了解这些症状的患病率和严重程度对于全面的患者护理至关重要.
研究的目的:
- 确定MASLD患者焦虑和抑郁症状的频率和强度.
- 探索这些症状与患者人口统计学或并发症之间的相关性.
主要方法:
- 这是一项对106名被诊断患有MASLD的患者进行的描述性,横截面研究.
- 排除有过滥用酒精病史的患者,经AUDIT验证.
- 使用社会人口统计数据,HADS,HAM-A和HAM-D尺度进行评估.
主要成果:
- 相关疾病的高患病率:2型糖尿病 (59.4%),高血压 (68.9%),肥胖 (61.3%),代谢综合征 (63.2%).
- 34%的人通过HADS显示出焦虑的概率和33%的抑郁症状.
- 汉密尔顿尺度显示了63.9%的严重焦虑和54.3%的严重抑郁.
结论:
- 超过三分之一的MASLD患者经历焦虑和抑郁,往往是严重的.
- 焦虑和抑郁与女性性别和代谢综合征相关.
- 患有多种并发症的老年患者,包括代谢综合征,占这一群体的很大一部分.
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