患病率和与心理疾病相关的因素,幻肢下肢截肢者的疼痛
Himanshu Bhayana1, Shubhankar Bu2, Uttam Chand Saini1
1Department of Orthopaedics, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Injury
|September 3, 2024
概括
下肢截肢显著增加心理障碍的风险,包括抑郁和焦虑,以及幻肢疼痛. 早期心理健康干预对于改善截肢者的生活质量至关重要.
科学领域:
- 精神病学是一个精神病学.
- 康复医学 康复医学 康复医学
- 临床心理学 临床心理学
背景情况:
- 下肢截肢经常与心理痛苦有关.
- 有关截肢者的心理问题的流行率和促成因素的数据存在重大差距.
研究的目的:
- 为了确定下肢截肢者的心理障碍和幻肢疼痛的患病率.
- 为了确定与这些条件相关的因素.
主要方法:
- 一项涉及103名下肢截肢者的横截面研究.
- 使用医院焦虑和抑郁量表 (HADS) 评估焦虑和抑郁.
- 根据DSM-5标准对物质使用障碍的诊断和Pare.定义的幻肢疼痛.
主要成果:
- 心理发病率高:48.5%患有抑郁症,30.1%患有焦虑症,38.8%患有药物使用障碍.
- 97.1%的患者经历了幻肢疼痛.
- 农村出身和较低收入与增加的抑郁,焦虑和幻肢疼痛有显著的关联.
结论:
- 精神病发病率在下肢截肢者中非常普遍.
- 抑郁症,焦虑症和物质使用障碍是常见的.
- 建议将心理健康专业人员整合到多学科团队中,以进行早期评估和干预,以改善患者的治疗结果.
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