神经病变作为与多发性硬化症相关的抑郁和焦虑的常见因素- 一个系统性审查和元分析
Alina Schenk1, Cosmin Octavian Popa2, Cristiana Manuela Cojocaru1
1The Doctoral School, George Emil Palade University of Medicine, Pharmacy, Science and Technology, 540142 Targu Mures, Romania.
International journal of environmental research and public health
|October 26, 2024
概括
多发性硬化症 (MS) 患者中常见的精神健康问题如神经病变,抑郁和焦虑,影响他们的疾病和生活质量. 本综述强调了它们的严重流行和影响.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 多发性硬化症 (MS) 经常与心理健康挑战有关,增加了患者多发性疾病风险.
- 未被诊断和未经治疗的心理困难显著影响了多发性硬化症的过程.
研究的目的:
- 系统地审查和元分析MS患者中神经病症,抑郁症和焦虑症的流行情况.
- 调查这些心理因素对MS疾病表现的累积影响.
主要方法:
- 在PubMed,科学网,Scopus和谷歌学者数据库中进行全面的文献搜索.
- 遵守PRISMA系统审查方法指南.
- 使用AXIS工具进行偏差风险评估.
主要成果:
- 系统性审查包括22项研究;在756项已确定的研究中,从756项中选择了10项研究进行元分析.
- 发病率估计:神经病 24.06%,抑郁症 20.77%,焦虑 23.94%.
- 为所有流行率估计提供了置信区间.
结论:
- 精神疾病经常与多发性硬化一起发生,对临床症状和患者的生活质量产生负面影响.
- 需要进行更多同质研究的进一步研究,以澄清人格,情绪障碍和MS症状之间的相互作用.
相关概念视频
Depressive Disorders: Etiology
51
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...
51
Depression: Overview
222
Depression is a prevalent mental illness marked by persistent sadness and lack of interest in previously enjoyable activities. It can take several forms, including major depression, persistent depressive disorder, and bipolar I and II disorders. Symptoms range from emotional changes like chronic worry to physical changes like sleep disturbances and suicidal thoughts. From a neurobiological perspective, depression is believed to be triggered by abnormalities in the brain's prefrontal cortex,...
222
Stress and Mental Health
78
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...
78
Generalized Anxiety Disorder
60
Generalized Anxiety Disorder (GAD) is a chronic condition characterized by excessive and uncontrollable worry that persists for at least six months, significantly interfering with daily functioning. Unlike situational anxiety, which arises in response to specific stressors, GAD often occurs without a clear cause. Individuals may experience disproportionate worry about work, health, or relationships. For instance, a person might continuously fear poor health despite normal medical evaluations or...
60
Anxiety: Overview
251
Anxiety is a common mental disorder featuring excessive worry, fear, and apprehension, significantly affecting daily life. People with anxiety disorders experience persistent and intense anxiety, interrupting their everyday functioning.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
Individuals with anxiety often experience a range of physical and emotional symptoms, including sweating, trembling, tachycardia, and disturbances in sleep patterns. These symptoms vary in intensity and frequency but are generally disruptive and distressing.
251
Social Anxiety Disorder
27
Social anxiety disorder, also known as social phobia, is characterized by an intense fear of social situations where one might face humiliation, rejection, embarrassment, or negative evaluation. This disorder leads individuals to avoid activities like casual conversations, public speaking, or seemingly simple tasks such as eating, signing documents, or swimming, in public settings. Its impact extends beyond discomfort, often significantly interfering with daily functioning and quality of life.
27


