患有骨关节炎的患者中抑郁症状的患病率和相关因素:一个横截面研究
Zehua Wang1, Xingjia Mao2, Zijian Guo3
1Department of Orthopaedic Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Journal of psychosomatic research
|December 25, 2024
概括
骨关节炎 (OA) 患者的抑郁症状与八个因素有关,包括性别,年龄和社会经济地位. 预测性名录可以帮助评估和管理高风险的OA个体.
科学领域:
- 老年学是一门学科.
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 骨关节炎 (OA) 是一种常见的退行性关节疾病.
- 在OA患者中经常观察到抑郁症状,结果和生活质量恶化.
研究的目的:
- 确定与OA患者抑郁症状相关的独立因素.
- 开发一个预测性名谱来评估OA中抑郁症状的风险.
主要方法:
- 从NHANES数据库 (2007-2014) 中分析了2093名OA患者.
- 使用了最小绝对收缩和选择运算符 (LASSO) 和多变量后勤回归.
- 使用ROC曲线,C指数和校准/决策曲线构建并验证了一个名ogram.
主要成果:
- 在2093名OA患者中,有357人有抑郁症状.
- 确定了八个独立的风险因素:性别,年龄,贫困与收入比例 (PIR),种族,教育,吸烟,糖尿病和睡眠障碍.
- 诺米图表显示出良好的预测准确性 (AUC为0.718和0.733) 和临床实用性.
结论:
- 确定了与OA患者抑郁症状相关的关键因素.
- 动态名图为评估和管理患有抑郁症高风险的OA患者提供了一种工具.
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