患有子宫内膜异位症和类风湿性关节炎的患者抑郁症的现状
Shuting Wen1, Aiping Zhang1, Xin Shi1
1Reproductive Center, The First Hospital of Lanzhou University, 730000 Lanzhou, Gansu, China.
Actas espanolas de psiquiatria
|January 13, 2025
概括
使用DSM-5,HAMD和SDS的子宫内膜异位症和类风湿性关节炎患者的抑郁症查显示了类似的检测率. 影响抑郁症的关键因素包括疼痛,睡眠质量和疾病活动.
科学领域:
- 生殖医学 生殖医学
- 类风湿病学 类风湿病学
- 精神病学是一个精神病学.
背景情况:
- 子宫内膜异位症和类风湿性关节炎显著影响生活质量,增加慢性疼痛,生育问题和抑郁症的风险.
- 同时的子宫内膜异位症和类风湿性关节炎带来复杂的健康挑战,需要有效的抑郁查.
- 了解这种患者群体中抑郁症的患病率和促成因素对于改善管理至关重要.
研究的目的:
- 用不同的诊断标准评估患有子宫内膜异位症和类风湿性关节炎同时出现的患者抑郁症的检测率.
- 确定影响该患者群体抑郁症发生的临床因素.
主要方法:
- 一组108名患有子宫内膜异位症和类风湿性关节炎的患者使用精神疾病诊断和统计手册第五版 (DSM-5),汉密尔顿抑郁量表 (HAMD) 和自我评价抑郁量表 (SDS) 进行了评估.
- 根据DSM-5标准,患者被分为观察 (有抑郁症) 和控制 (没有抑郁症) 组.
- 用二进制逻辑回归分析来确定影响抑郁症的因素.
主要成果:
- 抑郁症的检测率为18.52% (DSM-5),19.44% (HAMD) 和16.67% (SDS),两种方法之间没有统计学上显著的差异.
- 抑郁症的重要影响因素包括经期障碍,失眠症,视觉模拟尺度 (VAS) 疼痛评分,类风湿性关节炎的疾病活动评分-28 (DAS28),匹兹堡睡眠质量指数 (PSQI) 评分和健康评估问卷-残疾指数 (HAQ-DI) 评分.
结论:
- DSM-5,HAMD和SDS是查患有子宫内膜异位症和类风湿性关节炎的患者抑郁症的有效工具.
- 疼痛的严重程度 (淋病,失精,VAS),类风湿性关节炎疾病活动 (DAS28),睡眠质量 (PSQI) 和功能障碍 (HAQ-DI) 是这群人群中抑郁症的重要预测因素.
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