多发性硬化症患者的自杀念头及其与临床和人口特征的关联
Elham Bazmi1, Amir Hossein Behnoush2, Sharareh Eskandarieh1
1Multiple Sclerosis Research Center, Neuroscience Institute, Tehran University of Medical Sciences, Neurology Department, Sina Hospital, Tehran, Iran.
Brain and behavior
|April 2, 2025
概括
自杀念头 (SI) 在多发性硬化症 (MS) 患者中很普遍,受抑郁,焦虑和之前自杀企图的影响. 增加的年龄在MS中提供了对SI的保护. 早期干预至关重要.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
- 流行病学 流行病学
背景情况:
- 多发性硬化症 (MS) 与抑郁症等心理障碍有关,增加了自杀风险.
- 自杀念头 (SI) 是MS患者自杀企图和死亡的关键预测因素.
- 识别与MS中SI相关的因素对于临床管理至关重要.
研究的目的:
- 研究社会人口统计学,心理和疾病特异性因素与MS患者的SI之间的关系.
- 评估MS患者队列中SI的患病率.
- 为了确定MS人口中SI的预测因素.
主要方法:
- 一项涉及德黑兰门诊400名多发性硬化患者的横截面研究.
- 数据收集包括关于人口统计,焦虑 (HADS),抑郁 (PHQ-9) 和SI (BSSI) 的问卷.
- 使用后勤回归和皮尔森相关性分析来评估变量与SI之间的关联.
主要成果:
- 37.2%的MS患者报告经历SI.
- 年龄较大与SI的可能性降低有关 (调整后OR为0.95).
- 以前的自杀企图显著增加了SI的几率 (调整后OR为2.18),抑郁和焦虑得分也更高.
结论:
- 多发性硬化症患者对自杀的想法和行为具有很高的易感性.
- 在MS的临床访问期间,SI和相关的心理因素应定期评估.
- 为了减轻这一群体的自杀风险,需要立即进行精神干预.
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