喉回流和心理困扰:一个值得调查的恶性循环
Maria Rosaria Barillari1,2, Giulia Maria Giordano3, Giuseppe Costa4
1Department of Mental and Physical Health and Preventive Medicine, "L. Vanvitelli" University, Naples, Italy. mariarosaria.barillari@unicampania.it.
概括
与健康个体相比,患有喉回流 (LPR) 的意大利成年患者经历了明显更高的心理痛苦,包括焦虑和抑郁症. 这些发现强调了在LPR管理中解决心理健康问题的重要性.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病体医学是一种精神病体医学.
- 胃肠病学 胃肠病学
背景情况:
- 喉回流 (LPR) 是一种影响喉和喉的疾病.
- 在LPR和心理痛苦之间的关系需要进一步的调查.
研究的目的:
- 为了检查LPR和意大利成年患者的心理痛苦之间的相关性.
- 为了比较LPR患者与健康对照者的心理痛苦水平.
主要方法:
- 通过反流症状指数 (RSI),反流发现得分 (RFS) 和阻抗-pH监测来评估LPR.
- 用经过验证的尺度评估的心理困扰,包括HADS,HAM-A,HAM-D,IES-R,ISI和PSS-10.
- 对LPR指标与心理分数之间的关联进行统计分析.
主要成果:
- 与对照组 (n=29) 相比,LPR患者 (n=45) 的焦虑 (HAM-A,HADS) 和感知压力 (PSS-10) 显著高于对照组 (n=29).
- 抑郁症得分 (HAM-D) 在LPR患者中升高,接近轻度症状的门.
- RSI得分与HAM-D,HADS和HAM-A得分呈正相关,表明反流症状和心理痛苦之间存在联系.
结论:
- 与健康人相比,LPR患者表现出明显更高的心理痛苦水平.
- 初步发现表明,心理因素在LPR中起着至关重要的作用.
- 建议在LPR患者管理中考虑心理评估和支持.
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