空鼻综合征中的抑郁和焦虑:系统性审查和元分析
Anuja H Shah1,2, Isabelle J Chau1,3, Shaun A Nguyen4
1Department of Otolaryngology - Head and Neck Surgery, Medical University of South Carolina, Charleston, 135 Rutledge Ave, 29425, SC, USA.
概括
空鼻综合征 (ENS) 与高抑郁和焦虑率有关. 增强手术在改善ENS患者这些心理症状方面显示出不同的结果.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 精神病学是一个精神病学.
- 医学研究 医学研究
背景情况:
- 空鼻综合征 (ENS) 呈现为一种持续的鼻腔阻塞感,尽管鼻腔呼吸道清晰.
- 内脏神经系统显著影响患者的生活质量,往往与心理困扰同时发生.
研究的目的:
- 确定诊断为空鼻综合征 (ENS) 的患者抑郁症和焦虑症的患病率.
- 评估外科增强手术在缓解ENS患者心理症状方面的有效性.
主要方法:
- 按照PRISMA指南进行了一次系统的文献审查.
- 包括的研究分析了ENS患者的心理健康患病率和患者报告的结果措施 (PROM).
主要成果:
- 十一项研究 (401名患者) 显示,在ENS患者中,抑郁症 (76.6%) 和焦虑症 (77.0%) 的患病率很高.
- 在ENS中抑郁症的患病率明显高于慢性鼻炎 (CRS) 患者 (RR: 2.8).
- 在6个月的随访中,增强程序显示了抑郁和焦虑得分的不一致改善,根据使用的PROM而有所不同.
结论:
- 抑郁症和焦虑症在ENS患者中非常普遍,与CRS相比,抑郁症和焦虑症的发生率可能更高.
- 对ENS中心理症状的增强程序的有效性是不一致的,并且取决于评估工具.
- 需要进一步的研究来澄清心理相关疾病是否是内脏神经系统的后果或有助于其发展.
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