心理困扰是常见的,并且与青少年和年轻成年人的更大的关节功能障碍有关
Michael C Willey1, Courtney J Seffker1, Jenna Jensen1
1Department of Orthopedics & Rehabilitation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
The Journal of bone and joint surgery. American volume
|July 10, 2025
概括
患有部疼痛的年轻患者经常出现心理困扰和抑郁症状,这会影响他们报告的疼痛和功能. 对这些疾病的查在骨科护理中至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 青少年医学 青少年医学
- 心理学 心理学 心理学
背景情况:
- 青少年和年轻成年人中心理困扰率的增加.
- 在骨科临床实践中,综合查计划的整合有限.
- 在患有部疼痛的年轻患者中查抑郁症和心理困扰的需要.
研究的目的:
- 在患有部疼痛的青少年和年轻成年人中报告抑郁症症状和心理困扰的患病率和危险因素.
- 确定这些心理因素与患者报告的疼痛和功能障碍之间的关系.
- 在骨科环境中实施查计划.
主要方法:
- 使用患者健康问卷-9 (PHQ-9) 和最佳查预测转诊和结果-黄色旗 (OSPRO-YF) 工具对500名患有部疼痛的10-24岁患者进行查.
- 利用国际部结果工具-12 (iHOT) 进行疼痛和功能障碍评估.
- 用物流回归和威尔科克森等级和克鲁斯卡尔-瓦利斯测试来分析数据.
主要成果:
- 10.6%的患者表现出中度或更严重的抑郁症状; 26.9%的患者有严重的心理困扰.
- 年轻的成年人 (20-24岁) 患抑郁症状的几率更高 (OR,2.09).
- 女性性别,之前的手术和超重状态与严重心理痛苦的风险更高有关 (RR分别为1.86,2.29,2.10).
- 抑郁症症状和心理困扰都与较低的iHOT得分有显著的相关性 (p < 0.001).
结论:
- 患有部疼痛的年轻患者中普遍存在心理困扰,与疼痛和功能障碍增加有关.
- 年轻的成年人面临更高的抑郁症症状的风险.
- 严重的心理困扰在女性,超重个体和那些以前失败的关节手术的人中更为常见.
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