在慢性脚不稳定的患者中,焦虑和抑郁与脚功能之间的相关性以及风险因素的分析
1Department of Orthopedics, The People's Hospital of Pingyang and Pingyang Hospital Affiliated to Wenzhou Medical University and Pingyang Branch of Zhejiang Cancer Hospital, Wenzhou 325400, Zhejiang Province, China. yuzupo123@163.com.
World journal of psychiatry
|July 31, 2025
概括
焦虑和抑郁症会对慢性脚不稳定 (CAI) 患者的脚功能产生负面影响,阻碍康复. 早期干预和解决心理因素对于改善CAI结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 心理学 心理学 心理学
背景情况:
- 焦虑和抑郁等心理并发症在慢性脚不稳定 (CAI) 中很普遍.
- 这些情况可能会对CAI患者的脚功能和康复结果产生负面影响.
- 在CAI中,心理状态和脚功能之间的特定关系需要进一步阐明.
研究的目的:
- 在被诊断为CAI的患者中调查焦虑和抑郁水平和脚功能之间的相关性.
- 在这个患者群体中确定影响脚功能的危险因素.
主要方法:
- 这项研究包括116名患有CAI的患者.
- 焦虑和抑郁被评估使用自我评价焦虑量表 (SAS) 和自我评价抑郁量表 (SDS).
- 关节功能使用美国整形足和关节协会关节后脚得分进行评估,并进行了相关性和回归分析.
主要成果:
- 在CAI患者中,在较高的SAS和SDS得分和较低的脚功能得分之间观察到显著的负相关性.
- 脚功能呈现下降趋势,焦虑和抑郁症的严重程度增加.
- 鉴定出关节功能受损的关键风险因素包括功能康复延迟,视觉模拟尺度疼痛评分和SDS评分.
结论:
- 相当一部分CAI患者经历焦虑和抑郁.
- 这些心理因素显然损害了足关节功能的成功康复.
- 解决焦虑和抑郁症对于优化慢性脚不稳定症患者的康复至关重要.
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