大人的焦虑和抑郁 带有静脉障碍:一个系统的审查和元分析
Cory Hyun-Su Kim1,2, Lauren R McCray1,3, Shaun A Nguyen1
1Department of Otolaryngology-Head and Neck Surgery, Medical University of South Carolina, Charleston, South Carolina, USA.
The Laryngoscope
|August 15, 2025
概括
与对照人群相比,患有前庭神经障碍的患者的焦虑和抑郁率明显更高. 这一元分析提供了精确的估计,突出了插曲性疾病的风险增加,并为了解前庭精神病并发症提供了信息.
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:
- 静脉管疾病很常见,可以显著影响生活质量.
- 焦虑和抑郁障碍是前体疾病患者经常观察到的并发症.
- 需要精确的患病率估计,以了解这些精神病相关疾病的负担.
研究的目的:
- 为了获得焦虑和抑郁障碍的精确流行率和相对风险估计,在成年人有常见的前体障碍.
- 为了比较不同类型的前体疾病之间的并发症率和对照人群.
- 探索前体障碍严重程度和精神病症状之间的关联.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析.
- 在包括PubMed,PsycINFO,CINAHL,SCOPUS和Cochrane图书馆在内的主要数据库中进行了搜索.
- 分析了85项研究的数据,包括764,403名成年人,以95%的置信区间计算比例,平均值和相对风险.
主要成果:
- 与对照组相比,患有前体障碍的患者表现出明显更高的焦虑率 (31.4%与8.3%) 和抑郁率 (28.3%与4.7%).
- 在良性发性定位,梅尼尔氏病和前置性偏头痛中注意到患病率较高,偶发性疾病的患病率高于前置性神经炎.
- 在头障碍库存 (DHI) 评分和医院焦虑和抑郁量表 (HADS) 分量表之间发现了显著的关联.
结论:
- 这一元分析提供了迄今为止最精确的估计,用于 vestibular 障碍中的焦虑和抑郁的流行.
- 在情节性前体疾病中观察到的风险增加表明前体-精神病共同疾病的独特病理生理机制.
- 这些发现强调了查和管理前体状况患者的焦虑和抑郁症的重要性.
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