慢性病患者中抑郁症状和认知脆弱之间的关联:一个横截面研究
Peng Zhang1,2, Aiqing Fan3, Nian Xie4
1School of Public Health, Hainan Medical University, Haikou, China.
Frontiers in psychiatry
|October 10, 2025
概括
抑郁症状与慢性病患者的认知脆弱有关. 早期查抑郁症和心理支持可能有助于降低认知脆弱的风险.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 老年学是指老年学的学科.
- 精神病学是一个精神病学.
背景情况:
- 认知虚弱 (CF) 和抑郁症状在慢性病 (CKD) 患者中很常见.
- 这些情况可能会使健康状况恶化,需要早期干预.
研究的目的:
- 调查慢性病患者抑郁症状和认知虚弱之间的关联.
- 为早期干预策略提供证据.
主要方法:
- 分析了上海三家医院800名CKD患者的数据.
- 抑郁症状 (CES-D分数) 和CF状态使用标准化问卷进行评估.
- 用物流回归和受限立方线 (RCS) 分析来确定关联.
主要成果:
- 在较高的CES-D得分和CF (OR=1.124,p<0.001) 之间发现了显著的积极关联.
- RCS分析显示了一种非线性剂量反应关系,CF患病率随着CES-D得分增加到9而增加.
- 认知脆弱的风险在CES-D得分为12时变得具有统计学意义.
结论:
- 抑郁症状与CKD患者的认知虚弱有显著的相关性.
- 建议使用CES-D尺度对抑郁症进行例行查.
- 对12或更高CES-D分数的患者的心理支持可能有助于减轻认知脆弱的风险.
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