甲状腺癌手术后抑郁症状的调查:逻辑回归分析和调整策略
Qi Xie1, Yun-Chao Xin1, Li-Hang Yang1
1Department of Otorhinolaryngology, The First Affiliated Hospital of Hebei North University, Zhangjiakou 075000, Hebei Province, China.
World journal of psychiatry
|November 24, 2025
概括
甲状腺切除术后的抑郁症影响了超过一半的患者,与低收入,放射性治疗和不良应对有关. 加强社会支持和应对策略可以减轻甲状腺切除术患者的风险.
科学领域:
- 内分泌学 在内分泌学.
- 精神病学是一个精神病学.
- 手术瘤学手术瘤学
背景情况:
- 甲状腺切除术后的患者经常出现抑郁症状.
- 甲状腺切除术后抑郁症的危险因素在大型研究中尚未得到充分证实.
- 抑郁症可能源于手术创伤,荷尔蒙变化和心理压力.
研究的目的:
- 为了确定甲状腺切除术患者手术后抑郁症的患病率.
- 为了确定抑郁症的独立风险和保护因素.
- 为减轻抑郁症提出有针对性的策略.
主要方法:
- 108名接受甲状腺切除术的患者使用自我评价抑郁症量表 (SDS) 评估抑郁症.
- 用验证的问卷来评估应对方式和社会支持.
- 后勤回归分析确定了抑郁症的预测因素.
主要成果:
- 抑郁症的患病率为57.4%,报告有轻度,中度和严重的形式.
- 独立的风险因素包括低月收入 (<3000元),放射性治疗,以及避免/投降应对方式.
- 感知到更高的社会支持是预防抑郁症的重要保护因素.
结论:
- 甲状腺切除术后,抑郁症是一种常见且显著的问题.
- 社会经济地位,治疗方式 (I疗法) 和心理社会因素 (应对,社会支持) 影响术后情绪.
- 干预措施应侧重于改善受影响患者的应对机制和社会支持系统.
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