多发性硬化症患者的抑郁,焦虑和残疾之间的关系:伊朗西部的横截面研究
Nazanin Razazian1, Mohamad Safaei2, Fayeq Bazyar2
1Neuroscience Research Center, Health Institute Kermanshah University of Medical Sciences Kermanshah Iran.
PCN reports : psychiatry and clinical neurosciences
|February 27, 2026
概括
抑郁和焦虑在多发性硬化症 (MS) 患者中显著加重身体残疾. 早期心理查和干预对于改善多发性硬化患者的治疗结果和生活质量至关重要.
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:
- 多发性硬化症 (MS) 是一种慢性中枢神经系统疾病.
- 抑郁症和焦虑症等心理疾病是MS中常见的并发症.
- 这些心理并发症可能会加剧MS患者的身体残疾.
研究的目的:
- 研究MS患者抑郁,焦虑和身体残疾之间的关系.
- 评估伊朗西部多发性硬化症患者中抑郁和焦虑的患病率.
主要方法:
- 一项涉及伊朗克尔曼沙市180名多发性硬化症患者的横截面研究.
- 使用了贝克抑郁症清单 (BDI) 和贝克焦虑清单 (BAI) 的波斯语版本.
- 使用扩展残疾状况表 (EDSS) 评估残疾,并分析了与相关性和回归相关的数据.
主要成果:
- 在抑郁症,焦虑和残疾之间发现了显著的正相关性 (r=0.404,r=0.399,p<0.01).
- 抑郁和焦虑也与彼此有很强的相关性 (r=0.702,p<0.01).
- 抑郁症解释了17.6%的残疾变异,随着焦虑的增加,增加到36.2%. 更低的教育程度和家族MS病史与更高的心理痛苦有关.
结论:
- 抑郁和焦虑是普遍存在的,并且与MS患者的身体残疾增加有显著的关联.
- 将心理评估和干预措施整合到MS护理中可以提高功能结果和生活质量.
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