脊髓损伤患者合并抑郁焦虑情绪的相关因素分析
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摘要
目的探讨脊髓损伤患者合并抑郁焦虑情绪的高危因素。方法对298例脊髓损伤患者进行汉密尔顿抑郁焦虑量表问卷调查,并记录相关资料进行分析。结果年龄较小、损伤平面越高、损伤程度越重者的抑郁分值更高;文化程度较低、损伤平面越高、损伤程度越重者的焦虑分值更高。结论临床医生应注意脊髓损伤患者特别是损伤部位较高、损伤程度较重的焦虑抑郁状态,尽早干预和治疗。
Objective To explore the influence factors of depression and anxiety of the patients with spinal cord injury(SCI).Methods The results of HAMA and HAMD scale questionnaire of 298 patients with SCI were recorded and analyzed. Results The younger, higher damage plan, more serious damage were associated with more depressive symptoms. Lower levels of knowledge, higher damage plan, more serious damage plan were associated with more anxious symptoms. Conclusion Doctors should pay more attention on the mental symptom of the patients with SCI, especially on the patients with higher damage plan and more serious damage plan, and execute treatment to the existed diseases timely.
Objective To explore the influence factors of depression and anxiety of the patients with spinal cord injury(SCI).Methods The results of HAMA and HAMD scale questionnaire of 298 patients with SCI were recorded and analyzed. Results The younger, higher damage plan, more serious damage were associated with more depressive symptoms. Lower levels of knowledge, higher damage plan, more serious damage plan were associated with more anxious symptoms. Conclusion Doctors should pay more attention on the mental symptom of the patients with SCI, especially on the patients with higher damage plan and more serious damage plan, and execute treatment to the existed diseases timely.
引文
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[2] Bombarder CH,Richards JS,Krause JS, et al. Symptoms of major depression in spinal cord injury:implication for screening[J]. ArchPhys Med Rehabil, 2004, 85(11):1749.
[3] Stevens SL, Caputo JL, Fuller DK, et al.Physical activity and quality of life in adults with spinal cordinjury[J]. J Spinal Cord Med,2008, 31(4):373.
[4] Migliorini CE,New PW, Tonge BJ. Comparison of depression,anxiety and stress in persons with traumatic and non-traumatic post-acute spinal cord injury[J]. Spinal Cord, 2009, 7(11):783.
[5] Migliorini CE, Tonge B, Taleporos G. Spinal cord injury and mental health[J]. Aust N Z J Psychiatry. 2008,42(4):309-314.
[6] American Psychiatric Association. Diagnostic and statistical manual of mental disorders[M]. Washington:American Psychiatric Association, 1994.165.
[7]张明园.精神科评定量表手册[M].长沙:湖南科学技术出版社,1998:121-126.
[8] Tonack M, Hitzig SL, Craven BC, Campbell KA, Boschen KA,McGillivray CF. Predicting life satisfaction after spinal cord injury in a Canadian sample[J]. Spinal Cord,2008,46(5):380-385.