马 玲,武百山,孙海燕,杨立强,倪家骧.三叉神经痛患者的抑郁焦虑情绪调查评估[J].中国康复医学杂志,2010,25(3):240~243 |
三叉神经痛患者的抑郁焦虑情绪调查评估 点此下载全文 |
马 玲 武百山 孙海燕 杨立强 倪家骧 |
首都医科大学宣武医院疼痛诊疗中心,北京,100053 |
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目的:观察原发性三叉神经痛患者的抑郁焦虑情况,评估这类患者伴发抑郁焦虑异常症状的危险因素。
方法:原发性三叉神经痛患者176例,年龄15—80岁(男性66例,女性110例)。对患者的一般特点、疼痛评分和抑郁焦虑情绪状态进行采集。根据不同性别、年龄、病程、职业、教育程度、收入和疼痛评分特点分组进行单因素分析,并进行患者间的抑郁焦虑情绪异常的比较和多元回归分析。应用视觉模拟量表(VAS),贝克抑郁量表和焦虑量表(BDI、BAI)进行评测。
结果:26.7%原发三叉神经痛患者的抑郁阳性(47例),12例焦虑阳性(6.8%);女性、短病程、年龄小、职业不稳定、收入低和疼痛评分作为单因素影响患者的抑郁情绪发生,除职业因素外,其余均为三叉神经痛患者伴发抑郁异常的危险因素;焦虑情绪异常发生的单因素结果提示:长病程患者的焦虑异常高发。
结论:三叉神经痛患者伴随高发的抑郁和焦虑异常,应对其相关危险因素给予更多关注。 |
关键词:三叉神经痛 抑郁 焦虑 危险因素 视觉模拟量表 |
Assessing depression and anxiety in patients with trigeminal neuralgia Download Fulltext |
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Assessing depression and anxiety in patients with trigeminal neuralgia |
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Abstract
Objective: To observe depression and anxiety of idiopathic trigeminal neuralgia(TN) patients, and assess the correlation between these two symptoms and the risk factors.
Method: Participants were 176 consecutive patients, age 15 to 80 years(male 66 cases, female 110 cases), diagnosed as idiopathic trigeminal neuralgia. The patients′ depression, anxiety, some demographic and clinical conditions were collected with visual analogue scale/Beck depression inventory/Beck anxiety inventory(VAS/BDI/BAI). Different single factor analyses for depression and anxiety were conducted in different groups according to different gender, age, disease duration, occupation, education, income and pain severity. Comparison and Logistic regression analyses for multi factors were conducted in TN patients.
Result: The incidence rates of depression/anxiety in TN patients were 26.7%(47cases),6.8%(12 cases) respectively. Different gender, disease duration, age, occupation, income and pain scores, had significant statistical differences in single factor analyses about depression. Logistic regression analyses showed, except occupation factor, the other conditions about gender, disease duration, age, income and pain scores, all were the risk factors in TN patients with depression. Single factor analyses showed in patients with long disease duration the incidence rate of anxiety was higher significantly,but in logistic regression analyses no significant difference of anxiety was carried.
Conclusion: The incidence rates of depression/anxiety in TN patients were higher than normal value, and the related risk factors should be paid more attention. |
Keywords:trigeminal neuralgia depression anxiety risk factors visual analogue scale |
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