摘要
目的:了解老年性皮肤瘙痒症患者的焦虑抑郁情况。方法:采用A型行为问卷、焦虑自评量表(SAS)及抑郁自评量表(SDS)对老年性皮肤瘙痒症患者165例(病例组)和体检健康者150名(对照组)进行评定分析。结果:1.病例组中62.4%的患者倾向为A型行为,高于对照组的40.7%,两组差异具有显著性(P<0.01)。2.病例组中,中重度焦虑和抑郁情绪发生率为89.7%和58.8%高于对照组的30.0%和22.7%,差异有统计学意义(P<0.01)。3.病例组ASA、SDS得分为58.17±14.17和49.19±12.16,明显高于对照组的26.17±9.24和27.19±9.32,差异有统计学意义(P<0.01)。结论:老年性皮肤瘙痒症患者总体倾向为A型行为,存在中重度的焦虑抑郁情绪,适当心理干预及抗焦虑抑郁治疗可能改善老年性皮肤瘙痒症患者的症状及生活质量。
Objective： To investigate the anxiety and depression in elderly patients with pruritus. Methods： The anxiety and depression in 165 patients with senile pruritus（ case group） and 150 healthy controls（ control group） was assessed through the A type behavior questionnaire,Self rating Anxiety Scale（ SAS） and Self rating Depression Scale（ SDS）. Results： 62.4% patients with senile pruritus and 40.7% controls have A type behavior tendency,with a significant difference（ P〈0.01）. In the case group,the incidence of moderate-severe anxiety and depression was 89.7% and 58.8%,which were significantly higher than those in the control group（ 30.0% and 22.7%）,with significant differences（ Ps〈0.01）. The scores of SAS and SDS in case group were 58.17± 14. 17 and 49. 19 ± 12. 16,which were significantly higher than those in the control group（ 26.17±9.24 and 27.19±9.32）,with significant differences（ Ps〈0.01）. Conclusion： Most of the elderly patients with pruritus have A type behavior tendency and followed with moderate-severe anxiety and depression.Appropriate anti-anxiety or anti-depression treatment may improve their symptoms and quality of life.
作者
陈国梁
赵霞娟
赵雪兰
徐兰
徐金华
CHEN GuoLiang;ZHAO Xiajuan;ZHAO Xuelan;XU Lan;XU Jinhua(Department of Dermatology,Hehai University Huashan Hospital,Shanghai 200040,China;Department of Geratology,Hehai University Huashan Hospital,Shanghai 200040,China)
出处
《中国麻风皮肤病杂志》
2018年第8期481-483,共3页
China Journal of Leprosy and Skin Diseases
关键词
老年人
瘙痒症
焦虑抑郁
the elderly
pruritus
anxiety and depression
