银屑病患者的抑郁情绪和生活质量调查

A survey on depression and quality of life in patients with psoriasis

目的探讨银屑病患者抑郁情绪发生情况及对生活质量的影响。方法选取门诊寻常型银屑病患者102例,采用抑郁自评量表中SDS、抑郁他评量表中HAMD和皮肤病患者生活质量问卷(DLQI)进行测评分析。结果①以HAMD和SDS两种量表测定抑郁情绪的发生率分别为44.12%(45/102例)和41.18%(42/102例),其中重度抑郁的发生率,HAMD法为9.8%(10/102例),SDS法为8.82%(9/102例);②DLQI评分在3～27分间,平均17.8分,以心理、穿衣、社交娱乐等几项得分最高;③女性较男性、40岁以下较40岁以上患者HAMD、SDS、DLQI分值均高,有显著性差异(P<0.01)。结论较多数银屑病患者存在抑郁情绪,严重影响着患者社交、情绪、睡眠等各个方面生活质量问题,提示对银屑病患者应加强心理干预。

Objective To investigate the incidence of depression and quality of life of the patients with psoriasis.Methods 102 outpatients with psoriasis vulgaris were investigated.Three measurement methods were adopted,such as self-rating depression scale(SDS), Hamilton depression scale(HAMD) and Dermatology Life Quality Index(QLDI).Results It was shown by HAMD that the incidence of depression and severe depression was 44.12%(45/102) and 9.8%(10/102) respectively.While SDS displayed that the incidence of depression and severe depression was 41.18%(42/102) and 8.82%(9/10).The DLQI score ranged from 3 to 27,and a mean score of 17.8.Psychology,dressing,social life and entertainment had high marks among all the items.The HAMD,SDS and DLQI score of the female patients are higher than those of the male patients,and the score of patients over 40 years old is higher than that of the patients under 40 years old.Conclusions Depression is observed in numerous patients with psoriasis.Psoriasis has severe impact on quality of life.