糖尿病患者焦虑抑郁分析及其干预

Study of anxiety and depression in patients with diabetes mellitus

目的探讨糖尿病患者焦虑、抑郁的发病率，并观察综合干预的效果。方法采用Zung焦虑自评量表（SAS）及抑郁自评量表（SDS）对69例糖尿病患者进行问卷调查，然后进行为期8周的药物和心理综合干预，再进行复查。结果糖尿病患者存在不同程度的抑郁及焦虑，经8周综合干预后，SAS及SDS评分分别由（47．35±8．72）分和（52．37±9．34）分降为（35．56±7．28）分和（42．14±7．77）分（P〈0．01）：焦虑．抑郁发生率分别由49．3％和43．5％降为21．7％和17．4％（P〈0．001）。结论糖尿病患者焦虑及抑郁发生率较高，药物及心理综合干预可减少其发生。

Objective To investigate the incidence rate of anxiety and depression in patients with diabetes mellitus （DM） and ob- serve the effect of comprehensive intervention. Methods Sixty - nine patients with DM were investigated with Zung self - rating anxiety scale （SAS） and self- rating depression scale （SDS）, and they were reviewed after receiving medical （benzodiazepines） and psychological intervention for 8 weeks. Results Patients with DM had varying degrees anxiety - depression symptoms. The scores of SAS and SDS signifi- candy reduced separately from 47.35 ± 8.72 to 35.56 ± 7.28 and from 52. 37 ±9.34 to 42. 14 ± 7.77, P 〈 0. 01. The incidence rate of anxiety and depression were remarkably separately decreased form 49. 3% to 21.7% and form 43.5% to 17.4%, P 〈 0. 001. Conclusions The incidence of anxiety and depression in patients with DM is high, the comprehensive intervention with drugs and counselling can reduce the in- cidence rate of them.