变应性鼻炎患者心理特征的研究进展

Research advances on the psychological characteristics of patients with allergic rhinitis

变应性鼻炎(AR)是耳鼻喉科常见的慢性疾病之一,大多数AR患者可能需要长期用药,部分患者病情加重后可发展为鼻息肉,导致疗效更差,不仅造成了巨大的经济负担,对患者的心理健康和生活质量也造成了一定的影响。现已知AR可导致多种精神及心理紊乱,如抑郁、焦虑、躯体化和睡眠障碍等,甚至可能是自杀的危险因素之一。然而AR的治疗指南中尚无心理相关的诊断及治疗。该文就AR所导致的心理相关问题的国内外研究进展及心理干预治疗的必要性做一综述。

Allergic rhinitis is one of the common chronic diseases.Most of the patients with allergic rhinitis may need long-term medication,and some of them with severe conditions can develop nasal polyps,resulting in worse therapeutic effects.Thus,it not only causes a huge economic burden,but also has a certain impact on the psychological health and quality of life of patients.It is currently acknowledged that allergic rhinitis can lead to a variety of mental and psychological disorders,such as depression,anxiety,somatization and sleep disorders,and may even be one of the risk factors of suicide.However,there is no recommendation for the diagnosis and treatment of associated psychological disorders in the clinical practice guideline on allergic rhinitis.This article reviews the research advances on psychological problems attributed to allergic rhinitis and the necessity of relevant psychological intervention.