寻常型银屑病患者焦虑抑郁情绪的影响因素及与睡眠质量的关系

Influencing Factors of Anxiety and Depression in Patients with Psoriasis Vulgaris and Their Relationship with Sleep Quality

目的:探讨寻常型银屑病患者焦虑抑郁情绪的影响因素及与睡眠质量的关系。方法:选取2019年1月至2021年1月上海市嘉定区中医医院收治的寻常型银屑病患者88例作为研究对象,按照有无焦虑、抑郁情绪分为焦虑抑郁组和对照组,观察2组患者的焦虑抑郁情绪的影响因素及与睡眠质量的关系。结果:2组患者年龄和文化程度情况比较差异无统计学意义(P>0.05);而性别、银屑病病程、皮损面积、PASI评分和PSQI评分均是影响银屑病患者抑郁焦虑的独立高危因素(P<0.05)。结论:性别、银屑病病程、皮损面积和严重程度、睡眠质量均是影响银屑病患者抑郁焦虑的高危因素,临床针对此类高危因素应采取有效的应对措施,以期改善银屑病患者情绪状态及疾病预后。

Objective:To investigate the influencing factors of anxiety and depression in patients with psoriasis vulgaris and their relationship with sleep quality.Methods:A total of 88 patients with psoriasis vulgaris admitted to Jiading Hospital of Traditional Chinese Medicine between January 2019 and January 2021 were selected for the retrospective analysis,and they were divided into anxiety-depression group(n=24)and control group(n=64)according to whether there was anxiety and depression.The influencing factors of anxiety and depression and their relationship with sleep quality were observed.Results:There were no significant differences in age and educational level between the two groups of patients(P>0.05).Gender,course of psoriasis,skin lesion area,PASI score and PSQI score were all independent high-risk factors affecting depression and anxiety in patients with psoriasis(P<0.05).Conclusion:Gender,course of psoriasis,skin lesion area and severity,and sleep quality are all high-risk factors that affect depression and anxiety in patients with psoriasis.It is necessary to take the effective clinical measures for these high-risk factors in order to improve the emotional status and prognosis of patients with psoriasis.