炎症性肠病患者焦虑抑郁相关影响因素分析

Related influencing factors analysis of anxiety, depression in patients with inflammatory bowel disease

目的 探讨炎症性肠病患者焦虑、抑郁发生率及相关影响因素.方法 将100例炎症性肠病患者设为观察组,100名健康体检者设为对照组.采用一般情况调查表、焦虑自评量表、抑郁自评量表、生活事件量表、社会支持量表对两组患者进行调查并分析.结果 观察组焦虑、抑郁检出率均显著高于对照组(P＜0.01);观察组焦虑自评量表及抑郁自评量表评分均显著高于对照组(P＜0.01).两组生活事件量表正性事件分及社会支持量表评分比较差异无统计学意义(P＞0.05);观察组生活事件量表负性事件分显著高于对照组(P＜0.01).年龄及负性事件是引起患者焦虑、抑郁的危险因素(P＜0.05),社会支持是患者情绪的保护因素(P＜0.05).结论 炎症性肠病患者焦虑及抑郁发生率相对较高,年龄及负性事件是引起患者焦虑、抑郁的危险因素,社会支持是患者情绪的保护因素.

Objective To investigate the incidence rate of anxiety, depression in patients with inflammatory bowel disease and the related influencing factors. Methods 100 patients with IBD were seen as the observation group, and 100 healthy subjects were seen as the control group. The general condition questionnaire, SAS,SDS,LES,SSRS were used to investigate and analyze the patients of the two groups. Results Detection rates of anxiety, depression in the observation group were significantly higher than those in the control group (P＜0.01); SAS scores and SDS scores in the observation group were significantly higher than those in the control group (P＜0.01). The difference of LES positive events score, SSRS score between the two groups had no statistic signficance (P＞0.05); LES negative events score in the observation group was significantly higher than that in the control group (P＜0.01). Age,negative events were risk factors of anxiety, depression of patients (P＜0.05),social support was a protective factor of patients' emotion (P＜0.05). Conclusion IBD patients have a higher incidence rate of anxiety and depression, age and negative events are risk factors of anxiety and depression, while social support is a protective factor of patients' emotion.