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甲状腺功能减退症中的抑郁和焦虑。

Depression and anxiety in hypothyroidism.

作者信息

Demet M M, Ozmen B, Deveci A, Boyvada S, Adiguzel H, Aydemir O

机构信息

Department of Psychiatry and Division of Endocrinology, Department of Internal Medicine, Medical Faculty of Celal Bayar University, Manisa, Turkey.

出版信息

West Indian Med J. 2003 Sep;52(3):223-7.

Abstract

The aim of the study was to determine the prevalence and severity of depression and anxiety in patients with hypothyroidism and to compare this with euthyroid patients. Thirty patients with hypothyroidism and 30 euthyroid controls attending the Endocrinology outpatient department of Celal Bayar University, Medical Faculty were included in the study. The hormonal screening was done by immunoassay and haemagglutination methods. Then, for psychiatric assessment, Hospital Anxiety and Depression Scale (HAD), Hamilton Depression Rating Scale (HAM-D), and Hamilton Anxiety Rating Scale (HAM-A) were used. There was no difference between the two groups in terms of demographic features. Total scores obtained from the scales used in the study did not differ significantly (p > 0.05). The frequency of items of both HAM-D and HAM-A did not show any differences in the two groups. By Wilks' Lambda discriminant analysis, depressive mood (HAM-D#1) was found to be the discriminating feature between the hypothyroid group and the euthyroid group. Therefore, depression and anxiety were not outstanding features in hypothyrodism. However, depression was more significant in the hypothyroid than euthyroid group.

摘要

该研究的目的是确定甲状腺功能减退症患者中抑郁和焦虑的患病率及严重程度,并将其与甲状腺功能正常的患者进行比较。本研究纳入了塞尔丘克·巴亚尔大学医学院内分泌科门诊的30例甲状腺功能减退症患者和30例甲状腺功能正常的对照者。通过免疫测定和血凝方法进行激素筛查。然后,为了进行精神评估,使用了医院焦虑抑郁量表(HAD)、汉密尔顿抑郁评定量表(HAM-D)和汉密尔顿焦虑评定量表(HAM-A)。两组在人口统计学特征方面没有差异。研究中使用的量表获得的总分没有显著差异(p>0.05)。HAM-D和HAM-A的项目频率在两组中均未显示出任何差异。通过威尔克斯λ判别分析,发现抑郁情绪(HAM-D#1)是甲状腺功能减退组和甲状腺功能正常组之间的区分特征。因此,抑郁和焦虑在甲状腺功能减退症中不是突出特征。然而,甲状腺功能减退组的抑郁比甲状腺功能正常组更显著。

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