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慢性特发性荨麻疹患者的抑郁、焦虑水平及生活质量

The levels of depression, anxiety and quality of life in patients with chronic idiopathic urticaria.

作者信息

Engin B, Uguz F, Yilmaz E, Ozdemir M, Mevlitoglu I

机构信息

Dermatology Department, Meram Medical Faculty, Selcuk University, Konya, Turkey.

出版信息

J Eur Acad Dermatol Venereol. 2008 Jan;22(1):36-40. doi: 10.1111/j.1468-3083.2007.02324.x.

Abstract

BACKGROUND

Chronic idiopathic urticaria (CIU) is associated with severely impaired quality of life (QoL).

OBJECTIVE

To determine the levels of depression, anxiety and QoL in CIU patients.

PATIENTS AND METHODS

This study included 73 patients with CIU, and 34 healthy subjects matched for age and sex were used as controls. The levels of depression, anxiety and QoL were assessed with the Beck Depression Inventory (BDI), the Beck Anxiety Inventory (BAI) and the World Health Organization Quality of Life Assessment-Brief (WHOQOL-BREF), respectively. The reliability and validity of the Turkish versions of these instruments have been examined.

RESULTS

When compared with healthy controls, patients with CIU had significantly higher BDI and BAI scores and significantly lower physical health and psychological health subscale scores of the WHOQOL-BREF. BDI, BAI and all domains of WHOQOL-BREF were unrelated to age, duration of illness, urticaria activity score (UAS) and visual analogue score (VAS). There was a negative significant correlation between all domains of WHOQOL-BREF and BDI and BAI.

CONCLUSION

Our data confirm that QoL is markedly reduced in CIU patients. Physical health and psychological health were found to be the areas QoL most affected in CIU patients. And also we have found that CIU patients frequently suffer from depression and anxiety. The severity of these parameters was found to be positively correlated with the extent of QoL decrease.

摘要

背景

慢性特发性荨麻疹(CIU)与严重受损的生活质量(QoL)相关。

目的

确定CIU患者的抑郁、焦虑水平及生活质量。

患者与方法

本研究纳入73例CIU患者,并选取34例年龄和性别匹配的健康受试者作为对照。分别采用贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和世界卫生组织生活质量评估简表(WHOQOL - BREF)评估抑郁、焦虑水平及生活质量。已对这些工具的土耳其语版本的信效度进行了检验。

结果

与健康对照相比,CIU患者的BDI和BAI得分显著更高,WHOQOL - BREF的身体健康和心理健康子量表得分显著更低。BDI、BAI及WHOQOL - BREF的所有领域均与年龄、病程、荨麻疹活动评分(UAS)和视觉模拟评分(VAS)无关。WHOQOL - BREF的所有领域与BDI和BAI之间存在显著负相关。

结论

我们的数据证实CIU患者的生活质量显著降低。发现身体健康和心理健康是CIU患者生活质量受影响最大的方面。并且我们还发现CIU患者经常患有抑郁和焦虑。这些参数的严重程度与生活质量下降的程度呈正相关。

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