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甲状腺功能减退症患者焦虑和抑郁症状的患病率。

Prevalence of anxiety and depressive symptoms among patients with hypothyroidism.

作者信息

Bathla Manish, Singh Manpreet, Relan Pankaj

机构信息

Department of Psychiatry, MM Institute of Medical Sciences and Research, Mullana, Jandheri, Haryana, India.

Department of Medicine, MM Institute of Medical Sciences and Research, Mullana, Jandheri, Haryana, India.

出版信息

Indian J Endocrinol Metab. 2016 Jul-Aug;20(4):468-74. doi: 10.4103/2230-8210.183476.

Abstract

CONTEXT

The association between depression and thyroid function is well known. Both conditions express many similar symptoms, thus making the diagnosis and treatment difficult.

AIMS

To find the prevalence of anxiety and depressive symptoms among patients with hypothyroid.

SETTINGS AND DESIGN

Cross-sectional study.

MATERIALS AND METHODOLOGY

A total of 100 patients diagnosed as hypothyroidism were evaluated using Hamilton depression rating scale (HDRS) and Hamilton scale for anxiety (HAM-A).

STATISTICAL ANALYSIS USED

The data were analyzed using the SPSS for Windows version 17.0 software. The quantitative data were expressed in number and percentage. The results obtained were compared using the Chi-square test.

RESULTS

Females constituted 70% of the sample. A total of 60% reported some degree of depression based on HDRS (males - 56.63% and females - 64.29%) whereas about 63% out of the total patients screened showed some degree of anxiety (males -56.66% and females - 65.72%) based on HAM-A. The most common depressive symptom among the males was depressed mood (73.33%) and among females was gastrointestinal somatic symptoms (68.54%). The most common anxiety symptom among the males was depressed mood (70.0%) and among females was anxious mood (92.85%).

CONCLUSIONS

Psychiatric symptoms/disorders are common in patients with thyroid dysfunction.

摘要

背景

抑郁症与甲状腺功能之间的关联众所周知。这两种病症都表现出许多相似的症状,因此诊断和治疗都很困难。

目的

确定甲状腺功能减退患者中焦虑和抑郁症状的患病率。

设置与设计

横断面研究。

材料与方法

使用汉密尔顿抑郁量表(HDRS)和汉密尔顿焦虑量表(HAM - A)对总共100名被诊断为甲状腺功能减退的患者进行评估。

所用统计分析方法

使用SPSS for Windows 17.0软件对数据进行分析。定量数据以数字和百分比表示。使用卡方检验对所得结果进行比较。

结果

女性占样本的70%。根据HDRS,共有60%的患者报告有一定程度的抑郁(男性 - 56.63%,女性 - 64.29%);而根据HAM - A,在所有接受筛查的患者中,约63%表现出一定程度的焦虑(男性 - 56.66%,女性 - 65.72%)。男性中最常见的抑郁症状是情绪低落(73.33%),女性中是胃肠道躯体症状(68.54%)。男性中最常见的焦虑症状是情绪低落(70.0%),女性中是焦虑情绪(92.85%)。

结论

精神症状/障碍在甲状腺功能障碍患者中很常见。

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