Kleemann D, Kresin A, Kleemann H
HNO-Klinik und Klinik für Psychiatrie, Psychotherapie und Psychosomatische Medizin, MediClin-Müritz-Klinikum Waren/Röbel (Müritz), Weinbergstr. 19, 17192, Waren (Müritz), Deutschland.
HNO-Praxisgemeinschaft Drs. Haug/Kleemann, Waren (Müritz), Deutschland.
HNO. 2017 Dec;65(12):993-999. doi: 10.1007/s00106-017-0422-0.
Few data exist on the prevalence of comorbid mental disorders among ENT patients. This investigation aimed to assess the prevalence of two disorders frequent in our society, namely depression and anxiety, in patients of an ENT outpatient clinic.
During a 2‑week period, 101 consecutive patients were interviewed with the Beck Depression Inventory-II (BDI II) and Beck Anxiety Inventory (BAI) screening aids.
Of 97 evaluated tests, 38% contained indications of a psychiatric problem or mental comorbidity. The proportion of moderate and severe depressive syndromes, anxiety disorders, and combined disorders was only 11.3%. There were no significant differences between genders or in terms of acute vs. chronic ENT diseases. The highest frequency of pathological test results was observed in the group of patients with cochleovestibular disorders. An astoundingly high number of conspicuous test results were seen in patients with trivial diseases and disorders, as well as among those with chronic obstructive disorders of the nose and sinuses.
The finding of a considerable prevalence of psychiatric comorbidities among ENT patients represents important information for the treating physician. BDI II and BAI were found to be reliable and easy to apply in the outpatient clinic.
关于耳鼻喉科患者中合并精神障碍的患病率的数据很少。本调查旨在评估耳鼻喉科门诊患者中在我们社会中常见的两种疾病,即抑郁症和焦虑症的患病率。
在为期2周的时间里,使用贝克抑郁量表第二版(BDI II)和贝克焦虑量表(BAI)筛查工具对101名连续就诊的患者进行了访谈。
在97份评估测试中,38%显示存在精神问题或精神合并症迹象。中度和重度抑郁综合征、焦虑症以及合并症的比例仅为11.3%。在性别之间或急性与慢性耳鼻喉疾病方面没有显著差异。在耳蜗前庭疾病患者组中观察到病理测试结果的频率最高。在患有轻微疾病和病症的患者以及患有慢性鼻和鼻窦阻塞性疾病的患者中,明显的测试结果数量惊人地高。
耳鼻喉科患者中精神合并症患病率较高这一发现对治疗医生来说是重要信息。发现BDI II和BAI在门诊中可靠且易于应用。