Tian Jun, Li Li, Tao Chun-Lei, Hao Rong-Ying, Huang Fu-Hui, Ge Xiao-Hui, Zhang San-Mei
Department of Otolaryngology Head and Neck Surgery, The First Hospital, Shanxi Medical University, Taiyuan, Shanxi Province, China.
Department of Otolaryngology Head and Neck Surgery, Hospital of Renmin University of China, Beijing, China.
World J Otorhinolaryngol Head Neck Surg. 2019 Apr 19;5(2):95-104. doi: 10.1016/j.wjorl.2018.11.002. eCollection 2019 Jun.
To determine whether E.N.T inpatients have a higher prevalence of mental illness than the general population and whether certain diseases are more likely to be associated with mental illness than other diseases.
This cross-sectional survey was conducted in the E.N.T departments of three hospitals in different cities in China. The psychological status of all consecutive adult inpatients was assessed within 1-2 days following hospital admission using the Symptom Checklist-90 (SCL-90), Zung Self-Rating Depression Scale (SDS) and Zung Self-Rating Anxiety Scale (SAS). Inpatients from the general surgery and pneumology departments at the same hospital were enrolled and surveyed as control groups.
The 439 patients enrolled in the final analysis accounted for 88.0% of all E.N.T inpatients during the study period. Of these patients, 16.4% were in an anxious state and 79.5% were in a depressive state. The overall anxiety (41.7 ± 9.7) and depression (55.9 ± 29.2) scores were much higher than Chinese norm (29.8 ± 10.0 and 33.5 ± 8.6, respectively), and significant differences were observed ( = 20.89, < 0.01 and = 13.12, < 0.01, respectively). Although 18.7% of the E.N.T patients were psychiatric distress, these patients scored lower on the SCL-90 than the Chinese norm. Furthermore, the patients in the E.N.T department had a higher prevalence of anxiety and depression than those in the general surgery department but a similar prevalence to those in the respiratory department.
Psychological distress, particularly anxiety and depression, are widespread in patients with otolaryngological diseases. Therefore, the identification and treatment of co-occurring psychiatric disorders in this high risk and clinically challenging group of patients are urgent in China.
确定耳鼻喉科住院患者的精神疾病患病率是否高于普通人群，以及某些疾病是否比其他疾病更易与精神疾病相关联。
本横断面调查在中国不同城市的三家医院的耳鼻喉科进行。所有连续入院的成年患者在入院后1至2天内使用症状自评量表90（SCL - 90）、zung自评抑郁量表（SDS）和zung自评焦虑量表（SAS）进行心理状态评估。同一医院普通外科和呼吸内科的住院患者作为对照组进行登记和调查。
最终纳入分析的439例患者占研究期间所有耳鼻喉科住院患者的88.0%。这些患者中，16.4%处于焦虑状态，79.5%处于抑郁状态。总体焦虑（41.7 ± 9.7）和抑郁（55.9 ± 29.2）得分远高于中国常模（分别为29.8 ± 10.0和33.5 ± 8.6），差异有统计学意义（分别为 = 20.89，< 0.01和 = 13.12，< 0.01）。虽然18.7%的耳鼻喉科患者存在精神困扰，但这些患者在SCL - 90上的得分低于中国常模。此外，耳鼻喉科患者的焦虑和抑郁患病率高于普通外科患者，但与呼吸内科患者患病率相似。
心理困扰，尤其是焦虑和抑郁，在耳鼻喉科疾病患者中普遍存在。因此，在中国，识别和治疗这一高风险且临床具有挑战性的患者群体中同时存在的精神障碍迫在眉睫。
