比较医院焦虑抑郁量表（HADS）和zung 自评焦虑/抑郁量表（SAS/SDS）在评估银屑病关节炎患者焦虑和抑郁中的作用。
Comparison of Hospital Anxiety and Depression Scale (HADS) and Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in Evaluating Anxiety and Depression in Patients with Psoriatic Arthritis.
机构信息
Department of Rheumatology, Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai, China,
Department of Rheumatology, Guanghua Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai, China.
出版信息
Dermatology. 2020;236(2):170-178. doi: 10.1159/000498848. Epub 2019 Aug 21.
BACKGROUND
This study aimed to compare the Hospital Anxiety and Depression Scale (HADS) and the Zung Self-Rating Anxiety/Depression Scale (SAS/SDS) in evaluating anxiety and depression in psoriatic arthritis (PsA) patients.
METHODS
A total of 70 PsA patients were enrolled. Demographic and clinical characteristics were collected after enrollment. HADS-A and SAS were used to evaluate the anxiety of PsA patients, while HADS-D and SDS were used to evaluate the depression of PsA patients.
RESULTS
Similar results were observed in detecting the rate of anxiety by HADS-A and SAS (27.1 vs. 21.4%, p = 0.424), and there was no difference in classifying the severity of anxiety by HADS-A and SAS (p = 0.347). The Spearman test also disclosed that HADS-A score was positively associated with SAS score (p <0.001). The rates of depression were similar by HADS-D and SDS (27.1 vs. 40.0%; p = 0.108). However, different results were observed in grading the severity of anxiety by HADS-D and SDS (p = 0.009), and no correlation was observed between HADS-D and SDS scores (p = 0.138). The consumption of time for HADS assessment was shorter than that for SAS/SDS assessment (p < 0.001). In addition, a positive correlation of HADS-A score with patients' global assessment (PGA) (p = 0.022) and fatigue scores (p = 0.028) was discovered, and HADS-D score was positively associated with PGA score (p = 0.019). SAS or SDS score presented less correlation with clinical features of PsA patients, which illuminated that only SAS score was positively associated with duration of psoriasis (p = 0.030).
CONCLUSION
HADS seems to be a better option for anxiety and depression assessment than SAS/SDS in PsA patients.
背景
本研究旨在比较医院焦虑抑郁量表（HADS）和zung 自评焦虑/抑郁量表（SAS/SDS）在评估银屑病关节炎（PsA）患者焦虑和抑郁中的作用。
方法
共纳入 70 例 PsA 患者。入组后收集患者的人口统计学和临床特征。HADS-A 和 SAS 用于评估 PsA 患者的焦虑，HADS-D 和 SDS 用于评估 PsA 患者的抑郁。
结果
HADS-A 和 SAS 检测焦虑发生率的结果相似（27.1% vs. 21.4%，p=0.424），HADS-A 和 SAS 对焦虑严重程度的分级无差异（p=0.347）。Spearman 检验也显示 HADS-A 评分与 SAS 评分呈正相关（p<0.001）。HADS-D 和 SDS 评估的抑郁发生率相似（27.1% vs. 40.0%，p=0.108）。但 HADS-D 和 SDS 对抑郁严重程度的分级不同（p=0.009），HADS-D 和 SDS 评分之间无相关性（p=0.138）。HADS 评估耗时短于 SAS/SDS 评估（p<0.001）。此外，HADS-A 评分与患者整体评估（PGA）（p=0.022）和疲劳评分（p=0.028）呈正相关，HADS-D 评分与 PGA 评分呈正相关（p=0.019）。SAS 或 SDS 评分与 PsA 患者的临床特征相关性较低，表明仅 SAS 评分与银屑病持续时间呈正相关（p=0.030）。
结论
在 PsA 患者中，HADS 似乎是评估焦虑和抑郁的更好选择，优于 SAS/SDS。
Zotero 插件