Hospital El Tomillar de Sevilla, Servicio Andaluz de Salud (SAS), 41500 Alcalá de Guadaira, Spain.
Centro de Salud Najera, Servicio Rioja Salud, 26300 Najera, Spain.
Int J Environ Res Public Health. 2019 Nov 28;16(23):4776. doi: 10.3390/ijerph16234776.
: Hypothyroidism has several symptoms (weight gain, arrhythmias, mood changes, etc.). The aims of this study were (1) to assess the prevalence of anxiety and depression in levothyroxine-treated hypothyroid women and in women without hypothyroidism; (2) to identify variables associated with anxiety and depression. : A case-control study was performed with 393 women. Case-group: 153 levothyroxine-treated hypothyroid women. Control-group: 240 women without hypothyroidism. Convenience sampling. Instrument: The Hamilton Hospital Anxiety and Depression Scale (HADS), and a sociodemographic questionnaire. : The prevalence of anxiety in levothyroxine-treated hypothyroid women was higher than in women without hypothyroidism (29.4% vs. 16.7%, χ < 0.001). The prevalence of depression in the case group was higher than in the control group (13.1% vs. 4.6%, χ < 0.001). Levothyroxine-treated hypothyroid women were more likely to have anxiety (OR = 2.08, CI: 1.28-3.38) and depression (OR = 3.13, IC = 1.45-6.45). : In spite of receiving treatment with levothyroxine, women with hypothyroidism are more likely to have depression and anxiety. Health professionals need to assess the mood of women with hypothyroidism. Although levothyroxine is a good treatment for the symptoms of hypothyroidism, it may not be enough to prevent development or persistence of depression and anxiety by itself.
甲状腺功能减退症有多种症状(体重增加、心律失常、情绪变化等)。本研究的目的是:(1)评估左旋甲状腺素治疗的甲状腺功能减退症女性和无甲状腺功能减退症女性的焦虑和抑郁发生率;(2)确定与焦虑和抑郁相关的变量。
一项病例对照研究纳入了 393 名女性。病例组:153 名接受左旋甲状腺素治疗的甲状腺功能减退症女性。对照组:240 名无甲状腺功能减退症的女性。采用方便抽样法。仪器:汉密尔顿焦虑和抑郁量表(HADS)和社会人口学问卷。
接受左旋甲状腺素治疗的甲状腺功能减退症女性的焦虑发生率高于无甲状腺功能减退症的女性(29.4%比 16.7%,χ<0.001)。病例组的抑郁发生率高于对照组(13.1%比 4.6%,χ<0.001)。接受左旋甲状腺素治疗的甲状腺功能减退症女性更有可能出现焦虑(OR=2.08,CI:1.28-3.38)和抑郁(OR=3.13,IC:1.45-6.45)。
尽管接受了左旋甲状腺素治疗,甲状腺功能减退症女性仍更有可能出现抑郁和焦虑。卫生专业人员需要评估甲状腺功能减退症女性的情绪。虽然左旋甲状腺素是治疗甲状腺功能减退症症状的有效方法,但它本身可能不足以预防抑郁和焦虑的发生或持续存在。