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蕈样肉芽肿患者的精神共病、抑郁和焦虑水平以及生活质量

Psychiatric comorbidity, depression, and anxiety levels and quality of life of the patients with mycosis fungoides.

作者信息

Engin Burhan, Keçici Ayşegül Sevim, Uzun Aslıhan Özge, Yalçın Murat

机构信息

Cerrahpaşa Medical Faculty, Department of Dermatology and Venerology, İstanbul University-Cerrahpaşa, İstanbul, Turkey.

Department of Dermatology, University of Medical Sciences Haydarpasa Numune Training and Research Hospital, Turkey.

出版信息

Dermatol Ther. 2020 Nov;33(6):e13922. doi: 10.1111/dth.13922. Epub 2020 Jul 14.

Abstract

Mycosis fungoides (MF) is a chronic disease, causing serious morbidities and mortality. This study was designed to measure depression and anxiety levels in MF patients, and quality of life (QoL) assessments and to compare the results with controls. Fifty-two patients with a diagnosis of MF and 52 age and sex matching healthy controls were enrolled in this study. Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and the 36-Item Short Form Health Survey (SF-36) were administered to all patients and controls. Mean BAI and BDI scores of the patients with MF were significantly higher than controls. In case of the SF-36, general health perception, emotional, and social functioning scores were significantly lower in MF patients. Depression scores of the patients' were positively correlated with the age of disease onset and negatively correlated with physical functioning scores. Significant negative correlation was detected between eight subscales of the SF-36 and BDI and BAI scores. This study has demonstrated that there is significant impairment of QoL in MF patients MF, with higher anxiety and depression levels, when compared to control group. As the disease progresses, level of depression increases and patients' general health perception deteriorates.

摘要

蕈样肉芽肿(MF)是一种慢性疾病,会导致严重的发病和死亡。本研究旨在测量MF患者的抑郁和焦虑水平,进行生活质量(QoL)评估,并将结果与对照组进行比较。本研究纳入了52例诊断为MF的患者以及52例年龄和性别匹配的健康对照。对所有患者和对照均进行了贝克抑郁量表(BDI)、贝克焦虑量表(BAI)和36项简短健康调查问卷(SF-36)。MF患者的平均BAI和BDI得分显著高于对照组。在SF-36方面,MF患者的总体健康感知、情感和社会功能得分显著较低。患者的抑郁得分与疾病发病年龄呈正相关,与身体功能得分呈负相关。SF-36的八个子量表与BDI和BAI得分之间存在显著负相关。本研究表明,与对照组相比,MF患者的QoL存在显著损害,焦虑和抑郁水平更高。随着疾病进展,抑郁水平升高,患者的总体健康感知恶化。

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