恶性肿瘤患者耳鼻喉科就诊的抑郁状况分析。
Depression profile in malignancy patients attending otorhinolaryngology clinic.
机构信息
Department of Otorhinolaryngology and Head and Neck Surgery, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, Mangalore, 575001, India.
Department of Psychiatry, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka, Mangalore, 575001, India.
出版信息
Eur Arch Otorhinolaryngol. 2021 Feb;278(2):537-541. doi: 10.1007/s00405-020-06289-w. Epub 2020 Aug 17.
PURPOSE
Patients with malignancy quite often suffer from physical as well as psychological symptoms due to the shattering diagnosis, and prolonged, incapacitating management. The frequency of the depressive disorder in malignancy is around 8-40%. The present study aims at analysing the socio-demographic profile and magnitude of depressive disorders in patients with malignancy.
METHODS
A cross-sectional study was conducted in malignancy patients attending an Ear Nose Throat department using the PHQ-9 questionnaire.
RESULTS
Total PHQ-9 score ranged from 0 to 19; the mean score was 8.46. Major depressive disorder was seen in 4 (8%) cases, while other depressive disorder occurred in 22 (44%) cases. Mild severity of symptoms was noted in 15 (30%) of the patients. High statistical significance was noted between PHQ-9 score for MDD and other depressive disorder (p value < 0.001).
CONCLUSION
The profile of depressive disorders in malignancy varies; PHQ-9 can be used as a good tool for early detection.
目的
由于毁灭性的诊断和长期的致残治疗，患有恶性肿瘤的患者经常会出现身体和心理症状。恶性肿瘤中抑郁障碍的频率约为 8-40%。本研究旨在分析恶性肿瘤患者的社会人口统计学特征和抑郁障碍的严重程度。
方法
采用 PHQ-9 问卷对耳鼻喉科就诊的恶性肿瘤患者进行横断面研究。
结果
PHQ-9 总分范围为 0 至 19；平均得分为 8.46。4 例（8%）患者存在重度抑郁障碍，22 例（44%）患者存在其他抑郁障碍。15 例（30%）患者的症状严重程度较轻。重度抑郁障碍和其他抑郁障碍的 PHQ-9 评分之间存在显著统计学差异（p 值<0.001）。
结论
恶性肿瘤中抑郁障碍的表现形式不同；PHQ-9 可作为早期检测的良好工具。
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