Gunes Nurcan Akbas
Department of Family Medicine, Faculty of Medicine, Bolu Abant Izzet Baysal University, Bolu, Turkey.
Rev Assoc Med Bras (1992). 2020 Jul;66(7):979-985. doi: 10.1590/1806-9282.66.7.979. Epub 2020 Aug 24.
OBJECTIVES We aim to determine the anxiety and depression levels of patients treated for hypothyroidism who assumed euthyroid status. These patients also frequently attend family medicine outpatient clinics. METHODS This study was conducted on 76 euthyroid volunteer participants (patient groups) who were treated for hypothyroidism and followed-up and 22 healthy volunteers (control group). Questionnaires were administered to all participants to assess anxiety and depression levels. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were applied to all the groups. In addition, BAI sub-parameters were evaluated in detail. RESULTS At least mild depression was detected in 54.5% of the first group, 41.7% of the second group, and 33.3% of the third group. When the BDI and BAI total scores of the participants in different groups were compared, statistically significant differences were determined. Statistically significant results were detected related to different BAI sub-parameters between the patient groups and in comparison to the fourth group. CONCLUSIONS We found that patients were predisposed to anxiety and depression even if they were euthyroid. When the sub-parameters of BAI were evaluated in detail, we observed that the duration of the disease significantly affected some anxiety-related symptoms.
目的 我们旨在确定甲状腺功能减退症得到治疗且甲状腺功能正常的患者的焦虑和抑郁水平。这些患者也经常前往家庭医学门诊就诊。方法 本研究对76名接受甲状腺功能减退症治疗并接受随访的甲状腺功能正常的志愿者参与者（患者组）和22名健康志愿者（对照组）进行。对所有参与者进行问卷调查以评估焦虑和抑郁水平。对所有组均应用贝克抑郁量表（BDI）和贝克焦虑量表（BAI）。此外，还对BAI的子参数进行了详细评估。结果 在第一组中，至少有轻度抑郁的患者占54.5%，第二组为41.7%，第三组为33.3%。比较不同组参与者的BDI和BAI总分时，确定存在统计学显著差异。在患者组之间以及与第四组相比，在不同的BAI子参数方面检测到了具有统计学意义的结果。结论 我们发现，即使患者甲状腺功能正常，他们也易患焦虑和抑郁。在详细评估BAI的子参数时，我们观察到疾病持续时间显著影响一些与焦虑相关的症状。
