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约旦乳糜泻患者中焦虑和抑郁症状的患病率

The Prevalence of Anxiety and Depressive Symptoms Among Patients With Celiac Disease in Jordan.

作者信息

Haj Ali Sara, Alqurneh Rahaf, Abu Sneineh Awni, Ghazal Bandar, Agraib Lana, Abbasi Layali, Rifaei Sufian, Mazzawi Tarek

机构信息

Medicine, Al-Balqa Applied University, Al-Salt, JOR.

Gastroenterology and Hepatology, University of Jordan, Amman, JOR.

出版信息

Cureus. 2023 Jun 1;15(6):e39842. doi: 10.7759/cureus.39842. eCollection 2023 Jun.

Abstract

Background Celiac disease is an immune-mediated intestinal disorder with a global prevalence of 1% that results from gluten sensitivity in a genetically susceptible person. It presents with gastrointestinal symptoms, consequences of malabsorption, and/or extraintestinal manifestations that include neuropsychiatric symptoms. Aim The aim of this study was to measure the frequency of anxiety and depressive symptoms in Jordanian patients with celiac disease. Methods This was a cross-sectional study. A questionnaire was sent electronically to celiac disease patients who were members of the Friends of Celiac Disease Patients Association through WhatsApp using Google Forms (Google, Mountain View, California). The questionnaire contained demographic and disease-related questions, in addition to questions that assessed anxiety and depressive symptoms using validated Arabic versions of the Generalized Anxiety Disorder-7 score and Patient Health Questionnaire-9, respectively. Results A total of 133 patients answered the questionnaires. Of the respondents, 82.7% were females, and the mean age was 33.9 +/- 11.22 years; 31.6% of patients were non-compliant with a gluten-free diet, and 56.4% were symptomatic at the time of the questionnaire. The prevalence of anxiety and depressive symptoms were 85% and 82.7%, respectively. There was no correlation between any of the variables and the presence of anxiety or depressive symptoms. Conclusion A significant proportion of celiac disease patients in Jordan have evidence of anxiety and depressive symptoms. Given this high prevalence and the possible impact on the quality of life, physicians need to screen patients for the presence of psychiatric comorbidities and refer those who have symptoms for further evaluation.

摘要

背景

乳糜泻是一种免疫介导的肠道疾病,全球患病率为1%,由遗传易感个体对麸质敏感引起。它表现为胃肠道症状、吸收不良后果和/或肠外表现,包括神经精神症状。

目的

本研究旨在测量约旦乳糜泻患者焦虑和抑郁症状的发生率。

方法

这是一项横断面研究。通过WhatsApp使用谷歌表单(谷歌,加利福尼亚州山景城)以电子方式向乳糜泻患者协会的会员发送问卷。问卷包含人口统计学和疾病相关问题,此外还分别使用经过验证的阿拉伯语版广泛性焦虑障碍-7评分和患者健康问卷-9来评估焦虑和抑郁症状的问题。

结果

共有133名患者回答了问卷。在受访者中,82.7%为女性,平均年龄为33.9±11.22岁;31.6%的患者不遵守无麸质饮食,56.4%的患者在问卷调查时出现症状。焦虑和抑郁症状的患病率分别为85%和82.7%。任何变量与焦虑或抑郁症状的存在之间均无相关性。

结论

约旦相当一部分乳糜泻患者有焦虑和抑郁症状的证据。鉴于这种高患病率及其对生活质量的可能影响,医生需要对患者进行精神共病筛查,并将有症状的患者转诊进行进一步评估。

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