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贝克抑郁量表在全身性疾病患者中的效度验证:牙科机构的一项心理测量学研究。

The Validation of Beck's Depression Inventory in Patients With Systemic Diseases: A Psychometric Study at a Dental Institute.

作者信息

Mr Visalachi, P Roland Prethipa

机构信息

Department of Oral Medicine and Radiology, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2023 Dec 2;15(12):e49830. doi: 10.7759/cureus.49830. eCollection 2023 Dec.

Abstract

Background Depression seriously threatens the world's public health, manifesting symptoms like loss of interest, fatigue, guilt, and impaired focus. Major depressive disorder is a common problem for those with chronic systemic illnesses. Since this illness has an impact on psychosocial well-being and interacts with anxiety and stress, it is crucial to assess psychological functioning. Depression-related issue has a negative impact on oral health and can cause cognitive dysfunction, social interaction problems, and low self-esteem. For the purpose of identifying and effectively managing depression in patients with systemic illnesses undergoing dental procedures, screening tools like the Beck's Depression Inventory (BDI) were used. The BDI's benefits include its strong internal consistency, sensitivity to change, broad concept validity, adaptable criteria validity for separating depressed and nondepressed people, and global dissemination. Materials and methods A cross-sectional prospective study was carried out after receiving the necessary institutional ethical approvals, and the participant's agreement was also obtained. The questionnaire was explained to the patients. The entire participation was voluntary. Results In the current study patient's ages ranged from 34 years to maximum age of 83 years with a mean age of 59.70±13.16 years, with 40% of the population falling into the 51-65 years age group. According to the results, participants who had multiple systemic disorders were more likely to experience depression than people who had one systemic illness. The chi-square test showed no statistically significant results between the depression scores and the number of systemic diseases (p-0.574). Seventy-five per cent of individuals with depression required tooth extractions. Conclusion Those with systemic disorders who were receiving dental care in the current study showed elevated levels of depression. An important finding was the correlation between depression and tooth extraction, highlighting the need for proactive mental health assessments in dental care. Tailored interventions can mitigate the impact, enhancing the holistic well-being of patients suffering from systemic diseases and depression.

摘要

背景

抑郁症严重威胁全球公众健康,表现为兴趣丧失、疲劳、内疚和注意力受损等症状。重度抑郁症是慢性全身性疾病患者的常见问题。由于这种疾病会影响心理社会幸福感,并与焦虑和压力相互作用,因此评估心理功能至关重要。与抑郁症相关的问题会对口腔健康产生负面影响,并可能导致认知功能障碍、社交互动问题和自卑。为了识别和有效管理接受牙科手术的全身性疾病患者的抑郁症,使用了如贝克抑郁量表(BDI)等筛查工具。BDI的优点包括其强大的内部一致性、对变化的敏感性、广泛的概念效度、区分抑郁和非抑郁人群的适应性标准效度以及全球传播性。

材料与方法

在获得必要的机构伦理批准并征得参与者同意后,进行了一项横断面前瞻性研究。向患者解释了问卷内容。整个参与过程是自愿的。

结果

在本研究中,患者年龄从34岁到最大83岁不等,平均年龄为59.70±13.16岁,40%的人群属于51 - 65岁年龄组。结果显示,患有多种全身性疾病的参与者比患有一种全身性疾病的人更易患抑郁症。卡方检验显示抑郁症得分与全身性疾病数量之间无统计学显著差异(p = 0.574)。75%的抑郁症患者需要拔牙。

结论

在本研究中,接受牙科护理的全身性疾病患者的抑郁症水平升高。一个重要发现是抑郁症与拔牙之间的相关性,突出了在牙科护理中进行积极心理健康评估的必要性。量身定制的干预措施可以减轻影响,提高患有全身性疾病和抑郁症患者的整体幸福感。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e41/10758205/63a4fb5d5c8e/cureus-0015-00000049830-i01.jpg

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