Faculty of Medicine, University of Aleppo, Aleppo, Syria.
Faculty of Medicine, Al_Baath University, Homs, Syria.
Sci Rep. 2024 Sep 5;14(1):20751. doi: 10.1038/s41598-024-71543-8.
Chronic diseases and pain exacerbate depressive symptom in Syria. Limited research on hospital-induced depressive symptom among Syrian patients with chronic diseases warrants further study. A cross-sectional study in four Damascus hospitals revealed high rates of pain and depressive symptom. This study aims to investigate the prevalence and severity of chronic pain and hospital-induced depressive symptom in Syrian patients, as well as the relationship between pain, depressive symptom, and medication behavior. This study analyzes the impact of pain, hospitalization, and medication on patients with chronic diseases. The four Damascus hospitals included 453 patients from various departments. Data were collected through structured interviews and internationally recognized scales such as the PSEQ, HADS, and MMAS. These findings offer insights into pain management and psychological well-being, with implications for patient care and support strategies. The study involved 453 patients with chronic diseases, with gender distribution showing 46.6% females and 53.4% males. The age range was from 7 to 87 years, with an average of 46.87 years. Chi-square tests revealed a significant connection between gender and HADS-A scores, where 48.3% of females had abnormalities (χ (1, N = 453) = 7.125, p = 0.028). Marital status was significantly associated with anxiety and depressive symptom levels, particularly among widowed and divorced patients. Employment status, education, and comorbidity were linked to abnormal HADS-A scores, while education level showed a positive correlation with HADS-D scores. ANOVA tests showed significant differences in MMAS scores across income groups (F (3, 449) = 3.167, p = 0.024), with a notable difference between low-income and lower-middle-income groups (mean difference = 0.389, p = 0.031. Chronic pain and HID are prevalent among Syrian patients with chronic diseases and influenced by socio-demographic factors. Personalized interventions are needed to address psychological symptoms and medication behavior.
慢性疾病和疼痛会加重叙利亚的抑郁症状。针对叙利亚慢性疾病患者医院诱发的抑郁症状的研究有限，需要进一步研究。在大马士革的 4 家医院进行的横断面研究显示，疼痛和抑郁症状发生率较高。本研究旨在调查叙利亚慢性疾病患者慢性疼痛和医院诱发的抑郁症状的流行率和严重程度，以及疼痛、抑郁症状和用药行为之间的关系。本研究分析了疼痛、住院和药物治疗对慢性疾病患者的影响。这 4 家大马士革医院共纳入了来自不同科室的 453 名患者。通过结构式访谈和国际公认的量表，如 PSEQ、HADS 和 MMAS 收集数据。这些发现为疼痛管理和心理健康提供了见解，对患者的护理和支持策略具有重要意义。本研究共纳入 453 名慢性疾病患者，其中女性占 46.6%，男性占 53.4%。年龄范围为 7 至 87 岁，平均年龄为 46.87 岁。卡方检验显示，性别与 HADS-A 评分之间存在显著关联，其中 48.3%的女性存在异常（χ(1，N=453)=7.125，p=0.028）。婚姻状况与焦虑和抑郁症状水平显著相关，尤其是丧偶和离异患者。就业状况、教育程度和合并症与异常 HADS-A 评分相关，而教育程度与 HADS-D 评分呈正相关。方差分析显示，收入组间 MMAS 评分存在显著差异（F(3,449)=3.167，p=0.024），低收入和中下等收入组间存在显著差异（平均差异=0.389，p=0.031）。慢性疼痛和 HID 在叙利亚慢性疾病患者中较为常见，并受社会人口因素影响。需要采取个性化干预措施来解决心理症状和用药行为。
