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[患者报告结局测量在抑郁症、焦虑症和压力症诊断中的应用]

[Patient-reported outcome measures-use in diagnosing depression, anxiety, and stress].

作者信息

Brüggemann Petra, Böcking Benjamin, Steinmetzger Kurt, Winter Eva, Fischer Felix, Rose Matthias, Mazurek Birgit

机构信息

Tinnituszentrum der Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Campus Charité Mitte, Charitéplatz 1, 10117, Berlin, Deutschland.

Medizinische Klinik mit Schwerpunkt Psychosomatik, Charité Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin and Berlin Institute of Health, Berlin, Deutschland.

出版信息

HNO. 2025 Mar;73(3):196-202. doi: 10.1007/s00106-024-01530-y. Epub 2024 Nov 25.

DOI:10.1007/s00106-024-01530-y
PMID:39585393
Abstract

Patient-reported outcome measures (PROMs) is an umbrella term for various self-report instruments used to assess subjective health-related impressions and treatment success from the patient's perspective. In psychosomatic medicine, PROMs are often used to record subjective symptoms, psychosocial distress, and changes in health status, particularly in patients with comorbid (affective) disorders and frequent contact with physicians, but also in preventive health care and to monitor the effectiveness of treatment. In otolaryngology (ENT), self-report questionnaires (PROMs) are used, among other things, to assess the impact of hearing, speech, swallowing, and breathing disorders on patients' quality of life. Such scientifically validated tools make it possible to better understand the needs and priorities of patients and to integrate them into clinician-patient communication and treatment to promote individual, patient-centered care. Three dimensions for the assessment of subjective health-related experiences (depression, anxiety, stress) with corresponding instruments for the German-speaking area for use in clinical and research settings are presented in more detail, specifically for otolaryngology.

摘要

患者报告结局测量(PROMs)是一个统称,用于指代各种自我报告工具,这些工具用于从患者的角度评估与健康相关的主观印象和治疗效果。在身心医学中,PROMs常用于记录主观症状、心理社会困扰以及健康状况的变化,特别是在患有共病(情感)障碍且经常就医的患者中,同时也用于预防保健以及监测治疗效果。在耳鼻喉科(ENT)中,自我报告问卷(PROMs)除其他用途外,还用于评估听力、言语、吞咽和呼吸障碍对患者生活质量的影响。这类经过科学验证的工具能够使我们更好地理解患者的需求和优先事项,并将其纳入医患沟通和治疗中,以促进个体化的、以患者为中心的护理。本文更详细地介绍了用于德语区临床和研究环境中评估与健康相关主观体验(抑郁、焦虑、压力)的三个维度以及相应工具,特别是针对耳鼻喉科的情况。

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本文引用的文献

1
Heterogeneity in response to treatment across tinnitus phenotypes.治疗反应在耳鸣表型间的异质性。
Sci Rep. 2024 Jan 24;14(1):2111. doi: 10.1038/s41598-024-52651-x.
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[PROMs in otorhinolaryngology, head and neck surgery : How good are we? From the patient perspective. Development and current status of patient-centered outcome evaluations in otorhinolaryngology].[耳鼻咽喉头颈外科学中的患者报告结局:我们做得如何?从患者角度看。耳鼻咽喉头颈外科学中以患者为中心的结局评估的发展与现状]
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Psychological treatment of adult depression in primary care compared with outpatient mental health care: A meta-analysis.
在初级保健中与门诊心理健康护理相比对成人抑郁症的心理治疗:一项荟萃分析。
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Tinnitus and Influencing Comorbidities.耳鸣及相关共病。
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Tinnitus and tinnitus disorder: Theoretical and operational definitions (an international multidisciplinary proposal).耳鸣和耳鸣障碍:理论和操作定义(一项国际多学科建议)。
Prog Brain Res. 2021;260:1-25. doi: 10.1016/bs.pbr.2020.12.002. Epub 2021 Feb 1.
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Phenotyping chronic tinnitus patients using self-report questionnaire data: cluster analysis and visual comparison.使用自报告问卷数据对慢性耳鸣患者进行表型分析:聚类分析和直观比较。
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7
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Sci Rep. 2020 Mar 13;10(1):4664. doi: 10.1038/s41598-020-61593-z.
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[Not Available].[无可用内容]。
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9
Association Between Stress and Tinnitus-New Aspects.压力与耳鸣的关系:新视角。
Otol Neurotol. 2019 Apr;40(4):e467-e473. doi: 10.1097/MAO.0000000000002180.
10
Therapeutic Approaches to the Treatment of Tinnitus.耳鸣治疗的方法。
Annu Rev Pharmacol Toxicol. 2019 Jan 6;59:291-313. doi: 10.1146/annurev-pharmtox-010818-021556. Epub 2018 Jul 25.