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骨质疏松症绝经后女性的抑郁症:将心理护理融入整体护理。

Depression in postmenopausal women with osteoporosis: Integrating psychological nursing into holistic care.

作者信息

Zhu Jin-Yuan, Yiming Adilijiang, Zeng Jing-Qi

机构信息

School of Basic Medicine, Xinjiang Medical University, Urumqi 830017, Xinjiang Uygur Autonomous Region, China.

School of Chinese Materia Medica, Beijing University of Chinese Medicine, Beijing 102488, China.

出版信息

World J Psychiatry. 2025 Sep 19;15(9):110536. doi: 10.5498/wjp.v15.i9.110536.

DOI:10.5498/wjp.v15.i9.110536
PMID:40933168
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12418006/
Abstract

Depression is highly prevalent among postmenopausal women with osteoporosis, driven by the combined effects of hormonal changes, reduced bone density, and psychosocial stress. A recent study by Cui and Su reported that 73.3% of affected women exhibited depressive symptoms, with low bone mineral density, chronic comorbidities, and reduced serotonin (5-hydroxytryptamine) levels as key risk factors. Notably, nurse-led psychological interventions improved both mood and quality of life. This editorial underscore the need to integrate mental health support into standard osteoporosis care. Simple, scalable strategies such as routine screening and nurse-delivered emotional support may help bridge the gap between physical and psychological health. These approaches are especially relevant for aging populations across diverse healthcare settings. A dual focus on bone and emotional well-being is essential to improving outcomes in this vulnerable group.

摘要

抑郁症在患有骨质疏松症的绝经后女性中非常普遍,这是由激素变化、骨密度降低和心理社会压力的综合作用所致。崔和苏最近的一项研究报告称,73.3% 的受影响女性表现出抑郁症状,低骨矿物质密度、慢性合并症和血清素(5-羟色胺)水平降低是关键风险因素。值得注意的是,由护士主导的心理干预改善了情绪和生活质量。这篇社论强调了将心理健康支持纳入标准骨质疏松症护理的必要性。常规筛查和护士提供的情感支持等简单、可扩展的策略可能有助于弥合身心健康之间的差距。这些方法对于不同医疗环境中的老年人群尤其重要。对骨骼和情绪健康的双重关注对于改善这一弱势群体的治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e46/12418006/75517db16b31/wjp-15-9-110536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e46/12418006/75517db16b31/wjp-15-9-110536-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6e46/12418006/75517db16b31/wjp-15-9-110536-g001.jpg

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本文引用的文献

1
Investigation of depressive symptoms in postmenopausal women with osteoporosis, specialized psychological nursing intervention measures, and key point analysis.骨质疏松症绝经后女性抑郁症状的调查、针对性心理护理干预措施及要点分析
World J Psychiatry. 2025 Jul 19;15(7):104974. doi: 10.5498/wjp.v15.i7.104974.
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Prevalence and associated factors of depression in postmenopausal women: a systematic review and meta-analysis.绝经后妇女抑郁的患病率及相关因素:系统评价和荟萃分析。
BMC Psychiatry. 2024 Jun 10;24(1):431. doi: 10.1186/s12888-024-05875-0.
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Osteoporosis and depression in perimenopausal women: From clinical association to genetic causality.
围绝经期妇女的骨质疏松症和抑郁症:从临床关联到遗传因果关系。
J Affect Disord. 2024 Jul 1;356:371-378. doi: 10.1016/j.jad.2024.04.019. Epub 2024 Apr 10.
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Osteoporosis is associated with depression among older adults: a nationwide population-based study in the USA from 2005 to 2020.骨质疏松症与老年人抑郁相关:2005 年至 2020 年美国全国范围内的一项基于人群的研究。
Public Health. 2024 Jan;226:27-31. doi: 10.1016/j.puhe.2023.10.022. Epub 2023 Nov 21.
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Evaluation of the correlation between depression and physical activity among older persons with osteoporosis: a cross-sectional study.骨质疏松症老年人抑郁与身体活动之间的相关性评估:一项横断面研究。
Front Psychiatry. 2023 Aug 30;14:1193072. doi: 10.3389/fpsyt.2023.1193072. eCollection 2023.
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Antidepressants and Vertebral and Hip Risk Fracture: An Updated Systematic Review and Meta-Analysis.抗抑郁药与脊椎和髋部骨折风险:一项更新的系统评价与荟萃分析
Healthcare (Basel). 2022 Apr 26;10(5):803. doi: 10.3390/healthcare10050803.
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Brain-derived neurotrophic factor and inflammation in depression: Pathogenic partners in crime?脑源性神经营养因子与抑郁症中的炎症:致病的共犯?
World J Psychiatry. 2022 Jan 19;12(1):77-97. doi: 10.5498/wjp.v12.i1.77.
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Health Expect. 2022 Feb;25(1):177-190. doi: 10.1111/hex.13361. Epub 2021 Sep 27.
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