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成年住院患者抑郁症状与血液生物标志物之间的关联:中国泸州跨医院辖区的多中心分析

Association Between Depressive Symptoms and Blood Biomarkers in Adult Hospitalized Patients: A Multicenter Analysis Across Hospital Districts in Luzhou, China.

作者信息

He Rongfang, Lan Xia, Chen Juan, Hu Shasha, Zeng Zhen, Xie Xin

机构信息

Department of Psychiatry, Affiliated Hospital of Southwest Medical University, Luzhou City, Sichuan Province, 646000, People's Republic of China.

Department of Nursing, Luzhou Mental Hospital, Luzhou City, Sichuan Province, 646000, People's Republic of China.

出版信息

J Multidiscip Healthc. 2025 Sep 10;18:5691-5699. doi: 10.2147/JMDH.S534823. eCollection 2025.

Abstract

OBJECTIVE

The aim of this study was to investigate the depressive symptoms of patients hospitalized in different hospitals and to further analyze the correlation between depressive symptoms and blood biomarker.

METHODS

This is a large-scale, multicenter cross-sectional study conducted in Luzhou, China. A total of 149554 inpatients from January 2022 to December 2023 in our hospital's Wellness Center Hospital District, Zhongshan Hospital District, and Comprehensive Ward were selected for the study. -test, chi-square test and Pearson correlation analysis were used to explore associations between depressive symptoms and blood biomarker, age and gender.

RESULTS

The levels of depressive symptoms were 8.25 for patients in the Zhongshan Campus, 8.45 in the Health Center Campus, and 8.05 in the Other Campuses. In terms of blood biomarker, we found a positive correlation between depressive symptoms and lactate dehydrogenase (LDH) levels (r = 0.425, P < 0.01). In addition, thyrotropin (TSH) levels were also positively correlated with depressive symptoms (r = 0.352, P = 0.024). Regarding gender, the depressive symptoms were slightly higher in female patients (11.25) than in male patients (8.35%), but this difference was not statistically significant (P = 0.053). Age was positively correlated with depressive symptoms, with younger patients having a relatively better psychological state, whereas the prevalence of depressive symptoms increased with age, especially in the older age groups.

CONCLUSION

There were significant differences in the prevalence of depressive symptoms among hospitalized patients in different hospital districts, and depressive symptoms showed correlation with a variety of blood biomarker. More systematic psychological assessment and intervention should be conducted for high-risk patients, especially elderly female patients.

摘要

目的

本研究旨在调查不同院区住院患者的抑郁症状,并进一步分析抑郁症状与血液生物标志物之间的相关性。

方法

这是一项在中国泸州进行的大规模、多中心横断面研究。选取了我院健康中心院区、中山院区和综合病房2022年1月至2023年12月期间的149554名住院患者进行研究。采用t检验、卡方检验和Pearson相关性分析来探讨抑郁症状与血液生物标志物、年龄和性别之间的关联。

结果

中山院区患者的抑郁症状水平为8.25,健康中心院区为8.45,其他院区为8.05。在血液生物标志物方面,我们发现抑郁症状与乳酸脱氢酶(LDH)水平呈正相关(r = 0.425,P < 0.01)。此外,促甲状腺激素(TSH)水平也与抑郁症状呈正相关(r = 0.352,P = 0.024)。在性别方面,女性患者的抑郁症状(11.25)略高于男性患者(8.35%),但这种差异无统计学意义(P = 0.053)。年龄与抑郁症状呈正相关,年轻患者的心理状态相对较好,而抑郁症状的患病率随年龄增长而增加,尤其是在老年人群体中。

结论

不同院区住院患者的抑郁症状患病率存在显著差异,且抑郁症状与多种血液生物标志物相关。应对高危患者,尤其是老年女性患者进行更系统的心理评估和干预。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/61e9/12434322/617ed4bca398/JMDH-18-5691-g0001.jpg

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