慢性疼痛患者焦虑、抑郁状况调查及相关因素分析  

INVESTIGATION ON ANXIETY AND DEPRESSION STATE OF PATIENTS WITH CHRONIC PAIN AND RELATED FACTORS ANALYSIS

作　　者：陈国良[1,2] 王梅 路桂军[4] 陈继军[1] 姜忠东[1] 赵国利[4] 崔红[2] 

机构地区：[1]中国人民解放军第406医院215临床部,大连116041 [2]解放军总医院医学心理科,北京100853 [3]海军万寿路干休所门诊部,北京100071 [4]解放军总医院医学麻醉科,北京100853

出　　处：《中国疼痛医学杂志》2014年第4期226-230,235,共6页Chinese Journal of Pain Medicine

基　　金：国家科技支撑计划项目(2013BAI08B03)

摘　　要：目的:了解慢性疼痛患者焦虑、抑郁状况,探讨其相关因素。方法:随机抽取2012年8月至12月于解放军总医院疼痛科门诊就诊的慢性疼痛患者308例,评估工具采用简式McGill疼痛问卷(SF-MPQ)、综合医院焦虑抑郁量表(HAD)。结果:回收有效问卷301例(有效率97.93%)。其中共检出伴有焦虑症状患者106例(占35.22%),检出伴有抑郁症状患者83例(占27.57%),同时伴有焦虑抑郁症状患者57例(占18.94%);单因素分析发现:患者焦虑、抑郁水平与疼痛强度(P<0.01)、疼痛部位的数目(P<0.05)、感觉项计数和情感项计数(P<0.01)有关;多因素回归分析发现:慢性疼痛患者焦虑、抑郁水平与其疼痛强度(P<0.05)和情感项计数有关(P<0.01)。结论:慢性疼痛患者常常伴发焦虑、抑郁,与其疼痛特征有关。Objective：The purpose of this study was to investigate the prevalence and the relevant factors contributing to anxiety and depression of patients with chronic pain.Methods：From August to December 2012,we evaluated psychological status of 308 patients with chronic pain by using patient-report questionnaires in PLA General Hospital.Pain was evaluated by Short Form McGill Pain Questionnaire （SF-MPQ）,and anxiety and depression were assessed by Hospital Anxiety and Depression Scale （HAD）.Results：301 patients completed all the questionnaires ordered,and the response rate was 97.93％.106 patients （35.22％） had symptoms of anxiety and 83 patients （27.57％） had symptoms of depression.There were 57 patients （18.94％）,who had two kinds of symptoms at the same time.The incidence ofanxiety and depression were correlated with present pain intensity （P ＜ 0.01）,the number of pain location （P ＜ 0.05）,the number of emotional count and feeling count （P ＜ 0.01）.Multivariate regression analysis found the incidence of anxiety and depression in chronic pain patients were related to present pain intensity （P ＜ 0.05） and the number of emotional count （P ＜ 0.01）.Conclusion：The depression and anxiety of the chronic pain patients was significantly higher prevalence,and related to pain characteristics.

关 键 词：慢性疼痛 焦虑 抑郁 相关因素分析 

分 类 号：R402[医药卫生—临床医学]