黄褐斑患者抑郁、焦虑状态调查及影响因素研究  

Investigation of Depression and Anxiety Status in Patients with Melasma and Its Influencing Factors

作　　者：陈文静 万月 孙源 管宁 杨泽雨 李建红[2] CHEN Wenjing;WAN Yue;SUNYuan(The First Clinical Medical College,Beijing University of Traditional Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学第一临床医学院,100029 [2]北京中医药大学东直门医院皮肤科,100007

出　　处：《医学研究杂志》2024年第7期68-72,共5页Journal of Medical Research

基　　金：北京市自然科学基金资助项目(7232288)。

摘　　要：目的调查黄褐斑患者抑郁、焦虑状态情况,分析其影响因素,为黄褐斑患者制定更精准的心理干预措施提供依据。方法选取2023年7~10月就诊于北京中医药大学东直门医院皮肤科的黄褐斑患者为研究对象,对其进行问卷调查,收集黄褐斑患者的相关信息,采用二元Logistic回归分析评价黄褐斑患者抑郁、焦虑状态的影响因素。结果共收集黄褐斑患者145例,抑郁状态为40例,其中轻度抑郁状态26例,中度抑郁状态11例,重度抑郁状态3例;焦虑状态为25例,其中轻度焦虑状态18例,中度焦虑状态6例,重度焦虑状态1例。二元Logistic回归分析结果显示,月收入>3000元是黄褐斑患者抑郁状态的保护因素,生活质量>30分是黄褐斑患者抑郁状态的危险因素;活动期和生活质量>30分是黄褐斑患者焦虑状态的危险因素。结论黄褐斑患者抑郁状态检出率为27.6%,焦虑状态检出率为17.2%,月收入和生活质量是黄褐斑患者抑郁状态的独立影响因素;临床分期和生活质量是黄褐斑患者焦虑状态的独立影响因素。Objective To investigate the depression and anxiety status of patients with melasma,and analyze the influencing factors to provide a basis for developing more accurate psychological intervention measures for patients with melasma.Methods Patients with melasma who were admitted to Department of Dermatology,Dongzhimen Hospital,Beijing University of Traditional Chinese Medicine from July to October 2023 were selected as the research objects.Questionnaire survey was conducted to collect the relevant information of pa-tients with melasma.Binary Logistic regression analysis was used to evaluate the influencing factors of depression and anxiety in patients with melasma.Results A total of 145 patients with melasma were collected,there were 40 patients with depression,including 26 pa-tients with mild depression,11 patients with moderate depression,and 3 patients with severe depression;there were 25 patients with anxi-ety,including 18 patients with mild anxiety,6 patients with moderate anxiety,and 1 patients with severe anxiety.The results of binary Logistic regression analysis showed that monthly income>3000 yuan was a protective factor for depression in patients with melasma,while quality of life>30 points was a risk factor for depression in patients with melasma.Activity period and quality of life>30 points were risk factors for anxiety in patients with melasma.Conclusion The detection rate of depression in patients with melasma was 27.6%,and the detection rate of anxiety was 17.2%.Monthly income and quality of life were independent influencing factors of depression;clinical stage and quality of life were independent influencing factors for anxiety.

关 键 词：黄褐斑 抑郁状态 焦虑状态 影响因素 二元Logistic回归分析 

分 类 号：R751[医药卫生—皮肤病学与性病学]