间质性膀胱炎患者抑郁焦虑情绪的影响因素研究  

Influencing factors of depression and anxiety in patients with interstitial cystitis

作　　者：杨涛[1] 马晓云[1] 丁彦才[1] 李飞宇 YANG Tao;MA Xiaoyun;DING Yancai(The 942nd Hospital of the Joint Logistics Support Force of the People’s Liberation Army of China,Yinchuan 750003,China)

机构地区：[1]中国人民解放军联勤保障部队第942医院,宁夏银川750003

出　　处：《精神医学杂志》2024年第2期143-147,共5页Journal of Psychiatry

摘　　要：目的探讨间质性膀胱炎(IC)患者抑郁焦虑情绪的影响因素。方法选取108例IC患者为研究对象,用医院焦虑抑郁量表评估患者的抑郁和焦虑情绪,用O’Leary-Sant问卷(OLS)评估IC症状严重程度,用视觉模拟量表(VAS)评估疼痛程度,用认知情绪调节问卷(CERQ)评估认知情绪调节策略(包括适应性调节策略和非适应性调节策略),用社会支持量表(SSRS)评估社会支持。医院焦虑抑郁量表评分与病程、OLS、VAS、CERQ、SSRS评分的关系用Pearson相关性分析。IC患者抑郁焦虑情绪影响因素的分析用二元Logistic回归分析。结果108例患者中有抑郁情绪者61例(56.48%),有焦虑情绪者72例(66.67%)。与无抑郁焦虑情绪患者比较,有抑郁焦虑情绪患者的月收入<3000元占比、OLS评分、CERQ非适应性调节策略评分较高(P<0.05),而CERQ适应性调节策略评分、SSRS评分较低(P<0.01)。抑郁、焦虑评分分别与OLS、VAS、CERQ非适应性调节策略评分呈正相关(P<0.001),而与CERQ适应性调节策略评分、SSRS评分呈负相关(P<0.001)。Logistic回归分析结果显示,月收入<3000元、高OLS评分、高VAS评分、高CERQ非适应性调节策略评分是IC患者产生抑郁焦虑情绪的危险因素(P<0.05),而高CERQ-适应性调节策略评分、高SSRS评分是保护性因素(P<0.05)。结论IC患者抑郁焦虑情绪的发生率较高,经济情况、IC症状严重程度、认知情绪调节策略和社会支持是IC患者产生抑郁焦虑情绪的影响因素。Objective To explore the influencing factors of depression and anxiety in patients with interstitial cystitis(IC).Methods A total of 108 IC patients were selected and assessed with Hospital Anxiety and Depression Scale,O’Leary-Sant questionnaire(OLS),Visual Analog Scale(VAS),Cognitive Emotion Regulation Questionnaire(CERQ),and Social Support Rating Scale(SSRS).The relationship between Hospital Anxiety and Depression Scale score and disease course,scores of OLS,VAS,CERQ,and SSRS was analyzed using Pearson correlation analysis.The analysis of the influencing factors of depression and anxiety in IC patients was conducted using binary logistic regression analysis.Results There were 61 patients had depressive symptoms(61/108,56.48%)and 72 patients had anxiety(72/108,66.67%).Compared with patients without depression and anxiety,patients with depression and anxiety had a higher proportion of monthly income<3000 yuan,and higher scores of OLS and non adaptive regulation strategy of CERQ(P<0.05);as well as lower scores of SSRS and adaptive regulation strategy of CERQ(P<0.01).Depression score and anxiety score were positively correlated with OLS score,VAS score,CERQ non adaptive regulation strategy score(P<0.001),while negatively correlated with CERQ adaptive regulation strategy score and SSRS score(P<0.001).The results of logistic regression analysis showed that monthly income<3000 yuan,high OLS score,high VAS score,and high CERQ non adaptive regulation strategy score were risk factors for depression and anxiety in IC patients(P<0.05),while high CERQ adaptive regulation strategy score and high SSRS score were protective factors(P<0.05).Conclusion The incidence of depression and anxiety in IC patients is relatively high,and economic conditions,severity of IC symptoms,cognitive emotion regulation strategies,and social support are the influencing factors for IC patients to develop depression and anxiety.

关 键 词：间质性膀胱炎 抑郁 焦虑 认知情绪调节 社会支持 

分 类 号：R694.3[医药卫生—泌尿科学] R749.4[医药卫生—外科学]