青少年面部瘢痕整形患者抑郁焦虑症状调查  

Prevalence of depression and anxiety symptoms in adolescents undergoing facial scar plasty

作　　者：张卫宁 薛彬 刘倩 吴信峰 ZHANG Weining;XUE Bin;LIU Qian;WU Xinfeng(Department of Plastic Surgery,Hospital of Dermatology Chinese Academy of Medical Sciences and Peking Union Medical College,Nanjing,Jiangsu 210042,China)

机构地区：[1]中国医学科学院北京协和医学院皮肤病医院整形美容外科,江苏南京210042

出　　处：《预防医学》2024年第11期996-999,共4页China Preventive Medicine Journal

摘　　要：目的了解青少年面部瘢痕整形患者的抑郁焦虑症状及影响因素,为青少年面部瘢痕整形患者心理干预提供参考。方法选择中国医学科学院北京协和医学院皮肤病医院整形美容外科收治的14~25岁面部瘢痕整形患者为调查对象,通过问卷收集一般信息、瘢痕情况等资料;采用抑郁自评量表(SDS)和焦虑自评量表(SAS)分别调查抑郁和焦虑症状,SDS和SAS评分均≥50分判定为抑郁焦虑症状。采用多因素logistic回归模型分析抑郁焦虑症状的影响因素。结果调查青少年面部瘢痕整形患者108例,年龄为(19.16±2.03)岁。男性50例,占46.30%;女性58例,占53.70%。检出抑郁焦虑症状62例,占57.41%。多因素logistic回归分析结果显示,女性(OR=1.547,95%CI:1.072~2.231)、饮食不健康(OR=1.428,95%CI:1.120~1.820)、疼痛度评分高(OR=1.677,95%CI:1.120~2.511)和瘢痕程度评分高(OR=1.629,95%CI:1.112~2.387)的青少年面部瘢痕整形患者抑郁焦虑症状风险较高;社会支持评分高(OR=0.569,95%CI:0.348~0.931)和心理弹性评分高(OR=0.465,95%CI:0.252~0.858)的青少年面部瘢痕整形患者抑郁焦虑症状风险较低。结论青少年面部瘢痕整形患者容易发生抑郁焦虑症状,性别、饮食、疼痛度、瘢痕程度、社会支持和心理弹性是抑郁焦虑症状的影响因素。Objective To investigate the symptoms of depression and anxiety and their influencing factors in adolescents undergoing facial scar plasty,so as to provide insights into psychological interventions among them.Methods The pa⁃tients with facial scars who were 14 to 25 years old and admitted to the Department of Plastic Surgery,Hospital of Der⁃matology Chinese Academy of Medical Sciences and Peking Union Medical College were selected.General information and scar condition were collected through questionnaire surveys.Symptoms of depression and anxiety were assessed us⁃ing the Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS).The patients who scored 50 points and over in both SDS and SAS were identified as having depression and anxiety symptoms.Factors affecting depression and anxiety symptoms were identified using a multivariable logistic regression model.Results A total of 108 adolescents un⁃dergoing facial scar plasty were surveyed,with a mean age of(19.16±2.03)years.There were 50 boys(46.30%)and 58 girls(53.70%).Depression and anxiety symptoms were detected in 62 cases,accounting for 57.41%.Multivariable logis⁃tic regression analysis showed that girls(OR=1.547,95%CI:1.072-2.231),unhealthy diet(OR=1.428,95%CI:1.120-1.820),high scores of pain(OR=1.677,95%CI:1.120-2.511)and high scores of scar severity(OR=1.629,95%CI:1.112-2.387)were associated with increased risks of depression and anxiety symptoms in adolescents undergoing facial scar plasty,while high scores of social support(OR=0.569,95%CI:0.348-0.931)and high scores of resilience(OR=0.465,95%CI:0.252-0.858)were associated with decreased risks.Conclusion Depression and anxiety symptoms are relatively prevalent in adolescents undergoing facial scar plasty,and are influenced by gender,diet,pain degree,scar severity,so⁃cial support and resilience.

关 键 词：青少年 面部瘢痕 整形手术 抑郁症状 焦虑症状 

分 类 号：R395[哲学宗教—心理学]