Anxiety and depression in patients with nasal septal deviation
Anxiety and depression in patients with nasal septal deviation
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DOI：
10.1016/j.amjoto.2020.102450
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发表时间：
2020-05-01
影响因子：
2.5
通讯作者：
Shi, Haibo
中科院分区：
文献类型：
--
作者：
Ma, Qiang;Su, Kaiming;Shi, Haibo
目的：鼻中隔偏曲(NSD)对患者的生活质量有显著影响，但有关NSD患者心理状态的研究较少。方法：采用病例对照研究设计，对来综合医院就诊的NSD患者的心理负担进行评估。对照组由无慢性鼻病病史的耳鼻喉科门诊患者组成。采用Zung焦虑抑郁自评量表(SDS/SAS)对NSD患者和正常对照组的焦虑、抑郁情绪的发生率和严重程度进行评估。结果：76例NSD患者和79例正常对照患者进入本研究。研究发现，与对照组相比，非精神病组的抑郁和焦虑以及抑郁和焦虑的并存更为常见(分别为39.5%比22.8%，p=0.025；38.2%比15.2%，p=0.001；27.6%比11.4%，p=0.011)。抑郁自评量表和焦虑自评量表均分均高于对照组(抑郁自评量表评分：49.7+/-13.1vs45.2+/-10.4，p=0.019；焦虑自评量表评分：48.1+/-11.6vs41.3+/-9.3，p<；0.001)，且焦虑、抑郁情绪更为严重。因此，在NSD患者的诊断和治疗过程中应考虑到心理痛苦。
Objective: Nasal septal deviation (NSD) has a significant impact on patients' quality of life; however, there have been limited studies examining the psychological status of NSD patients. In this study, symptoms of depression and anxiety were investigated between NSD patients and controls using a self-report questionnaire.Methods: A case-control study design was used to evaluate the psychological burden of NSD in patients who visited the general hospital. The control group comprised of ENT outpatients without a history of chronic nasal disease. The Zung Self-rating Anxiety/Depression Scale (SDS/SAS) was used to evaluate the prevalence and severity of anxiety and depression between the NSD and control group.Results: Seventy-six patients with NSD and 79 control patients were enrolled in the study. We found that depression and anxiety, as well as the co-morbidity of depression with anxiety, were more common in the NSD group in comparison to the control (39.5% vs 22.8%, p = 0.025; 38.2% vs 15.2%, p = 0.001; and 27.6% vs 11.4%, p = 0.011, respectively). The average SDS and SAS score was higher in NSD patients compared to controls (SDS: 49.7 +/- 13.1 vs 45.2 +/- 10.4, p = 0.019 and SAS: 48.1 +/- 11.6 vs 41.3 +/- 9.3, p < 0.001, respectively), and NSD patients were found to have more severe levels of anxiety and depression.Conclusion: Depression and anxiety are more common and severe in patients with NSD. Therefore, psychological distress should be taken into consideration during the diagnostic and therapeutic process for patients with NSD.