中国麻风皮肤病杂志 ›› 2018, Vol. 34 ›› Issue (8): 481-483.

• 短篇论著 • 上一篇    下一篇

老年性皮肤瘙痒症患者焦虑抑郁情绪调查研究

陈国梁1 徐兰2 赵霞娟2 徐金华1   

  1. 1.复旦大学附属华山医院皮肤科，上海，20040 2.复旦大学附属华山医院老年病科，上海，200040
  • 出版日期:2018-08-15 发布日期:2018-12-12
  • 通讯作者: 徐兰，E-mail:13816586496@163.com

Investigation of anxiety and depression in patients with senile pruritus

CHEN GuoLiang1, ZHAO Xiajuan2，ZHAO Xuelan2，XU Lan2， XU Jinhua1   

  1. 1. Department of Dermatology，Fudan University Huashan Hospital, Shanghai 200040, China; 2. Department of Geratology，Fudan University Huashan Hospital , Shanghai 200040, China
  • Online:2018-08-15 Published:2018-12-12
  • Contact: XU Lan, E-mail:13816586496@163.com

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摘要： 目的：了解老年性皮肤瘙痒症患者的焦虑抑郁情况。方法：采用A型行为问卷、焦虑自评量表（SAS）及抑郁自评量表（SDS）对老年性皮肤瘙痒症患者165例（病例组）和体检健康者150例（对照组）进行评定分析。结果：1.病例组中62.4%的患者倾向为A型行为，高于对照组的40.7%两组差异具有显著性（P<0.01）。2.病例组中，中重度焦虑和抑郁情绪发生率为89.7%和58.8%高于对照组的30.0％和22.7%，差异有统计学意义（P<0.01）。3.病例组ASA、SDS得分为58.17±14.17和49.19±12.16明显高于对照组的26.17±9.24和27.19±9.32，差异有统计学意义（P<0.01）。结论：老年性皮肤瘙痒症患者总体倾向为A型行为，存在中重度的焦虑抑郁情绪，适当心理干预及抗焦虑抑郁治疗可能改善老年性瘙痒症患者的症状及生活质量。

关键词: 老年人, 瘙痒症, 焦虑抑郁

Abstract: Objective: To investigate the anxiety and depression in elderly patients with pruritus. Method: The anxiety and depression in 165 patients with pruritus of senile pruritus (case group) and 150 healthy controls (control group) was assessed through the A type behavior questionnaire, Self rating Anxiety Scale (SAS) and Self rating Depression Scale (SDS). Results: 62.4% patients with senile pruritu and 40.7% controls have A type behavior tendency, with a significant difference (P<0.01). People who have A type behavior tendency may be more competitive and anxious. In case group, the incidence of moderate-severe anxiety and depression was 89.7% and 58.8%, which were significantly higher than those in the control group (30.0% and 22.7%), with significant differences (Ps<0.01). The scores of SAS and SDS in case group were 58.17±14.17 and 49.19±12.16, which were significantly higher than those in the control group (26.17±9.24 and 27.19±9.32), with significant differences (Ps<0.01). Conclusion: Most of the elderly patients with pruritus have A type behavior tendency and followed with moderate-severe anxiety and depression. Appropriate anti-anxiety or anti-depression treatment may improve their symptoms and quality of life.

Key words: the elderly, pruritus, anxiety and depression