目的:本研究旨在研究类风湿性关节炎患者抑郁症状组和无抑郁症状组之间的变量差异,并进一步评估这些变量与抑郁症状之间的相关性.方法:采用医院焦虑抑郁量表,简版心理韧性量表,视觉模拟疼痛评分.采用Mann-Whitney U Test进行非参数检验、卡方检验和二元logistic回归分析.结果:抑郁症状组和无抑郁症状组之间在教育水平、疼痛评分、CRP、疾病活动度及心理韧性上存在显著差异(P＜0.05),抑郁症状患者的疼痛评分,CRP和疾病活动度水平较高,教育水平和心理韧性较低.logistic回归结果显示疼痛评分是抑郁症状发生的风险因素,疼痛评分高的病人出现抑郁症状的风险更大,而强大的心理韧性则是避免出现抑郁症状的保护因素.结论:疼痛强度和心理韧性与患者抑郁症状之间关系显著.应注重对患者的心理支持,采取综合的治疗措施,包括疼痛管理及心理干预和支持,以减少抑郁症状的发生.
A Study on Related Factors of Depressive Symptoms in Patients with Rheumatoid Arthritis
Objective:To investigate the differences in variables between the group of rheumatoid arthritis patients with depressive symptoms and the group without depressive symptoms,and to further evaluate the asso-ciation between these variables and depressive symptoms.Methods:The hospital Anxiety and Depression Scale,the simplified mental toughness Scale and the visual analog pain score were used.Mann-Whitney U Test,x2 and binary logistic regression analysis were applied.Results:There were significant differences in education lev-el,pain score,CRP,disease activity and mental toughness between depressive symptom group and non-depres-sive symptom group(P＜0.05).Patients with depressive symptoms had higher pain score,CRP and disease ac-tivity level,but lower education level and mental toughness.The binary logistic regression showed that VAS-pain scores were the significant risk factor for the occurrence of depressive symptoms,and strong resilience was a protective factor for avoiding depressive symptoms.Conclusion:There is a significant relationship between pain intensity and psychological resilience and the symptoms of depression in RA patients.Rheumatoid arthritis patients'resilience as a protective factor against depression deserves attention in therapeutic treatment and com-prehensive treatment should be taken,including pain management and psychological intervention and support,to reduce the occurrence of depressive symptoms.
NETL
NSTL
万方数据
维普
