首页|自服农药及药物中毒患者躯体化障碍与焦虑、抑郁相关性分析

自服农药及药物中毒患者躯体化障碍与焦虑、抑郁相关性分析

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目的 探究自服农药及药物中毒患者躯体化障碍发生情况及其与焦虑、抑郁的相关性,改善患者生存和生活质量.方法 2019年2月—2020年6月,以某综合医院220例自服农药及药物而急性中毒的患者为研究对象,应用《躯体化症状自评量表》(Self-Rating Somatic Symptom,SSS)评估研究对象的躯体化障碍情况,应用《广泛性焦虑障碍量表》(Generalized Anxiety Disorder,GAD-7)和《抑郁自评量表》(Patient Health Questionnaire,PHQ-9)分析研究对象的焦虑、抑郁情况,并分析其间的相关性.结果 220例患者中存在躯体化障碍者198例,检出率为90.0％.仅存在1种躯体化症状的患者有28人(占14.1％),而存在2种、3种甚至3种以上症状的患者分别有35人(占17.7％)、56人(占28.3％)、79人(占39.9％).在198例躯体化障碍患者中检出有焦虑症状120例,检出率为60.6％;抑郁108例,检出率为54.5％.两者同时检出者48例,而整体阳性检出率(焦虑或抑郁任一项检出人数占比)为90.9％.女性整体阳性检出率高于男性,已婚组最低,学历越高检出率也越低(P＜0.05).有序变量多组独立样本的秩和检验结果显示:随着患者躯体化障碍程度的加深,中度、重度焦虑、抑郁的检出率以及焦虑合并抑郁的检出率都相应升高(P＜0.05).结论 存在躯体化障碍的患者更易出现情绪障碍.应加强对自服农药及药物而中毒的患者躯体化症状及心理障碍的认识,及时给予相应的心理干预,减少患者自杀风险.
Correlation between somatization disorder and anxiety and depression in patients with self-poisoning by pesticides and drugs
Objective To understand the occurrence of somatization disorder and its correlation with anxiety and depression in patients with self-poisoning by pesticides and drugs,and to improve their survival and quality of life.Methods A total of 220 patients with acute self-poisoning by pesticides and drugs in a comprehensive hospital from February 2019 to June 2020 were studied.The Self-Rating Somatic Symptom(SSS)was used to assess the somatization disorder,and the Generalized Anxiety Disorder Scale(GAD-7)and the Patient Health Questionnaire(PHQ-9)were used to analyze the anxiety and depression.The correlation between them was analyzed.Results Among the 220 patients,198(90.0％)had somatization disorder.There were 28 patients(14.1％)with only one somatic symptom,while 35(17.7％),56(28.3％),and 79(39.9％)patients had two,three,or more than three symptoms,respectively.Among 198 patients with somatization disorder,120 cases(60.6％)had anxiety symptoms and 108 cases(54.54％)had depression symptoms;48 patients had both anxiety and depression symptoms,and the overall positive detection rate(the proportion of people diagnosed with either anxiety or depression)was 90.9％.The overall positive rate of either anxiety or depression among females was higher than that of males and the lowest in the married group.The higher the education level,the lower the detection rate(P＜0.05).The Kruskal-Wallis test showed that as the degree of somatization disorder increased,the frequency of moderate anxiety,severe anxiety,depression,or anxiety combined with depression increased accordingly(P＜0.05).Conclusions Patients with somatization disorder were more likely to have emotional disorders.The awareness of somatic symptoms and psychological disorders in patients with self-poisoning by pesticides and drugs should be strengthened,and timely psychological interventions should be given to reduce the risk of suicide.

self-poisoningself-administering pesticidespesticidessuicidesomatization disorderanxietydepression

张帅、菅向东、杨开成、谭凤玲、巩雪、魏传香

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山东省济南市章丘区人民医院急诊科,山东 济南 250200

山东大学齐鲁医院急诊科,山东 济南 250200

济南市章丘区精神卫生中心精神科,山东 济南 250200

重庆市武隆区人民医院急诊科,重庆 408500

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自服药物 自服农药 自杀 躯体化障碍 焦虑 抑郁

国家临床重点专科建设项目山东省"泰山学者"建设工程专项山东省医药卫生重点实验室项目济南市卫生健康委科技计划(2021)山东省老年医学学会科技攻关立项项目(2021)重庆市卫生健康委医学科研项目(2023)

2012650ts20130911鲁卫科教国合字[2013]49号2021-2-133LKJGG2021W06092023WSJK092

2024

10.16369/j.oher.issn.1007-1326.2024.02.015

职业卫生与应急救援
上海市职业安全健康研究院,上海市化工职业病防治院

职业卫生与应急救援

CSTPCD
影响因子：0.515
ISSN：1007-1326
年,卷(期)：2024.42(2)
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