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1.
围绝经期妇女抑郁症状及其影响因素探讨   总被引:4,自引:0,他引:4  
目的了解围绝经期妇女抑郁症状的发生率及其影响因素。方法采用自评抑郁量表,对205名40~60岁围绝经期妇女进行调查。结果抑郁症状发生率为26.34%,显著高于常模(P<0.05),月收入、有无躯体疾病、年龄及夫妻关系是围绝经期妇女发生抑郁症状的主要影响因素。结论围绝经期妇女抑郁症状的发生率较高,其发生率的增加不单纯由生物因素引起,同时有社会、家庭及精神因素存在。应加强对有抑郁症状发生危险因素的围绝经期妇女的心理保健,建议开设女性心理门诊,对有抑郁症状的妇女,从躯体和心理两方面进行治疗。  相似文献   

2.
北京市城区围绝经期妇女更年期症状分析   总被引:12,自引:0,他引:12  
目的了解北京市城区围绝经期妇女更年期症状的发生情况。方法采用分层随机抽样的方法,从北京市8个城区随机抽取45~59岁妇女,进行问卷调查。问卷内容包括:一般情况和家庭经济情况;Kupperman评分。建立数据库,应用SPSS 11.5软件进行频数、描述性t、检验、χ2检验和Logistic回归分析。结果1,278例妇女完成调查,平均年龄51.8岁,其中自然绝经739例,平均绝经年龄为49.32岁。13项症状中,各项症状患病率从15.6%~59.7%不等。出现频率最高前5位症状依次为骨关节肌肉痛(59.7%)、疲乏(57.3%)、失眠(52.7%)、潮热出汗(48.1%)以及易激动(48.1%);各项症状中重度者仅占0.9%~6.4%。有214例妇女(16.7%)Kupperman评分≥17分,χ2检验显示更年期综合征与绝经分期及婚姻状态相关(分别P=0.034,P=0.013),离婚或分居的妇女更年期综合征发生率较高,教育程度、是否仍在工作以及个人收入与更年期综合征无相关性(P>0.05)。但经多因素logistic回归分析,仅婚姻状态一项有统计学意义(P=0.046)。结论绝大多数妇女在围绝经期存在更年期症状,以轻度为主。绝经分期以及婚姻状态可能与更年期症状有相关性。  相似文献   

3.
目的 探讨更年期妇女骨关节痛症状发生状况及其相关影响因素. 方法 研究对象选取对2011年1月1日至2011年6月30日在上海交通大学附属第六人民医院更年期专病门诊就诊的患者.研究方法:(1)采用自行设计的问卷对患者一般情况进行调查;(2)采用改良Kupperman评分、MRS评分等量表进行更年期症状及患者生活质量进行评估;(3)采用双能X线进行骨密度测定. 结果 (1)更年期骨关节痛的发生率为77.0%;(2)更年期骨关节痛的发生与骨质疏松无明显相关性,与体重指数(BMI)显著相关,BMI越高,骨关节痛发病率越高;(3) Kupperman评分和MRS评分的高低与骨关节痛发病严重程度有相关性,高MRS评分组的骨关节痛症状严重. 结论 骨关节疼痛为更年期女性较为常见的就诊症状,与BMI水平高低水平呈显著相关性,与骨质疏松无显著相关性,但其影响妇女的生活质量.  相似文献   

4.
合肥地区中老年男性更年期综合征样症状初步调查   总被引:7,自引:1,他引:6  
目的:了解合肥地区中老年男性更年期综合征样症状发生率及其影响因素。方法:共入选健康体检门诊1 026例45岁以上接受检查的男性,调查采用个人信息、整体健康状况、中老年男性症状问卷(AMS量表)进行自我评估。结果:合肥地区中老年男性更年期综合征样症状总发生率为64.7%,AMS评分为(31.2±6.8)分,其中轻度58.1%,中度30.9%,重度11.0%,与年龄具有明显相关性(P<0.05)。评分分量中的精神心理症状、躯体症状及性功能症状评分分别为(8.3±2.1)分、(12.4±4.8)分、(9.3±4.5)分,精神心理症状及躯体症状评分与年龄无明显相关性(P>0.05)。各个年龄组性功能症状评分随年龄增加而明显增加(P<0.05)。统计分析显示,年龄、吸烟、糖尿病、心血管疾病、肥胖是影响男性更年期综合征样症状的重要危险因子,而体育锻炼是男性更年期综合征样症状的重要保护因子。结论:随着年龄的增长,男性更年期综合征样症状的发生率逐渐增高,性功能出现下降,但精神心理及躯体评分并不受年龄的影响。年龄、整体健康状况及生活方式是影响男性更年期综合征样症状的重要因素。  相似文献   

5.
目的 了解围绝经期妇女抑郁症状的发生率及其影响因素。方法 采用自评抑郁量表,对205名40~60岁围绝经期妇女进行调查。结果 抑郁症状发生率为26.34%,显著高于常模(P〈0.05),月收入、有无躯体疾病、年龄及夫妻关系堤围绝经期妇女发生抑郁症状的主要影响因素。结论 围绝经期妇女抑郁症状的发生率较高,其发生率的增加不单纯由生物因素引起;同时有社会、家庭及精神因素存在。应加强对有抑郁症状发生危险因素的围绝经期妇女的心理保健,建议开设女性心理门诊,对有抑郁症状的妇女,从躯体和心理两方面进行治疗。  相似文献   

6.
目的:探讨更年期妇女生理、心理健康状况及相互关系,为进一步缓解妇女的更年期症状提供医学依据.方法:对本院更年期门诊病人进行问卷调查,了解更年期妇女的健康状况,生活习惯,疾病史以及更年期症状等.结果:①更年期症状的发生率为75.38%,随着年龄的增长呈上升趋势.而参加社会活动越多,更年期症状的发生呈下降趋势.②对更年期知识认识不足.③调查对象中颈椎病的发病率为22.69%.结论:在妇女更年期综合征防治中,要广泛进行健康教育,每年定期体检,积极参加社会活动.不断提高妇女的保健意识和自我保健能力.  相似文献   

7.
女性更年期综合征与心理健康的相关性研究   总被引:2,自引:0,他引:2  
目的 了解女性更年期症状与心理健康之间的关系,为提高其生活质量提供依据.方法 随机对800名更年期女性进行无记名调查,心理健康状况调查采用SCL-90量表,更年期症状评定采用公认改良的Kuperman评分法.结果 719名(89.88%)女性有不同程度的更年期症状.除关节痛、头痛有无症状者敌对因子评分潮热症状精神病性及心悸症状偏热评分,差异无统计学意义(均P>0.05)外,有症状者SCL-90各因子分显著高于无症状者(P<0.05,P<0.01).症状重者SCL-90评分显著高于中、轻度者,中度者显著高于轻度者(均P<0.01).城乡更年期女性肢体麻木、激动、抑郁、心悸4个症状评分比较,差异有统计学意义(均P<0.01).结论 女性更年期症状及症状程度与个体心理健康状况相关,随着更年期症状加重,其心理状况更加恶化,且城乡更年期女性在某些更年期症状发生上存在差异.因此,采取积极措施缓解女性更年期症状,加强心理护理干预,有助于更年期女性保持心理健康状态,提高其生活质量.  相似文献   

8.
目的探讨门诊早泄(PE)就诊者中抑郁焦虑的患病率及危险因素。方法 2013年12月至2015年1月,428例在男科门诊就诊的早泄患者同意参与我们的调查,完成了口头问卷。问卷包括以下内容:(1)人口统计数据(例如年龄、职业、文化程度等)。(2)早泄患病时间,病史和性生活史。(3)Zung抑郁自评量表(SDS)、Zung焦虑自评量表(SDS)、国际慢性前列腺炎症状指数(NIH-CPSI)和国际勃起功能指数(IIEF-5)。结果本组患者中抑郁的患病率为19.6%,焦虑的患病率30.1%。抑郁焦虑的危险因素具体包括PE的患病时间,CPSI评分与IIEF-5评分。结论结果表明,早泄患病时间、CPSI评分和IIEF-5评分是门诊PE就诊者抑郁焦虑的危险因素。  相似文献   

9.
目的:研究隐睾患者手术6~16年后抑郁症状的发生情况及有关原因。方法:使用抑郁自评量表(SDS)及关联因子调查表对70例隐睾术后6~16年患者及70例健康男性的抑郁症状发病率进行调查,并对抑郁症状的相关因素进行分析。结果:隐睾患者术后的抑郁症状发生率为50.0%,对照组为4.3%,差异有统计学意义(χ2=23.5,P<0.01)。多元逐步回归分析发现:自然生育能力(F=15.899 2,P<0.01)、阴囊外观形态满意度(F=4.600 3,P<0.05)、已婚(F=4.100 2,P<0.05)三者是影响患者抑郁症状的危险因素。结论:隐睾患者术后常发生抑郁症状,主要影响因素为不育、阴囊外观形态满意度和婚姻状态。  相似文献   

10.
目的:对更年期妇女进行培训指导,降低妊娠发生率.方法:调查2009年12月-2010年12月 40岁-49岁育龄妇女,对更年期的认识,保健措施,更年期症状,避孕措施,更年期意外妊娠情况,生活环境,文化程度,健康状况等进行分析.结果:对更年期认识,生活环境,文化程度,健康状况等因素影响更年期妇女生存状态及意外妊娠的发生率.结论:大部分更年期妇女对避孕认识不足.  相似文献   

11.
Objectives:   The correlation between anxiety and interstitial cystitis has, as best we know, not yet been reported on. The present study investigated the psychological profile, including anxiety and depression, of patients suffering from interstitial cystitis (IC).
Methods:   A total of 47 IC patients, all of whom met National Institute of Arthritis, Diabetes, Digestive and Kidney Diseases (NIDDK) criteria, plus a group of 31 age-matched, asymptomatic women received a structured interview on depression (Hamilton Rating Scale for Depression) and also on anxiety symptoms (Hamilton Rating Scale for Anxiety). IC patients also completed questionnaires relating to IC symptom severity, including urgency and frequency (visual analog scale) and O'Leary Sant index.
Results:   A total of 85% of our IC patients featured significant affective symptoms. The average depression scores were 16.6. Fifteen patients (31.9%) featured mild depressive symptoms, five (10.6%) had mild to moderate and 20 (42.6%) had moderate to severe depression symptoms. The mean anxiety score was 21.0, with 21 (44.7%), nine (19.1%) and 17 (36.2%) patients revealing mild, mild to moderate, and moderate to severe anxiety symptoms, respectively. Further, IC patients reported a significantly greater extent of depression and anxiety than was the case for controls. Pain scale and O'Leary Sant index were significantly correlated to anxiety and depression score.
Conclusions:   Most of our IC patients feature significant depression and anxiety. The extent of affective symptoms would appear to correlate well with IC symptom severity.  相似文献   

12.
目的了解女性更年期症状与心理健康之间的关系,为提高其生活质量提供依据。方法随机对800名更年期女性进行无记名调查,心理健康状况调查采用SCL-90量表,更年期症状评定采用公认改良的Kuperman评分法。结果719名(89.88%)女性有不同程度的更年期症状。除关节痛、头痛有无症状者敌对因子评分潮热症状精神病性及心悸症状偏热评分,差异无统计学意义(均P〉0.05)外,有症状者SCL-90各因子分显著高于无症状者(P〈0.05,P〈0.01)。症状重者SCL-90评分显著高于中、轻度者,中度者显著高于轻度者(均P〈0.01)。城乡更年期女性肢体麻木、激动、抑郁、心悸4个症状评分比较,差异有统计学意义(均P〈0.01)。结论女性更年期症状及症状程度与个体心理健康状况相关,随着更年期症状加重,其心理状况更加恶化,且城乡更年期女性在某些更年期症状发生上存在差异。因此,采取积极措施缓解女性更年期症状,加强心理护理干预,有助于更年期女性保持心理健康状态,提高其生活质量。  相似文献   

13.
Depressive symptoms underestimated in vertiginous patients.   总被引:1,自引:0,他引:1  
OBJECTIVE: To assess the prevalence of depression in a group of vertiginous patients gathered by the use of a questionnaire. STUDY DESIGN AND SETTING: Prospective study on 100 randomly selected vertiginous individuals, who were invited for further investigations to the Helsinki University ENT clinic. They also filled in a Beck Depression Index, Zung anxiety scale and DIP-Q, which are self-rating scales to investigate psychiatric symptoms. RESULTS: The prevalence of depression was 19%, and affected more men than women No significant differences appeared in ENT diagnoses or symptoms between depressed and nondepressed patients. Depression correlated positively with vertiginous relatives (P < 0.01) and subjective sense of disability (P < 0.01). Of depressed vertiginous patients, 89% were without appropriate antidepressive care. CONCLUSION: Nearly 20% of vertiginous patients also have depressive symptoms. Assessment of psychiatric and psychosomatic symptoms should accompany neuro-otologic evaluation to achieve the best treatment strategy and prevent chronic outcome.  相似文献   

14.
Trauma exposure in youth is widespread, yet symptom expression varies. The present study employs a within‐scale meta‐analytic framework to explore determinants of differential responses to trauma exposure. The meta‐analysis included 74 studies employing samples of youth exposed to traumatic events and who completed the Trauma Symptom Checklist for Children (TSCC). Mean weighted T scores across all TSCC subscales for U.S. samples ranged between 49 and 52. Youth outside the U.S. reported higher posttraumatic stress, anxiety, and depressive symptoms, whereas those exposed to sexual abuse reported the highest posttraumatic stress, anxiety, depressive, and dissociative symptoms. Higher female representation in samples was associated with higher symptoms on all TSCC subscales except anger. In contrast, ethnic minority representation was associated with lower depressive symptoms. Moderator analyses revealed that sexual abuse, increased percentage of females, and older age were all associated with higher posttraumatic symptoms. The present meta‐analytic results help elucidate some of the divergent findings on symptom expression in youth exposed to traumatic events.  相似文献   

15.
目的:对头面部及双手电弧烧伤住院患者在伤后不同治疗阶段进行心理问卷调查,了解患者焦虑和抑郁的发生状况.方法:对20例成人头面部及双手电弧烧伤住院患者于入院初(伤后24 h内),扩创术前(伤后第5天)、恢复期(伤后2周~1个月)3个不同治疗阶段,采用Zung氏焦虑和抑郁评定量表进行心理问卷调查,统计分析存在焦虑、抑郁状态的存在情况.结果:20例患者在入院初(伤后24 h内)、扩创术前(伤后第5天)及恢复期(伤后2周~1个月)3个治疗阶段均存在焦虑或(和)抑郁倾向;患者在入院初(伤后24 h内)的焦虑和抑郁状况最明显,焦虑和抑郁评分(37.60±7.06和36.90±8.48)均明显高于扩创术前(33.45±6.15±和34.70±8.24)和恢复期(28.75±5.63和29.30±5.69),差异均有显著性(P均<0.05).结论:头面部及双手电弧烧伤住院患者伤后24 h内焦虑抑郁状态相对于其他诊疗阶段重,建议采取相应的心理护理干预措施.  相似文献   

16.
PURPOSE: Previous research has demonstrated that interstitial cystitis patients experience depressive symptoms and decrements to quality of life. However, to our knowledge the extent to which patients may be able to influence quality of life and depressive symptoms through coping strategies has not been investigated in this population. In a number of other chronic conditions specific coping strategies have been associated with the degree of impairment beyond disease severity. Therefore, the association of coping strategies with depressive symptoms, quality of life and self-reports of pain was assessed in patients with interstitial cystitis. MATERIALS AND METHODS: A total of 64 females with interstitial cystitis were recruited from a urology clinic at a tertiary medical center. Questionnaires assessing depression, quality of life, coping and symptom severity were completed and returned at a clinic appointment. Depression was also measured through a standardized semi-structured interview (Hamilton Rating Scale for Depression). All analyses controlled for age. RESULTS: Patients coping by greater catastrophizing reported greater impairments in various domains, including depressive symptoms, general mental health, social functioning, vitality and pain. Greater venting was associated with greater depressive symptoms and poorer mental health. Seeking instrumental social support was associated with fewer depressive symptoms. CONCLUSIONS: These findings suggest that maladaptive coping strategies are associated with higher levels of depressive symptoms and quality of life decrements in patients with this condition. Psychosocial interventions aimed at increasing adaptive coping may positively impact the female experience with interstitial cystitis.  相似文献   

17.
BackgroundAttention to and interpretation of symptoms are influenced by psychologic and contextual factors. Preoperative anxiety, and to some extent depression, has been found to predict the perceived impact of somatic symptoms 1 year after Roux-en-Y gastric bypass. Postoperative changes in negative affect may possibly both influence and be influenced by the perception of somatic symptoms.ObjectivesThis study aimed to explore whether preoperative anxiety and depressive symptoms correlated with perceived impact of somatic symptoms 3 years after Roux-en-Y gastric bypass. Second, we aimed to examine the 3-year trajectory of depressive and anxiety symptoms, and their interaction with perceived somatic symptoms postoperatively.SettingUniversity hospital.MethodsPresurgery, 1-, and 3-year postsurgery data were collected from 169 participants (62.4% follow-up). Anxiety and depressive symptoms were assessed at all time points. The participants reported the degree of perceived impact of various somatic symptoms 1 and 3 years after surgery. A cross-lagged, autoregressive regression analysis was employed to examine the mutual interaction of trajectories over the follow-up period.ResultsFatigue (30.8%) and dumping (23.7%) were common high-impact symptoms 3 years postoperatively. Higher baseline anxiety was associated with higher impact of fatigue, pain, and diarrhea, while depressive mood was related to higher impact of diarrhea at 3-year follow-up. Higher anxiety/depression symptoms were bidirectionally related to higher perceived total symptom impact at both 1 and 3 years postoperatively, controlling for percent total weight loss. Higher perceived impact of somatic symptom burden at 1 year after surgery predicted a significant increase in depressive symptoms the next 2 years.ConclusionBaseline anxiety was associated with higher perceived impact of several somatic symptoms 3 years after Roux-en-Y gastric bypass. Higher total symptom burden (pain, fatigue, dumping, diarrhea, and vomiting) at 1 year after surgery predicted increase in depression over the next 2 years. The results underscore the importance of managing somatic symptoms after surgery to prevent patients’ distress.  相似文献   

18.
This pilot study was an evaluation of an 8‐week exposure‐based therapy group targeting sexual trauma in incarcerated women, an underserved population with high rates of trauma exposure. Preliminary findings from 14 female prisoners showed significant decreases in depressive and anxiety symptoms from pre‐ to posttreatment. Of the women who were above the screening cutoff for possible posttraumatic stress disorder (PTSD; n = 13), depression (n = 12), and generalized anxiety disorder (GAD; n = 12) at pretreatment, approximately 60% had recovered, meaning they had symptom reductions that placed them below the cutoff at posttreatment (n = 8 for PTSD; n = 8 for depression, and n = 9 for GAD). In addition, 85% of participants reported a clinically significant reduction in depressive symptoms and 50% in GAD symptoms. The findings show promise for successful group treatment of sexual violence sequelae in incarcerated women.  相似文献   

19.
IntroductionNaturalmenopauseisconsistentlydefinedasthelastmenstrualperiod.Itisobservedretrospectivelyas12consecutivemonthsofa-menorrheawithuterusandatleastoneovaryintactandwithoutanidentifiablecausefora-menorrheaL1j.Itwasconservativelyestimatedthattherewereabout113.4miIlionwomenatagesof45andaboveinChinaby199OL2j.Ear-lynaturalmenopauseisapotentialbiologicmarkerofhealthandaging.TheageatmenopauseinindividualsmaybeobtainedbyperiodicaIlyaskingwomenaboutthepresenceofmenstrualcyclesL'j.oritmaybed…  相似文献   

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