多汗症患者焦虑抑郁状态及睡眠情况研究

目的 观察多汗症患者的焦虑、抑郁状态及睡眠情况,探讨多汗症与情绪之间的关系,为多汗症的认知及精神/心理治疗提供依据。方法 招募首都医科大学宣武医院皮肤科门诊多汗症患者,根据性别、年龄、学历、工作环境、工作性质等进行分组,应用焦虑抑郁量表(Hospital Anxiety and Depression Scale, HADS)及匹茨堡睡眠质量指数(Pittsburgh Sleep Quality Index, PSQI)量表评估患者焦虑、抑郁情况及睡眠情况。结果 本研究共纳入163例多汗症患者,焦虑症状阳性47人(28.83%),抑郁症状阳性146人(89.57%),睡眠障碍53人(32.52%),HADS焦虑、抑郁评分分别为(6.47±2.89)及(10.29±2.22)分,显著高于国内常模(P<0.05);PSQI评分(6.21±3.16)分,睡眠障碍者焦虑、抑郁评分分别为(8.13±3.49)及(9.51±2.22)分,焦虑症状阳性者PSQI得分高于阴性者(P<0.05);不同性别、年龄、学历、工作性质人群之间比较,焦虑、抑郁及睡眠情况差异无统计学意义(P>0.05),室内工作者PSQI评分较室外工作者高(P<0.05)。结论 多汗症患者存在明显焦虑、抑郁状态,且抑郁状态更为严重;睡眠障碍患者存在焦虑及抑郁状态,且焦虑患者普遍存在睡眠障碍;室内工作者睡眠质量较室外工作者差。

Assessment of anxiety,depression and sleep disorder on patients with hyperhidrosis

Objective To observe the anxiety, depression and sleep status of patients with hyperhidrosis,to explore the relationship between hyperhidrosis and emotions, so as to provide basis for cognitive and psychotherapy of hyperhidrosis. Methods Patients with hyperhidrosis in dermatology Department of Xuanwu Hospital were recruited and divided into groups according to gender, age, education background, working environment and nature of work. The state of anxiety, depression and sleep was assessed by using Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI). Results A total of 163 patients with hyperhidrosis were included in this study. There were 47 patients (28.83%) with positive anxiety symptoms, 146 patients (89.57%) with positive depression symptoms and 53 patients (32.52%) with sleep disorder. The scores of anxiety and depression of HADS were respectively (6.47±2.89) and (10.29±2.22), which were significantly higher than the domestic norm (P<0.05). PSQI score was(6.21±3.16). The scores of anxiety and depression for sleep disorders were(8.13±3.49)and(9.51±2.22). The PSQI score of patients with positive anxiety symptoms was higher (P<0.05). There were no significant differences in anxiety, depression and sleep among patients with different gender, age, education background and work environment (P>0.05). PSQI score of indoor workers was higher than that of outdoor workers(P<0.05). Conclusion Patients with hyperhidrosis have significant anxiety and depression, and the depression is more serious. Patients with sleep disorders had anxiety and depression. Anxiety patients generally have sleep disorders. The sleep quality of indoor workers was worse than that of outdoor workers.