糖尿病视网膜病变与焦虑抑郁状态的相关性

随着社会发展与生活水平的提高，人们越来越重视心理健康对疾病的影响及其之间的相互作用。糖尿病是最常见的基础性疾病之一，糖尿病人群中常伴随抑郁症、焦虑症的发生。糖尿病还存在诸多并发症，如糖尿病视网膜病变(DR)。DR是糖尿病患者视力丢失的主要原因，视力丢失不可避免地会加重患者的焦虑和/或抑郁，而焦虑和/或抑郁可能直接或间接影响DR的治疗或病情进展。本文综述了如何判断DR患者的焦虑、抑郁状态及相关测评工具和方法，同时讨论了焦虑、抑郁状态与DR治疗的相互作用，旨在提高对DR患者心理健康状态的重视，增强医患沟通，建立医患信任，以期为提高DR患者的治疗依从性和临床疗效，改善患者的生活质量提供帮助。

Association of diabetic retinopathy with anxiety and depression

As society advances and living standards improve, there is a growing emphasis on the impact of mental health on illness and the interaction between them. Diabetes mellitus is one of the most common underlying diseases, and it is often accompanied by depression and anxiety. There are also many complications of diabetes, such as diabetic retinopathy(DR). DR is the leading cause of vision loss in diabetes. Vision loss inevitably increases anxiety and/or depression, which in turn may directly or indirectly affect the treatment or progression of patients with DR. This article reviews how to determine the anxiety and depression status of patients with DR, related assessment tools and methods, and their interaction with the treatment of DR. The interaction of anxiety-depressive states with DR treatment was also discussed. This review aims to raise awareness of the mental health of patients with DR, enhance doctor-patient communication and build doctor-patient trust, thus enhancing treatment adherence and clinical efficacy for individuals with DR and helping them to improve the quality of life.