围绝经期潮热妇女焦虑与抑郁状况的分析

目的:探讨围绝经期前后妇女潮热与焦虑、抑郁之间的关系。方法:将符合条件的1 206名40~60岁妇女分为潮热组、无潮热组,分别完成调查问卷。问卷具体内容包括一般情况、潮热状况、焦虑自评量表(SAS)、抑郁自评量表(SDS)。结果:潮热组妇女SAS和SDS的平均值高于无潮热组妇女(SAS:39.8±7.3 vs 36.0±6.1;SDS:44.1±8.3 vs 40.9±8.9,P均<0.05),潮热组轻度焦虑和抑郁的发生率明显高于无潮热组(焦虑:8.3%vs 3.4%;抑郁:23.3%vs 14.2%,P均<0.05)。潮热妇女焦虑、抑郁的发生风险分别是无潮热妇女的4.1倍(95%CI,1.20~13.74)、2.4倍(95%CI,1.15~4.92)。重度潮热妇女较轻度潮热妇女SAS和SDS得分均高(SAS:46.4±7.9 vs 38.8±6.6;SDS:43.9±6.9 vs 52.7±12.5,P均<0.05)。潮热妇女的月经状况与SAS和SDS得分无关。结论:围绝经期潮热妇女易发生焦虑、抑郁症状,且重度潮热妇女更易发生。对妇女进行潮热治疗时,还应对妇女进行心理疏导。

Relation between Hot Flashes and Anxiety,Depression among Climacteric Women

Objective: To explore the relation of hot flashes,anxiety and depression among climacteric women.Methods: A total of 1 206 eligible women aged 40-60 years were divided into hot flashes group and no hot flashes group.All women were asked to finish the questionnaire.The content of questionnaire included general situation,hot flashes,anxiety(SAS) and depression(SDS) self-rating scale.Results: The mean scores of SAS and SDS in hot flashes group were higher than those in no hot flashes group(SAS: 39.8±7.3 vs 36.0±6.1;SDS: 44.1±8.3 vs 40.9±8.9,all P<0.05).The incidences of mild anxiety and mild depression were obviously higher than those in no hot flashes group(anxiety: 8.3% vs 3.4%;depression: 23.3% vs 14.2%;all P< 0.001).The risk of anxiety,depression among hot flashes group were 4.1-fold(OR=4.07,95%CI: 1.20-13.74) and 2.4-fold(OR=2.38,95%CI: 1.15-4.92) compared with no hot flashes group,respectively.The mean scores of SAS and SDS in women with severe anxiety and depression were obviously higher than those in women with mild anxiety and depression(SAS: 46.4±7.9 vs 38.8±6.6;SDS: 43.9±6.9 vs 52.7±12.5,P<0.05).Conclusion: The climacteric women with hot flashes have anxiety and depression symptom easily,especially women with severe anxiety and depression.The women need psychological counseling when being treated hot flashes.