中华皮肤科杂志 ›› 2012, Vol. 45 ›› Issue (9): 665-667.

• 研究报道 • 上一篇    下一篇

采用AIS、SAS、HAMD对469例痤疮患者进行心理评估

杨小燕1,吴文娟1,李薇2,杨成3,杨智3,何黎4   

  1. 1. 昆明医学院第一附属医院
    2. 昆明医学院第一附属医院医务科
    3. 昆明医学院第一附属医院皮肤科
    4. 昆明市昆明医学院第一附属医院皮肤科
  • 收稿日期:2011-09-14 修回日期:2012-03-17 出版日期:2012-09-15 发布日期:2012-08-31
  • 通讯作者: 何黎 E-mail:Heli2662@yahoo.com.cn
  • 基金资助:

    国家自然科学基金地区科学基金项目

Psychological evaluation of 469 patients with acne by using Athens insomnia scale, self-rating anxiety scale and Hamilton depression scale

  • Received:2011-09-14 Revised:2012-03-17 Online:2012-09-15 Published:2012-08-31

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摘要：

目的 探讨痤疮对患者心理的影响。方法 对469例痤疮患者和175例健康对照进行问卷调查，使用睡眠自测量表（AIS）、焦虑自评量表（SAS）、Hamilton抑郁他评量表（HAMD）分别评价患者与健康对照失眠、焦虑、抑郁状况，并通过秩和检验进行比较。结果 痤疮患者组AIS（Z = 4.014，P ＜ 0.01）、SAS（Z = 3.426，P < 0.01）、HAMD（Z = 8.664，P ＜ 0.01）评分均高于健康对照组，其中失眠、焦虑、抑郁在痤疮患者中的发生率分别为34.9%、0.7%、2.9%。痤疮组296例女性患者AIS评分比173例男性高（Z = 2.009，P < 0.05），而SAS、HAMD评分差异无统计学意义（P值均 > 0.05）；不同发病年龄段间（< 15岁、15 ~ 25岁、> 25岁）患者失眠、焦虑、抑郁发生率差异无统计学意义（P > 0.05）；重度痤疮患者HAMD评分较轻度痤疮患者高（Z = 1.826，P < 0.01），而AIS、SAS评分差异无统计学意义（P > 0.05）。结论 痤疮影响患者的睡眠、焦虑、抑郁情绪，从而影响患者的心理健康，尤其是重度痤疮患者与女性痤疮患者的心理更容易受疾病影响。

关键词: 抑郁

Abstract:

Objective To evaluate the psychological impact of acne on patients. Methods A questionnaire survey was conducted among 469 patients with acne and 175 healthy controls. Athens insomnia scale（AIS）, self-rating anxiety scale（SAS） and Hamilton depression scale（HAMD） were used to estimate the prevalence of insomnia, anxiety and depression respectively in these subjects. Rank sum test was performed to compare the differences in psychological status between the patients and controls. Results Increased AIS, SAS and HAMD scores were observed in the patients with acne compared with the healthy controls（Z = 4.014, 3.426, 8.664, respectively, all P ＜ 0.01）. The incidence of insomnia, anxiety and depression was 34.9%, 0.7% and 2.9% respectively in the patients with acne, with no significant differences between patients in different age groups （< 15 years, 15-25 years, > 25 years, all P > 0.05）. A significant increase was observed in AIS score in 296 female patients compared with 173 male patients（Z = 2.009, P < 0.05）, and in HAMD score in patients with severe acne compared with those with mild acne（Z = 3.739, P < 0.01）. There was no statistical difference in SAS or HAMD score between the male and female patients, or in AIS or SAS score between patients with severe and mild acne. Conclusions Acne could affect the sleep, anxiety and depression emotions in patients, and exert a negative psychological impact on patients, which seems more apparent in patients with severe acne and female patients.

Key words: Depression