关键词: Scleroderma TCM constitution anxiety care patterns depression suicidal ideation systemic sclerosis

来  源:   DOI:10.3389/fnint.2023.1052683   PDF(Pubmed)

Abstract:
UNASSIGNED: Care patterns and Traditional Chinese Medicine (TCM) constitution affects the emotion and health of patients with systemic sclerosis (SSc) while the prevalence of COVID-19 may aggravate such patients\' emotion and health. We investigated the depression and anxiety levels of patients with SSc during the pandemic to identify the correlation between care patterns, TCM constitution, and patients\' emotion.
UNASSIGNED: This was a cross-sectional study. Patients with SSc and healthy individuals were surveyed using the patient health questionnaire-9, generalized anxiety disorder-7, and constitution in Chinese medicine questionnaire and a modified care pattern questionnaire. Factors correlated with depression and anxiety were screened using univariate and multivariate logistic regression analyses.
UNASSIGNED: A total of 273 patients with SSc and 111 healthy individuals were included in the analysis. The proportion of patients with SSc who were depressed was 74.36%, who had anxiety was 51.65%, and who experienced disease progression during the pandemic was 36.99%. The proportion of income reduction in the online group (56.19%) was higher than that in the hospital group (33.33%) (P = 0.001). Qi-deficiency [adjusted odds ratio (OR) = 2.250] and Qi-stagnation (adjusted OR = 3.824) constitutions were significantly associated with depression. Remote work during the outbreak (adjusted OR = 1.920), decrease in income (adjusted OR = 3.556), and disease progression (P = 0.030) were associated with the occurrence of depression.
UNASSIGNED: Chinese patients with SSc have a high prevalence of depression and anxiety. The COVID-19 pandemic has changed the care patterns of Chinese patients with SSc, and work, income, disease progression, and change of medications were correlates of depression or anxiety in patients with SSc. Qi-stagnation and Qi-deficiency constitutions were associated with depression, and Qi-stagnation constitution was associated with anxiety in patients with SSc.
UNASSIGNED: http://www.chictr.org.cn/showproj.aspx?proj=62301, identifier ChiCTR2000038796.
摘要:
未经证实:护理模式和中医体质影响系统性硬化症(SSc)患者的情绪和健康,而COVID-19的流行可能会加重此类患者的情绪和健康。我们调查了SSc患者在大流行期间的抑郁和焦虑水平,以确定护理模式之间的相关性。中医体质,和病人的情绪。
未经评估:这是一项横断面研究。使用患者健康问卷-9,广泛性焦虑症-7以及中医问卷和改良护理模式问卷中的体质对SSc患者和健康个体进行调查。使用单因素和多因素逻辑回归分析筛选与抑郁和焦虑相关的因素。
未经评估:共有273名SSc患者和111名健康人纳入分析。SSc患者中抑郁的比例为74.36%,有焦虑的人是51.65%,在大流行期间经历疾病进展的人占36.99%。在线组收入减少比例(56.19%)高于医院组(33.33%)(P=0.001)。气虚[调整比值比(OR)=2.250]和气滞(调整OR=3.824)体质与抑郁症显著相关。疫情期间的远程工作(调整后的OR=1.920),收入减少(调整后OR=3.556),疾病进展(P=0.030)与抑郁症的发生有关。
UNASSIGNED:中国SSc患者抑郁和焦虑的患病率较高。COVID-19大流行改变了中国SSc患者的护理模式,和工作,收入,疾病进展,和药物的改变与SSc患者的抑郁或焦虑相关。气滞和气虚体质与抑郁症有关,SSc患者的焦虑与气滞体质有关。
UNASSIGNED:http://www。chictr.org.cn/showproj.aspx?proj=62301,标识符ChiCTR2000038796。
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