围绝经期女性糖尿病患者抑郁情绪与雌激素、血糖控制情况、人格特质以及知觉压力的关系

Relationship Between Depression, Estrogen,blood sugar control,Personality Traits and Perceived Stress In Perimenopausal Women With Diabetes

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2023, 50(1)
作者
作者单位

许昌市中心医院 ;

摘要
【摘要】探讨围绝经期女性糖尿病患者抑郁情绪与人格特质、知觉压力的关系。方法 选择2020年1月~2022年1月100例围绝经期女性糖尿病患者为研究对象,采用抑郁自评量表(SDS)评估患者抑郁情绪,并设为抑郁组与非抑郁组。评估并比较两组患者一般资料、艾森克人格测验量表(EPQ)以及知觉压力量表(CPSS),并采用多因素Logistic回归分析调查抑郁症影响因素。结果 100例围绝经期女性糖尿病患者SDS评分平均(44.98±8.23)分,>53分32例,抑郁率32.00%,抑郁组、非抑郁组年龄、文化程度、糖尿病病程、血清催乳素(PRL)、孕酮(P)差异无统计学意义(P>0.05),抑郁组血清雌二醇(E2)水平显著低于非抑郁组,糖化血红蛋白(HbA1c)显著高于非抑郁组,(P<0.05);抑郁组EPQ量表中外向性、人格稳定性评分显著低于非抑郁组,精神病性、神经质评分显著高于非抑郁组,(P<0.05);抑郁组CPSS量表中失控感、紧张感评分均显著高于非抑郁组,(P<0.05); EPQ量表中外向性、人格稳定性、精神病性、神经质、CPSS量表中失控感、紧张感、血清E2水平、HbA1c是围绝经期女性糖尿病患者抑郁情绪的影响因素,(P<0.05)。结论 围绝经期女性糖尿病患者抑郁情绪较为普遍,可能受到雌激素、糖尿病控制情况、精神病性、神经质等人格特质以及知觉压力的影响。
Abstract
[Abstract] Objective To explore the relationship between depression, personality traits and perceived stress in perimenopausal women with diabetes mellitus. Methods A total of 100 perimenopausal women with diabetes from January 2020 to January 2022 were selected as the study subjects. Self-rating depression scale (SDS) was used to evaluate the depression of patients, and they were divided into the depression group and the non-depression group. The general data, Eysenck Personality Scale (EPQ) and Perceived Stress Scale (CPSS) were evaluated and compared between the two groups. Multivariate logistic regression analysis was used to investigate the influencing factors of depression. Results The average SDS score of 100 perimenopausal women with diabetes was (44.98±8.23) points, 32 cases were more than 53 points, and the depression rate was 32.00%. There was no significant difference in age, duration of diabetes, and educational level between the depression,non-depression groups, prolactin (PRL) and progesterone (P) (P>0.05), The level of serum estradiol (E2) in the depression group was significantly lower than that in the non-depressed group, and the glycated hemoglobin (HbA1c) was significantly higher than that in the non-depressed group (P<0.05).The scores of extraversion and personality stability in the EPQ scale of the depression group were significantly lower than those of the non-depressed group, and the scores of psychosis and neuroticism were significantly higher than those of the non-depressed group (P<0.05). The feeling of loss of control and tension in the CPSS scale of the depression group were significantly higher than those of the non-depressed group (P<0.05). Extraversion, personality stability, psychoticism, neuroticism in EPQ, sense of loss of control, tension in CPSS, serum E2 level, and HbA1c were the influencing factors of depression in perimenopausal women with diabetes (P<0.05). Conclusion Depression is more common in perimenopausal women with diabetes, which may be affected by Estrogen, diabetes control,psychosis, neuroticism and other personality traits, as well as perceived stress.
关键词
关键词:围绝经期;女性;糖尿病;抑郁情绪;人格特质;知觉压力;雌激素;糖化血红蛋白
KeyWord
Key words Perimenopause; Women; Diabetes; Depressed Mood; Personality Traits; Perceived Stress;Estrogen;glycosylated hemoglobin
基金项目
页码 102-104
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寇小兵*. 围绝经期女性糖尿病患者抑郁情绪与雌激素、血糖控制情况、人格特质以及知觉压力的关系 [J]. 国际精神病学杂志. 2023; 50; (1). 102 - 104.

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