卵巢早衰与焦虑抑郁的相关性研究

The correlation between premature ovarian failure and anxiety and depression

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2017, 44(5)
作者
作者单位

延安大学附属医院妇产科生殖中心 ;
延安大学附属医院产科 ;
延安大学附属医院妇科 ;

摘要
【摘要】 探讨卵巢早衰与焦虑抑郁的相关性。方法 以2014年2月—2016年6月我院收治的90例卵巢早衰患者(记为观察组)和同期于我院体检的60例健康志愿者(记为健康组)为研究对象,采用我院焦虑抑郁量表对2组研究对象焦虑抑郁症状[医院焦虑抑郁量表(HADS)评分]进行评估,采用电化学发光法测定卵巢早衰患者不同时期血清激素[雌二醇(E2)、泌乳素(PRL)]变化,比较2组心理弹性量表(CD-RISC)评分,采用Sperman相关性分析卵巢早衰与焦虑抑郁的相关性。结果 观察组焦虑评分、抑郁评分均较健康组明显高,差异有统计学意义(P<0.05);卵巢早衰绝经期过渡期及绝经后期患者血清E2、PRL水平较生育期明显低,差异具有统计学意义(P<0.05);经Sperman相关性分析显示卵巢早衰患者焦虑、抑郁得分与血清E2、PRL水平无明显相关性(P>0.05)但卵巢早衰患者焦虑、抑郁与其心理弹性呈显著负相关(P<0.05)。结论 卵巢早衰常并发焦虑抑郁症状,而卵巢早衰患者的心理弹性与焦虑抑郁呈明显的负相关,卵巢早衰的诊治应当由以往的生物医学模式逐渐转变为生物-社会及心理模式。
Abstract
Affiliated Hospital of Yanan University Shanxi yanan,716000[Abstract] Objective To investigate the correlation between premature ovarian failure (POF) and anxiety and depression.Methods90 cases of patients with POF treated in our hospital during February 2014 to June 2016(observation group) and 60 healthy volunteers who were examined in our hospital during the same period (the healthy group) were selected as the subjects. The anxiety and depression symptoms in the two groups were evaluated with the Hospital Anxiety and Depression Scale(HADS), and changes of serum hormones [estradiol (E2), prolactin (PRL)] were determined by electrochemiluminescence method. The Connor-Davidson Resilience Scale (CD-RISC) scores were compared between the two groups, and the correlation between POF and anxiety and depression was analyzed by Sperman correlation analysis.Results The anxiety score and depression score of the observation group were higher than those of the healthy group(P< 0.05). The levels of serum E2 and PRL in patients with POF in menopausal transitional period and postmenopausal period were significantly lower than those in the child-bearing period(P< 0.05). Sperman correlation analysis showed that there was no obvious correlation between anxiety and depression scores and serum E2 and PRL levels in patients with POF (P> 0.05) butanxiety and depression were negatively correlated with resilience (P< 0.05).Conclusion POF is often associated with anxiety and depression symptoms, and the resilience of patients with POF is obviously negatively related to anxiety and depression. The diagnosis and treatment of POF shall be gradually changed from the biomedical patternto bio-social and psychological model.
关键词
【关键词】卵巢早衰;焦虑;抑郁;激素;相关性
KeyWord
[Keywords] Premature ovarian failure; Anxiety; Depression; Hormone; Correlation
基金项目
页码 870-872
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张媛媛,黑江荣,袁秀红,李红梅,李红霞*. 卵巢早衰与焦虑抑郁的相关性研究 [J]. 国际精神病学杂志. 2017; 44; (5). 870 - 872.

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