倪仁杰,仲莉梅,张君,吕金鹏,王宁波,卞卡
NI Renjie,ZHONG Limei,ZHANG Jun,LYV Jinpeng,WANG Ningbo,BIAN Ka

• 1:西安市空军军医大学第二附属医院唐都医院耳鼻咽喉科

摘要(Abstract)：

目的 分析过敏性鼻炎（AR）患者抑郁、焦虑状况及其影响因素。方法 506例AR患者，收集性别、体质量指数（BMI）、教育程度、婚姻状况、月收入、合并疾病、家族过敏史、症状发作时间及发病季节性等资料；采用抑郁自评量表（SDS）评估AR患者抑郁状况、焦虑自评量表（SAS）评估AR患者焦虑状况；对AR患者抑郁、焦虑影响因素进行单因素和多因素分析。结果 AR患者抑郁、焦虑检出率分别为21.3%和23.7%，单因素分析结果显示，有无抑郁AR患者教育程度、婚姻状况、月收入状况、症状发作时间及童年逆境比较，差异有统计学意义（P<0.05）；有无焦虑AR患者教育程度、婚姻状况、月收入状况比较，差异有统计学意义（P<0.05）；多因素分析结果显示，教育程度是AR患者抑郁、焦虑的保护因素，月收入状况是AR患者焦虑的保护因素；症状发作时间和父母离婚状况是AR患者抑郁的危险影响，婚姻状况是AR患者焦虑的危险因素。结论 症状发作时间、父母离婚状况及教育程度是AR患者抑郁的影响因素，教育程度、月收入状况及婚姻状况是AR患者焦虑的影响因素。
Objective To observe the depression and anxiety of patients with allergic rhinitis(AR)and its influencing factors.Methods Data of 506 AR patients were collected, including gender,Body Mass Index(BMI), education level, marital status, monthly income, concomitant diseases,family history of allergy, onset time and seasonality of symptoms. Self-rating Depression Scale(SDS)and Self-rating Anxiety Scale(SAS) were used to evaluate the depression status of AR patients. The influence factors of depression and anxiety in AR patients were evaluated by univariate and multivariate analysis.Results The positive rates of depression and anxiety in AR patients were 21. 3% and 23. 7%, respectively;univariate analysis showed that there were statistically significant differences in education level, marital status, monthly income, symptom onset time, and childhood adversity among AR patients with or without depression(P< 0. 05). There were statistically significant differences in education level, marital status and monthly income of AR patients with or without anxiety(P< 0. 05).Multivariate analysis showed that education level was a protective factor for depression and anxiety in AR patients, and monthly income was a protective factor for anxiety in AR patients. The timing of symptom onset and parental divorce status were the risk factors for depression in AR patients. Marital status is a risk factor for anxiety in AR patients.Conclusion The time of symptom onset, parental divorce status and education level are the influencing factors of depression in AR patients, while education level, monthly income status and marital status are the influencing factors of anxiety in AR patients.

关键词(KeyWords)： 过敏性鼻炎;抑郁;焦虑;童年逆境;教育程度
allergic rhinitis(AR);depression;anxiety;childhood adversity;education level

Abstract:

Keywords:

基金项目(Foundation):

作者(Author): 倪仁杰,仲莉梅,张君,吕金鹏,王宁波,卞卡
NI Renjie,ZHONG Limei,ZHANG Jun,LYV Jinpeng,WANG Ningbo,BIAN Ka

DOI: 10.19367/j.cnki.2096-8388.2022.03.016

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