王双志,曹飞虎,王柳,何佳蔚,邹欣,张弟文.前庭神经炎住院患者抑郁症状的影响因素[J].四川精神卫生杂志,2024,37(6):557-561.Wang Shuangzhi,Cao Feihu,Wang Liu,He Jiawei,Zou Xin,Zhang Diwen,Influencing factors of depressive symptoms in patients with vestibular neuritis[J].SICHUAN MENTAL HEALTH,2024,37(6):557-561

前庭神经炎住院患者抑郁症状的影响因素

Influencing factors of depressive symptoms in patients with vestibular neuritis

投稿时间：2024-01-14

DOI：10.11886/scjsws20240114001

中文关键词: 前庭神经炎抑郁症状前庭症状

英文关键词:Vestibular neuritis Depressive symptoms Vestibular symptoms

基金项目:

作者	单位	邮编
王双志	四川省精神卫生中心·绵阳市第三人民医院，四川绵阳 621000	621000
曹飞虎	四川省精神卫生中心·绵阳市第三人民医院，四川绵阳 621000	621000
王柳	四川省精神卫生中心·绵阳市第三人民医院，四川绵阳 621000	621000
何佳蔚	川北医学院精神卫生学院，四川南充 637000	637000
邹欣	四川省精神卫生中心·绵阳市第三人民医院，四川绵阳 621000	621000
张弟文^*	四川省精神卫生中心·绵阳市第三人民医院，四川绵阳 621000	621000

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中文摘要:

背景前庭神经炎是临床常见的急性外周性眩晕疾病，部分患者可能存在不同程度的负性情绪，并可能导致前庭神经炎慢性化加剧，影响预后。前庭神经炎患者的心理健康状况及其影响因素有待进一步研究。目的探讨前庭神经炎患者抑郁症状与前庭症状的关系及其影响因素，为患者的临床干预提供参考。方法纳入2021年6月—2023年6月在绵阳市第三人民医院神经内科住院治疗的前庭神经炎患者86例。采用汉密尔顿抑郁量表17项版（HAMD-17）、眩晕评定量表（DARS）以及眩晕残障量表（DHI）进行评定。根据HAMD-17评分，将患者分为抑郁症状组（n=46）和无抑郁症状组（n=40）。采用Pearson相关分析考查抑郁症状组各量表评分之间的相关性，采用二元Logistic回归分析探讨患者抑郁症状的影响因素。结果检出46例（53.49%）前庭神经炎患者存在抑郁症状。抑郁症状组和无抑郁症状组的年龄、病程、受教育年限、DARS评分和DHI评分比较，差异均有统计学意义（t=4.512、4.921、2.712、3.529、5.471，P均<0.01）。抑郁症状组HAMD-17评分与DARS评分、DHI评分均呈正相关（r=0.345、0.335，P均<0.01）。二元Logistic回归分析结果显示，年龄（OR=4.352，95% CI：1.520~12.462）、病程（OR=3.772，95% CI：1.339~10.630）、受教育年限（OR=0.074，95% CI：0.235~0.923）、DARS评分（OR=1.213，95% CI：0.405~3.628）和DHI评分（OR=3.619，95% CI：1.246~10.514）是患者抑郁症状的影响因素。结论前庭神经炎患者的抑郁症状与前庭症状呈正相关。患者年龄、病程以及前庭症状严重程度是前庭神经炎患者抑郁症状的危险因素，受教育年限是前庭神经炎患者抑郁症状的保护因素。

英文摘要:

Background Vestibular neuritis is a common clinical acute peripheral vertigo disorder. Some patients may experience negative emotions states， leading to chronic exacerbation of vestibular neuritis and a poorer prognosis. Further research is needed to understand the psychological state of patients with vestibular neuritis and its influencing factors.Objective To explore the relationship between depressive symptoms and vestibular symptoms in patients with vestibular neuritis and its influencing factors， so as to provide references for clinical intervention.Methods A total of 86 patients with vestibular neuritis， hospitalized in the Department of Neurology of the Third Hospital of Mianyang from June 2021 to June 2023， were included in the study. Assessments were conducted using the Hamilton Depression Scale-17 item （HAMD-17）， Dizziness Assessment Rating Scale （DARS） and Dizziness Handicap Inventory （DHI）. Patients were divided into depression group（n=46） and non-depression group（n=40） based on HAMD-17 score. Pearson correlation analysis was used to examine the correlation among each scale score. Binary Logistic regression was used to identify influencing factors for depressive symptoms.Results Among the 86 patients， 46 （53.49%） exhibited depressive symptoms. Statistically significant differences were observed between depression group and non-depression group in terms of age， disease duration， years of education， DARS score and DHI score （t=4.512， 4.921， 2.712， 3.529， 5.471， P<0.01 ）. In depression group， HAMD-17 score was positively correlated with DARS score and DHI score （r=0.345， 0.335， P<0.01）. Binary Logistic regression analysis showed that age （OR=4.352， 95% CI： 1.520~12.462）， disease duration（OR=3.772， 95% CI： 1.339~10.630）， years of education （OR=0.074， 95% CI： 0.235~0.923）， DARS score （OR=1.213， 95% CI： 0.405~3.628） and DHI score （OR=3.619， 95% CI： 1.246~10.514） were the influencing factors of depressive symptoms among patients with vestibular neuritis.Conclusion Depressive symptoms in patients with vestibular neuritis are positively correlated with vestibular symptoms. Risk factors for depressive symptoms in patients with vestibular neuritis include age， disease duration， DARS score and DHI score， while years of education serve as a protective factor.

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