Analysis of anxiety and depression status and their influencing factors in patients with diabetic retinopathy.

IF 3.9 4区医学 Q1 PSYCHIATRY World Journal of Psychiatry Pub Date : 2024-12-19 DOI:10.5498/wjp.v14.i12.1905

Sheng Gao, Xia Liu

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Abstract

Background: Diabetic retinopathy (DR) is a common complication of diabetes and the leading cause of visual impairment and blindness. It has a serious impact on the mental and physical health of patients.

Aim: To evaluate the anxiety and depression status of patients with DR, we examined their influencing factors.

Methods: Two hundred patients with DR admitted to the outpatient and inpatient departments of ophthalmology and endocrinology at our hospital were selected. A questionnaire was conducted to collect general patient information. Depression and anxiety were assessed using the Patient Health Questionnaire-9 and Seven-item Generalized Anxiety Disorder scale, respectively. The diabetes specific quality of life scale and Social Support Rating Scale were used to assess the quality of life of patients with DR and their social support, respectively. Logistic regression analysis was used to assess the correlations.

Results: The prevalence of depression and anxiety were 26% (52/200) and 14% (28/200), respectively. Regression analysis revealed that social support was associated with depression [odds ratio (OR) = 0.912, 95% confidence interval (CI): 0.893-0.985] and anxiety (OR = 0.863, 95%CI: 0.672-0.994). Good quality of life (diabetes specific quality of life scale score < 40) was a protective factor against anxiety (OR = 0.738, 95%CI: 0.567-0.936) and depression (OR = 0.573, 95%CI: 0.4566-0.784). Visual impairment significantly increased the likelihood of depression (OR = 1.198, 95%CI: 1.143-1.324) and anxiety (OR = 1.746, 95%CI: 1.282-2.359). Additionally, prolonged diabetes duration and history of hypertension were significant risk factors for both conditions, along with a family history of diabetes.

Conclusion: Key factors influencing anxiety and depression in patients with DR include social support, quality of life, visual impairment, duration of diabetes, family history of diabetes, and history of hypertension.

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糖尿病视网膜病变患者焦虑、抑郁状况及其影响因素分析。

背景：糖尿病视网膜病变（DR）是糖尿病的常见并发症，也是导致视力损害和失明的主要原因。严重影响患者的身心健康。目的：探讨DR患者焦虑、抑郁状况的影响因素。方法：选取我院眼科、内分泌科门诊、住院的DR患者200例。进行问卷调查以收集患者的一般信息。抑郁和焦虑分别使用患者健康问卷-9和7项广泛性焦虑障碍量表进行评估。采用糖尿病特异性生活质量量表和社会支持评定量表分别对DR患者的生活质量和社会支持进行评估。采用Logistic回归分析评估相关性。结果：抑郁和焦虑的患病率分别为26%（52/200）和14%（28/200）。回归分析显示，社会支持与抑郁[比值比(OR) = 0.912, 95%可信区间（CI）： 0.893 ~ 0.985]和焦虑（OR = 0.863, 95%可信区间（CI）： 0.672 ~ 0.994）相关。良好的生活质量（糖尿病特异性生活质量量表评分< 40）是预防焦虑（OR = 0.738, 95%CI: 0.567-0.936）和抑郁（OR = 0.573, 95%CI: 0.4566-0.784）的保护因素。视觉障碍显著增加抑郁（OR = 1.198, 95%CI: 1.143-1.324）和焦虑（OR = 1.746, 95%CI: 1.282-2.359）的可能性。此外，糖尿病病程延长、高血压史以及糖尿病家族史是这两种情况的重要危险因素。结论：影响DR患者焦虑和抑郁的关键因素包括社会支持、生活质量、视力损害、糖尿病病程、糖尿病家族史和高血压史。

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来源期刊

World Journal of Psychiatry PSYCHIATRY-

自引率

6.50%

发文量

110

期刊介绍： The World Journal of Psychiatry (WJP) is a high-quality, peer reviewed, open-access journal. The primary task of WJP is to rapidly publish high-quality original articles, reviews, editorials, and case reports in the field of psychiatry. In order to promote productive academic communication, the peer review process for the WJP is transparent; to this end, all published manuscripts are accompanied by the anonymized reviewers’ comments as well as the authors’ responses. The primary aims of the WJP are to improve diagnostic, therapeutic and preventive modalities and the skills of clinicians and to guide clinical practice in psychiatry.