摘要
目的研究心理因素（主要指焦虑抑郁状态）与代谢综合征（metabolic syndrome,MS）的关系及不同心理问题（主要指焦虑、抑郁、焦虑抑郁）合并MS的差异。方法采用Zung氏焦虑/抑郁自评量表（SAS/SDS）对2014年7月-2015年7月就诊于健康管理研究院的938例住院查体者（18-80岁）进行调查,根据SAS/SDS得分分为对照组（共647例）与疾病组（共291例,其中焦虑状态50例,抑郁状态137例,焦虑抑郁状态104例）,比较两组以及不同心理问题间合并MS的差异。结果疾病组与对照组MS患病率差异有显著统计学意义（27.5%vs 1.2%,P〈0.05,OR=1.14）,但3种心理问题间MS患病率差异无统计学意义（P〉0.05）;女性患者中,疾病组与对照组MS患病率差异具有显著统计学差异（20.1%vs 8.2%,P〈0.01,OR=2.83）,在男性患者中,疾病组与对照组MS患病率差异无统计学意义（P〉0.05）,无论是在男性还是女性中,3种心理问题间MS患病率差异无统计学意义（P〉0.05）。结论焦虑抑郁状态可以促进MS发生,焦虑、抑郁、焦虑抑郁状态在促进MS发生上作用相当;女性合并焦虑抑郁状态能增加MS的患病风险。
Objective To investigate the association between affective disorders and metabolic syndrome （MS） and the difference among three types of psychological problems （anxiety,depression,anxiety and depression） in MS. Methods To use Self- Rating Anxiety/Depression Scale （SAS/SDS,Zung） measure the status of anxiety and depression of cases hospitalized from July 2014 to July 2015. a total of 938 cases accepted the survey and were divided as control group （647 cases） and case group （anxiety 50 cases,depression 137 cases,anxiety and depression 104 cases） via the scores of SAS and SDS. Compare the difference of MS between the two groups and among the three types of psychological problems. Results MS proportion were different between the two groups （27.5% vs 1.2%,P 〈 O.05,OR = 1.14）,but not among the three types of psychological problems （P 〉 0.05）. b.MS proportion were significant different between the two groups （20.1% vs 8.2%,P 〈 0.01 ,OR = 2.83） in females while similar in males（P 〉 0.05）.but no difference was found among the three types of psychological problems in any sex. Conclusion Affective disorders could promote MS,which have no difference among the three types of psychological problems. Females with affective disorders may increase their risk in MS.
出处
《中华保健医学杂志》
2016年第2期131-133,共3页
Chinese Journal of Health Care and Medicine
