王双志 1曹飞虎 1王柳 1何佳蔚 2邹欣 1张弟文1
作者信息
- 1. 四川省精神卫生中心·绵阳市第三人民医院,四川 绵阳 621000
- 2. 川北医学院精神卫生学院,四川 南充 637000
- 折叠
摘要
Abstract
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.关键词
前庭神经炎/抑郁症状/前庭症状Key words
Vestibular neuritis/Depressive symptoms/Vestibular symptoms分类
医药卫生
