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首页> 美国卫生研究院文献>International Journal of Environmental Research and Public Health >Affects of Anxiety and Depression on Health-Related Quality of Life among Patients with Benign Breast Lumps Diagnosed via Ultrasonography in China
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Affects of Anxiety and Depression on Health-Related Quality of Life among Patients with Benign Breast Lumps Diagnosed via Ultrasonography in China

机译：焦虑和抑郁对超声诊断的良性乳腺肿块患者健康相关生活质量的影响

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摘要

There is a high incidence of benign breast lumps among women, and these lumps may lead to physical and psychological problems. This study aims to evaluate anxiety and depressive symptoms among patients with benign breast lumps diagnosed via ultrasonography and investigate their impacts on health-related quality of life (HRQOL). A cross-sectional survey was conducted in Shenyang, China, from January to November 2013. Data were collected with self-administered questionnaires, including the Zung Self-Rating Anxiety Scale (SAS), the Center for Epidemiologic Studies Depression Scale (CES-D), and the 36-item Short-Form Health Survey (SF-36), together with demographic characteristics, from patients of the Department of Breast Surgery of the First Affiliated Hospital of China Medical University. Hierarchical multiple regression analysis (HMR) was performed to explore the effects of anxiety and depression on HRQOL. The overall prevalences of anxiety (SAS score ≥ 40) and depression (CES-D scores ≥ 16) were 40.2% and 62.0%, respectively, and 37.5% of the participants had both of these psychological symptoms. The means and standard deviations of PCS and MCS were 75.42 (15.22) and 68.70 (17.71), respectively. Anxiety and depressive symptoms were significantly negatively associated with the HRQOL of patients with benign breast lumps diagnosed via ultrasonography. Women with benign breast lumps diagnosed via ultrasonography in China experienced relatively high levels of anxiety and depressive symptoms. Anxiety and depressive symptoms had significant negative impacts on both the mental and physical quality of life (QOL) of women with benign breast lumps. Beyond the necessary clinical treatment procedures, psychological guidance and detailed explanations of the disease should be offered to alleviate the anxiety and depressive symptoms and enhance the HRQOL of patients with benign breast lumps.
机译：妇女中良性乳房肿块的发生率很高，这些肿块可能导致生理和心理问题。这项研究旨在评估通过超声检查诊断为良性乳房肿块的患者的焦虑和抑郁症状，并调查其对健康相关生活质量（HRQOL）的影响。 2013年1月至2013年11月在中国沉阳进行了横断面调查。数据采用自我管理的问卷收集，包括Zung自评焦虑量表（SAS），流行病学研究中心抑郁量表（CES-D） ），以及来自中国医科大学附属第一医院乳腺癌外科的36项简短健康调查表（SF-36）以及人口统计学特征。进行了分层多元回归分析（HMR），以探讨焦虑和抑郁对HRQOL的影响。焦虑（SAS评分≥40）和抑郁症（CES-D评分≥16）的总体患病率分别为40.2％和62.0％，其中37.5％的参与者同时患有这两种心理症状。 PCS和MCS的平均值和标准差分别为75.42（15.22）和68.70（17.71）。超声检查诊断为良性乳房肿块的患者，焦虑和抑郁症状与HRQOL显着负相关。在中国，通过超声检查诊断出的乳腺肿块为良性妇女，她们的焦虑和抑郁症状相对较高。焦虑和抑郁症状对患有良性乳房肿块的女性的心理和身体生活质量（QOL）均具有显着的负面影响。除必要的临床治疗程序外，还应提供对该疾病的心理指导和详细解释，以减轻患有良性乳腺肿块的患者的焦虑和抑郁症状，并提高其HRQOL。

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