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A study of anxiety and depression among patients undergoing radiological investigations in a Nigerian Tertiary Hospital

机译:尼日利亚三级医院接受放射学检查的患者焦虑和抑郁的研究

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Background: Patients who come for radiological investigations often have anxiety due to a number of factors – the fear of hospitals, injections, diagnosis, or being in an enclosed space. Such anxiety needs to be allayed to prevent delays, incomplete tests, or cancellations. The study aims to assess the prevalence of anxiety and depression among patients undergoing radiological investigations in a tertiary hospital. Materials and Methods: Two hundred and three literate, consenting adults who presented to the Radiology Department of a Teaching Hospital, from May 2015 to April 2016, were recruited consecutively. Children and adults who could not read/write were excluded from the study. Instruments used were a sociodemographic questionnaire, the State-Trait Anxiety Inventory (STAI) for state anxiety, and Hospital Anxiety and Depression Scale (HADS). Data were analyzed using IBM SPSS for Windows version 22. Results: The mean HADS score for anxiety was 5.0 + 4.4 (Range 0–12), and for depression, the mean score was 5.2 + 4.3 (Range 0–19). Twenty-nine (14.3%) respondents screened positive for depression, while 27 (13.3%) had suspected borderline depression. Thirty (14.8%) screened positive for anxiety, with 27 (13.3%) being borderline anxiety as well. Anxiety and depression were the most common among those with an unknown diagnosis (4.4% and 6.4%, respectively). The mean STAI score was 46.48 + 7.2 (Range 25–67). Thirty (14.8%) respondents had anxiety, while 27 (13.3%) were borderline. Ninety-three (45.8%) had state anxiety, the most common among those with unknown diagnoses (15.3%). Depression was mostly seen among those undergoing magnetic resonance imaging (6.9%) P Conclusion: State anxiety, probable anxiety disorder, and probable depressive disorder were quite common with a prevalence of 45.8%, 14.8%, and 14.3%, respectively; these should be addressed among participants going for radiological investigations, especially those with an unknown diagnosis. A pretest counseling session is a good recommendation for such participants to allay anxiety.
机译:背景:接受放射检查的患者通常由于多种因素而感到焦虑-害怕住院,注射,诊断或被关在密闭空间中。需要减轻这种焦虑,以防止延误,不完整的测试或取消。这项研究旨在评估三级医院接受放射学检查的患者中焦虑和抑郁的患病率。材料和方法:连续招募2015年5月至2016年4月在教学医院放射科就诊的203名有文化素养的成年人。不能读写的儿童和成人被排除在研究之外。所使用的工具是社会人口统计学调查表,用于状态焦虑的州特质焦虑量表(STAI)和医院焦虑和抑郁量表(HADS)。使用IBM SPSS Windows版22对数据进行了分析。结果:焦虑的平均HADS得分为5.0 + 4.4(范围0-12),而抑郁症的平均HADS得分为5.2 + 4.3(范围0-19)。 29名(14.3%)的受访者抑郁症筛查呈阳性,而27名(13.3%)的人怀疑是边缘性抑郁症。 30名(14.8%)的焦虑筛查呈阳性,其中27名(13.3%)的焦虑症也是如此。在诊断未知的患者中,焦虑和抑郁最为常见(分别为4.4%和6.4%)。平均STAI得分为46.48 + 7.2(范围25-67)。 30名(14.8%)的受访者感到焦虑,而27名(13.3%)处于焦虑状态。百分之九十三(45.8%)的人患有状态焦虑症,在诊断不明的人中最常见(15.3%)。在接受磁共振成像的患者中,抑郁症最多见(6.9%)。P结论:状态焦虑,可能的焦虑症和可能的抑郁症很常见,患病率分别为45.8%,14.8%和14.3%。参加放射学检查的参与者,尤其是诊断不明的参与者应解决这些问题。对于这些参与者减轻焦虑,预测咨询会议是一个很好的建议。

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