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首页> 外文期刊>The Laryngoscope: A Medical Journal for Clinical and Research Contributions in Otolaryngology, Head and Neck Medicine and Surgery, Facial Plastic and Reconstructive Surgery .. >The relationship between depressive symptoms and Voice Handicap Index scores in laryngopharyngeal reflux.
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The relationship between depressive symptoms and Voice Handicap Index scores in laryngopharyngeal reflux.

机译：喉咽反流时抑郁症状与语音障碍指数评分之间的关​​系。

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OBJECTIVES/HYPOTHESIS: To determine if a relationship exists between depression and Voice Handicap Index (VHI) scores in patients with laryngopharyngeal reflux (LPR) disease. STUDY DESIGN: Retrospective analysis of prospectively collected data. METHODS: One hundred nineteen patients were prospectively evaluated with the VHI questionnaire and the Beck Depression Inventory Fast Screen (BDI-FS) survey. Patients with a pre-existing diagnosis of depression were excluded. RESULTS: Complete data was available for 36 patients with LPR and 53 controls. No significant differences existed between groups with respect to age, race, or gender. Mild depressive symptoms were identified in 9% of controls and 3% of LPR patients by BDI-FS screening (P = .4); no patients had moderate or severe depression symptoms. Compared to controls, patients with LPR had significantly higher mean scores for total VHI (16.2 vs. 6.6, P = .002), functional VHI (5.8 vs. 2.4, P = .02), and physical VHI (6.9 vs. 2.5, P = .008) domains. Mean scores for the VHI emotional domain (3.5 vs. 1.7, P = .2) and BDI-FS (0.2 vs. 0.8, P = .3) did not differ between patients with LPR and controls. For all participants, a positive correlation was found between BDI-FS score and VHI emotional domain score (r = 0.3, P = .008). CONCLUSIONS: Patients with LPR report poorer VHI functional and physical scores compared to controls; however, LPR symptoms do not result in significantly worse VHI emotional domain scores or depressive symptoms. There is a correlation between VHI emotional domain scores and BDI-FS scores. These data suggest that LPR patients with poor VHI emotional domain scores might benefit from screening for depressive symptoms.
机译：目的/假设：确定患有喉咽反流（LPR）疾病的患者抑郁与语音障碍指数（VHI）评分之间是否存在关系。研究设计：回顾性分析预期收集的数据。方法：对119例患者进行了VHI问卷调查和贝克抑郁量表快速筛查（BDI-FS）调查。先前诊断为抑郁的患者被排除在外。结果：完整的数据可用于36例LPR患者和53例对照。两组之间在年龄，种族或性别方面均无显着差异。通过BDI-FS筛查，在9％的对照组和3％的LPR患者中发现了轻度的抑郁症状（P = .4）;没有患者有中度或重度抑郁症状。与对照组相比，LPR患者的总VHI（16.2 vs. 6.6，P = .002），功能性VHI（5.8 vs. 2.4，P = .02）和身体VHI（6.9 vs. 2.5， P = .008）域。 LPR患者与对照组之间，VHI情感领域的平均得分（3.5比1.7，P = 0.2）和BDI-FS（0.2比0.8，P = 0.3）没有差异。对于所有参与者，发现BDI-FS得分与VHI情感领域得分之间呈正相关（r = 0.3，P = .008）。结论：与对照组相比，LPR患者报告的VHI功能和身体评分较差。但是，LPR症状不会导致VHI情绪领域评分或抑郁症状明显恶化。 VHI情感领域得分与BDI-FS得分之间存在相关性。这些数据表明，VHI情绪领域评分较差的LPR患者可能会受益于抑郁症状的筛查。

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