{"title":"白癜风患者的身体活动与心理健康：一项关于抑郁、焦虑和压力的横断面研究","authors":"Zeinab Aryanian, Elahe Asgari, Azar Shirzadian, Hemmat Gholinia Ahangar, Sama Heidari, Armon Massoodi, Hanie Babaie","doi":"10.1002/hsr2.71317","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background and Aims</h3>\n \n <p>Vitiligo is a long-lasting depigmenting disorder that has a significant impact on people's emotional health but does not cause physical impairment. They deal with high levels of anxiety, depression, and stress. Physical activity (PA) is one of the potentially protective factors against psychological disorders, but its role in patients with vitiligo has not been evaluated before.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A cross-sectional study was conducted on 85 vitiligo patients aged ≥ 15. Participants with psychiatric comorbidities or physical limitations were excluded. The Depression, Anxiety, and Stress Scale (DASS-21) was used to measure psychological symptoms, and the International Physical Activity Questionnaire (IPAQ) was used to assess PA levels. Disease severity was assessed using the Vitiligo Area Scoring Index (VASI). The relationships between clinical/demographic characteristics, psychological symptoms, and PA were investigated.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Psychologic distress was common, with 58% reporting stress, 55% depression, and 49% anxiety. The proportion of low, moderate, and high PA levels were 26%, 43%, and 31% respectively. No statistically significant association was found between PA levels and stress, anxiety, or depression. Anxiety scores was positively correlated with disease severity scores (r = 1.228, <i>p</i> = 0.04), and longer disease duration was associated with higher depression levels. PA levels were significantly higher among males (<i>p</i> = 0.02), but unrelated to most other demographic or clinical variables.</p>\n </section>\n \n <section>\n \n <h3> Conclusion</h3>\n \n <p>Although vitiligo cases experience considerable psychological distress, no protective effect of PA was found in this study for any of the mental health symptoms. The results indicate that psychological disorders in this group may need interventions more than general PA or life style changes and targeted psychological care or medications may be needed for this population. Larger and long-term studies are recommended to better assess PA's role in the psychological management of vitiligo.</p>\n </section>\n </div>","PeriodicalId":36518,"journal":{"name":"Health Science Reports","volume":"8 10","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/hsr2.71317","citationCount":"0","resultStr":"{\"title\":\"Physical Activity and Psychological Health in Vitiligo Patients: A Cross-Sectional Study on Depression, Anxiety, and Stress\",\"authors\":\"Zeinab Aryanian, Elahe Asgari, Azar Shirzadian, Hemmat Gholinia Ahangar, Sama Heidari, Armon Massoodi, Hanie Babaie\",\"doi\":\"10.1002/hsr2.71317\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div>\\n \\n \\n <section>\\n \\n <h3> Background and Aims</h3>\\n \\n <p>Vitiligo is a long-lasting depigmenting disorder that has a significant impact on people's emotional health but does not cause physical impairment. They deal with high levels of anxiety, depression, and stress. Physical activity (PA) is one of the potentially protective factors against psychological disorders, but its role in patients with vitiligo has not been evaluated before.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Methods</h3>\\n \\n <p>A cross-sectional study was conducted on 85 vitiligo patients aged ≥ 15. Participants with psychiatric comorbidities or physical limitations were excluded. The Depression, Anxiety, and Stress Scale (DASS-21) was used to measure psychological symptoms, and the International Physical Activity Questionnaire (IPAQ) was used to assess PA levels. Disease severity was assessed using the Vitiligo Area Scoring Index (VASI). The relationships between clinical/demographic characteristics, psychological symptoms, and PA were investigated.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Results</h3>\\n \\n <p>Psychologic distress was common, with 58% reporting stress, 55% depression, and 49% anxiety. The proportion of low, moderate, and high PA levels were 26%, 43%, and 31% respectively. No statistically significant association was found between PA levels and stress, anxiety, or depression. Anxiety scores was positively correlated with disease severity scores (r = 1.228, <i>p</i> = 0.04), and longer disease duration was associated with higher depression levels. PA levels were significantly higher among males (<i>p</i> = 0.02), but unrelated to most other demographic or clinical variables.</p>\\n </section>\\n \\n <section>\\n \\n <h3> Conclusion</h3>\\n \\n <p>Although vitiligo cases experience considerable psychological distress, no protective effect of PA was found in this study for any of the mental health symptoms. The results indicate that psychological disorders in this group may need interventions more than general PA or life style changes and targeted psychological care or medications may be needed for this population. 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引用次数: 0
摘要
背景和目的白癜风是一种长期的脱色障碍，对人们的情绪健康有重大影响，但不会造成身体损害。他们应对高度焦虑、抑郁和压力。体育活动（PA）是预防心理障碍的潜在保护因素之一，但其在白癜风患者中的作用尚未得到评估。方法对85例年龄≥15岁的白癜风患者进行横断面研究。排除有精神合并症或身体限制的受试者。抑郁、焦虑和压力量表（DASS-21）用于测量心理症状，国际体育活动问卷（IPAQ）用于评估PA水平。使用白癜风区域评分指数（VASI）评估疾病严重程度。研究了临床/人口学特征、心理症状和PA之间的关系。结果心理困扰是常见的，58%的人报告压力，55%的人报告抑郁，49%的人报告焦虑。低、中、高PA水平的比例分别为26%、43%、31%。PA水平与压力、焦虑或抑郁之间没有统计学上的显著关联。焦虑评分与疾病严重程度评分呈正相关（r = 1.228, p = 0.04），疾病持续时间越长抑郁程度越高。男性中PA水平明显较高（p = 0.02），但与大多数其他人口统计学或临床变量无关。结论虽然白癜风患者有相当大的心理困扰，但本研究未发现PA对任何心理健康症状有保护作用。结果表明，这一群体的心理障碍可能比一般的PA或生活方式的改变更需要干预，这一人群可能需要有针对性的心理护理或药物治疗。建议进行更大规模和更长期的研究，以更好地评估PA在白癜风心理治疗中的作用。
Physical Activity and Psychological Health in Vitiligo Patients: A Cross-Sectional Study on Depression, Anxiety, and Stress
Background and Aims
Vitiligo is a long-lasting depigmenting disorder that has a significant impact on people's emotional health but does not cause physical impairment. They deal with high levels of anxiety, depression, and stress. Physical activity (PA) is one of the potentially protective factors against psychological disorders, but its role in patients with vitiligo has not been evaluated before.
Methods
A cross-sectional study was conducted on 85 vitiligo patients aged ≥ 15. Participants with psychiatric comorbidities or physical limitations were excluded. The Depression, Anxiety, and Stress Scale (DASS-21) was used to measure psychological symptoms, and the International Physical Activity Questionnaire (IPAQ) was used to assess PA levels. Disease severity was assessed using the Vitiligo Area Scoring Index (VASI). The relationships between clinical/demographic characteristics, psychological symptoms, and PA were investigated.
Results
Psychologic distress was common, with 58% reporting stress, 55% depression, and 49% anxiety. The proportion of low, moderate, and high PA levels were 26%, 43%, and 31% respectively. No statistically significant association was found between PA levels and stress, anxiety, or depression. Anxiety scores was positively correlated with disease severity scores (r = 1.228, p = 0.04), and longer disease duration was associated with higher depression levels. PA levels were significantly higher among males (p = 0.02), but unrelated to most other demographic or clinical variables.
Conclusion
Although vitiligo cases experience considerable psychological distress, no protective effect of PA was found in this study for any of the mental health symptoms. The results indicate that psychological disorders in this group may need interventions more than general PA or life style changes and targeted psychological care or medications may be needed for this population. Larger and long-term studies are recommended to better assess PA's role in the psychological management of vitiligo.
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