患有寻常痤疮的青少年抑郁:一项横断面评估

I. Singh, A. Masih
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引用次数: 0

摘要

背景:在不同的研究中,患有寻常痤疮的青少年和青壮年抑郁症的患病率差异很大。目的:本研究的目的是评估患有寻常痤疮的青少年与年龄和性别匹配的健康青少年相比抑郁的患病率。该研究还评估了痤疮严重程度(和痤疮后疤痕)、痤疮持续时间和治疗对痤疮青少年抑郁严重程度的影响。方法:采用横断面研究方法,对1502例寻常性痤疮青少年和1500例年龄、性别匹配的对照组分别填写患者健康问卷-9。分类变量采用卡方检验,定量变量采用t检验,探讨抑郁症的患病率和严重程度与性别、痤疮持续时间、痤疮等级、接受过的治疗、痤疮后疤痕存在和严重程度的关系。结果:普通痤疮青少年中有130人(8.65%)被诊断为抑郁症,而健康青少年中只有5人(0.33%)被诊断为抑郁症(P = 0.005)。青少年寻常痤疮患者中,重度抑郁2例(0.13%),中度抑郁4例(0.27%),中度抑郁11例(0.73%),轻度抑郁113例(7.52%)。抑郁症的严重程度与性别、痤疮等级(和痤疮后疤痕)、痤疮持续时间和接受的治疗没有关联。结论:痤疮和痤疮后疤痕与痤疮青少年抑郁症的显著患病率相关,与接受的治疗无关。临床医生应该考虑将抑郁症筛查和转诊系统纳入他们的工作流程中,以获得更好的临床效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Depression among adolescents with acne vulgaris: A cross-sectional assessment
Background: The prevalence of depression among adolescents and young adults with acne vulgaris has varied widely in different studies. Purpose: The purpose of this study is to assess the prevalence of depression among adolescents with acne vulgaris as compared to age and gender-matched healthy adolescents. The effects of the severity of acne (and postacne scars), duration of acne, and treatment on the severity of depression among adolescents with acne have also been assessed in this study. Methods: The patient health questionnaire-9 was completed by each one of 1502 adolescents with acne vulgaris and 1500 age and gender-matched controls in this cross-sectional study. The association of prevalence and severity of depression with gender, duration of acne, grade of acne, treatments received, and presence and severity of postacne scars was explored by Chi-square test for categorical variables and t-test for quantitative variables. Results: One hundred and thirty (8.65%) adolescents with acne vulgaris were diagnosed with depression, while only 5 (0.33%) healthy adolescents were diagnosed with depression (P = 0.005). Among adolescents with acne vulgaris, 2 (0.13%) had severe depression, 4 (0.27%) had moderately severe depression, 11 (0.73%) had moderate depression, and 113 (7.52%) had mild depression. There was no association of severity of depression with gender, grade of acne (and postacne scars), duration of acne, and treatment received. Conclusion: Acne and postacne scars are associated with a significant prevalence of depression among adolescents with acne independent of treatment received. Clinicians should consider incorporating depression screening and referral system in their workflow with adolescents who access them for acne treatment to achieve better clinical outcomes.
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