|
|
|
| Prevalence of depression and anxiety symptoms in adolescents undergoing facial scar plasty |
| ZHANG Weining, XUE Bin, LIU Qian, WU Xinfeng
|
| Department of Plastic Surgery, Hospital of Dermatology Chinese Academy of Medical Sciences and Peking Union Medical College, Nanjing, Jiangsu 210042, China |
|
|
|
|
Abstract Objective To investigate the symptoms of depression and anxiety and their influencing factors in adolescents undergoing facial scar plasty, so as to provide insights into psychological interventions among them. Methods The patients with facial scars who were 14 to 25 years old and admitted to the Department of Plastic Surgery, Hospital of Dermatology Chinese Academy of Medical Sciences and Peking Union Medical College were selected. General information and scar condition were collected through questionnaire surveys. Symptoms of depression and anxiety were assessed using the Self-rating Depression Scale (SDS) and Self-rating Anxiety Scale (SAS). The patients who scored 50 points and over in both SDS and SAS were identified as having depression and anxiety symptoms. Factors affecting depression and anxiety symptoms were identified using a multivariable logistic regression model. Results A total of 108 adolescents undergoing facial scar plasty were surveyed, with a mean age of (19.16±2.03) years. There were 50 boys (46.30%) and 58 girls (53.70%). Depression and anxiety symptoms were detected in 62 cases, accounting for 57.41%. Multivariable logistic regression analysis showed that girls (OR=1.547, 95%CI: 1.072-2.231), unhealthy diet (OR=1.428, 95%CI: 1.120-1.820), high scores of pain (OR=1.677, 95%CI: 1.120-2.511) and high scores of scar severity (OR=1.629, 95%CI: 1.112-2.387) were associated with increased risks of depression and anxiety symptoms in adolescents undergoing facial scar plasty, while high scores of social support (OR=0.569, 95%CI: 0.348-0.931) and high scores of resilience (OR=0.465, 95%CI: 0.252-0.858) were associated with decreased risks. Conclusion Depression and anxiety symptoms are relatively prevalent in adolescents undergoing facial scar plasty, and are influenced by gender, diet, pain degree, scar severity, social support and resilience.
|
|
Received: 12 July 2024
Revised: 10 September 2024
Published: 14 November 2024
|
|
|
|
|
|
[1] 马晓慧,马娇,尤虎艳.结构式心理干预在颜面创伤整形患者中的应用效果及对瘢痕评分的影响[J].临床医学研究与实践,2023,8(3):155-157.
[2] 曾梅,杨帆,毛世芳,等.积极心理学理论指导下全程护理干预在面部烧伤后瘢痕整形患者中的应用[J].中国美容医学,2022,31(10):174-177.
[3] 李慧君. 成年瘢痕患者心理状况调查及影响因素分析[D].郑州:郑州大学,2019.
[4] PENG Y,BAI Z L,GUO Y,et al.Effect of cognitive behavior oriented psychological intervention on the psychological status of depressed facial acne scar patients undergoing fractional photothermolysis[J].J Craniofac Surg,2022,33(5):1493-1496.
[5] 王英杰,陈京立.面部整形美容患者就医心理影响因素的研究进展[J].中国美容整形外科杂志,2023,34(2):128,后插1-后插2.
[6] 中国临床瘢痕防治专家共识制定小组.中国临床瘢痕防治专家共识[J].中华损伤与修复杂志(电子版),2017,12(6):401-406.
[7] 肖水源. 《社会支持评定量表》的理论基础与应用研究[J].临床精神医学杂志,1994,4(2):98-100.
[8] 袁丽玉,林钰梅,张华琴.CICARE需求评估联合支持性照护对手部烧伤病人瘢痕整形术后应对方式及心理弹性的影响[J].全科护理,2021,19(10):1364-1366.
[9] 刘海兵,唐丹,曹海燕,等.温哥华瘢痕量表的信度研究[J].中国康复医学杂志,2006,21(3):240-242.
[10] 刘贤臣,唐茂芹,陈琨,等.SDS和CES-D对大学生抑郁症状评定结果的比较[J].中国心理卫生杂志,1995,9(1):19-20,37.
[11] 乔艳阳,王健,张春雨.焦虑自评量表在公务员群体中的信效度检验及区域性常模的制定[J].心理学进展,2022,12(6):2269-2278.
[12] CAMACHO M,VITERI M I,YEPEZ P,et al.Risk factors for acne?scarring?in Ecuador[J/OL].PLoS One,2024,19(5)[2024-09-10].https://doi.org/10.1371/journal.pone.0285648.
[13] 苏红辉. 颜面部瘢痕整形患者焦虑抑郁状况及其影响因素分析[D].长沙:中南大学,2014.
[14] 刘小柳,梁云.微信式延续性护理对青年女性头面部烧伤后瘢痕整形患者体象认知及应对方式的影响分析[J].中国美容医学,2020,29(5):153-156.
[15] 张钰红. 女性痤疮临床特征的横断面调查及瘢痕、心理相关因素的回归分析[D].广州:广州医科大学,2021.
[16] 许雅丽,胡平成,崔虹艳,等.某医院颜面部瘢痕整形患者焦虑抑郁现状及影响因素研究[J].中国现代医学杂志,2015,25(33):79-83.
[17] GARG S P,WEISSMAN J P,REDDY N K,et al.Patient-reported outcomes of scar impact:comparing of abdominoplasty,breast surgery,and facial surgery patients[J/OL].Plast Reconstr Surg Glob Open,2022,10[2024-09-10].https://doi.org/10.1097/GOX.0000000000004574.
[18] 黄莹,卞薇薇.颈部严重瘢痕青少年患者心理弹性评估工具的编制与评价[J].组织工程与重建外科杂志,2020,16(3):245-249. |
|
|
|
