Joo Young-Hoon, Song Youn-Su, Pae Chi-Un
Department of Otolaryngology-Head & Neck Surgery, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.
Department of Psychiatry, The Catholic University of Korea College of Medicine, Seoul, Republic of Korea.; Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, NC, USA.
Psychiatry Investig. 2017 Mar;14(2):226-229. doi: 10.4306/pi.2017.14.2.226. Epub 2017 Mar 6.
This study investigated the relationship between depression, somatization, anxiety, personality, and laryngopharyngeal reflux (LPR). We prospectively analyzed 231 patients with symptoms with LPR using the laryngopharyngeal reflux symptom index and the reflux finding score. Seventy nine (34.2%) patients were diagnosed with LPR. A significant correlation was detected between the presence of LPR and total scores on the Patient Health Questionnaire-9 (5.6±5.3 vs. 4.0±4.6, p=0.017) and the 7-item Generalized Anxiety Disorder Scale (4.3±4.9 vs. 3.0±4.5, p=0.041). LPR was significantly more frequent in those with depression than in those without (45.6% vs. 27.0%, p=0.004). A multivariate analysis confirmed a significant association between the presence of LPR and depression (odds ratio, 1.068; 95% confidence interval, 1.011-1.128; p=0.019). Our preliminary results suggest that patients with LPR may need to be carefully evaluated for depression.
本研究调查了抑郁、躯体化、焦虑、人格与喉咽反流(LPR)之间的关系。我们使用喉咽反流症状指数和反流发现评分对231例有LPR症状的患者进行了前瞻性分析。79例(34.2%)患者被诊断为LPR。在LPR的存在与患者健康问卷-9的总分(5.6±5.3对4.0±4.6,p=0.017)以及7项广泛性焦虑障碍量表(4.3±4.9对3.0±4.5,p=0.041)之间检测到显著相关性。有抑郁的患者中LPR的发生率显著高于无抑郁的患者(45.6%对27.0%,p=0.004)。多因素分析证实LPR的存在与抑郁之间存在显著关联(比值比,1.068;95%置信区间,1.011 - 1.128;p=0.019)。我们的初步结果表明,对于LPR患者可能需要仔细评估其是否存在抑郁。