摘要

【摘要】
目的：探讨盆底功能障碍性疾病（PFD）患者焦虑抑郁情绪与疾病感知的相关性及其影响因素。

方法：选取2022年1月至2025年6月贵州省人民医院妇科收治的166例PFD患者作为研究对象，采用一般资料调查问卷、焦虑自评量表（SAS）、抑郁自评量表（SDS）及简化疾病感知问卷（BIPQ）进行调查。运用Pearson相关性分析探讨焦虑抑郁情绪与疾病感知各维度的关系，采用二元逻辑回归分析影响患者焦虑抑郁情绪的关键因素。

结果：166例PFD患者中出现焦虑抑郁情绪的患者有69例（41.57%）。BIPQ各维度评分中情绪维度条目均分最高，其次为理解能力，认知维度条目均分最低。Pearson相关性分析

结果显示，SAS、SDS与BIPQ中认知、情绪及理解能力维度均呈正相关（P＜0.05），其中，与认知及情绪维度的相关性较强。二元逻辑回归分析显示，病程≥1年、内向型及BIPQ中情绪维度评分升高是PFD患者焦虑抑郁情绪的独立危险因素（P＜0.05）。

结论：盆底功能障碍性疾病患者焦虑抑郁情绪发生率较高，且患者的疾病感知与焦虑抑郁情绪呈正相关。病程≥1年、内向型人格及BIPQ中情绪维度的负性表现是其独立危险因素。

关键词：【关键词】盆底功能障碍；焦虑；抑郁；疾病感知

ABSTRACT

【Abstract】
Objective:To investigate the correlation between anxiety and depression and illness perception in patients with pelvic floor dysfunction (PFD), and to analyze its influencing factors.

Methods:A total of 166 patients with PFD admitted to the Department of Gynecology, Guizhou Provincial People's Hospital from January 2022 to June 2025 were selected as the study subjects. Data were collected using a general information questionnaire, the Self-Rating Anxiety Scale (SAS), the Self-Rating Depression Scale (SDS), and the Brief Illness Perception Questionnaire (BIPQ). Pearson correlation analysis was employed to explore the relationships between anxiety/depression and the dimensions of illness perception, and binary logistic regression analysis was used to identify the key factors influencing patients' anxiety and depression.

Results:Among the 166 PFD patients, 69 (41.57%) exhibited symptoms of anxiety and depression. Among the BIPQ dimension scores, the mean item score for the emotional representation dimension was the highest, followed by the comprehensibility dimension, while the cognitive dimension had the lowest mean item score. Pearson correlation analysis indicated that both SAS and SDS scores were positively correlated with the cognitive, emotional representation, and comprehensibility dimensions of the BIPQ (P＜0.05), with stronger correlations observed for the cognitive and emotional representation dimensions. Binary logistic regression analysis identified a disease duration ≥1 year, an introverted personality type, and higher scores on the BIPQ emotional representation dimension as independent risk factors for anxiety and depression in PFD patients.

Conclusion  :The incidence of anxiety and depression is notably high in PFD patients and is positively correlated with negative illness perceptions. Disease duration ≥1 year, introverted personality, and negative emotional perceptions (BIPQ) were identified as independent risk factors.

Key words: 【Keywords】Pelvic floor disorders; Anxiety; Depression; Illness perception