关键词: 多汗症, 焦虑, 抑郁, 睡眠障碍, 心身性皮肤病

Abstract: Objective To observe the anxiety, depression and sleep status of patients with hyperhidrosis,to explore the relationship between hyperhidrosis and emotions, so as to provide basis for cognitive and psychotherapy of hyperhidrosis. Methods Patients with hyperhidrosis in dermatology Department of Xuanwu Hospital were recruited and divided into groups according to gender, age, education background, working environment and nature of work. The state of anxiety, depression and sleep was assessed by using Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI). Results A total of 163 patients with hyperhidrosis were included in this study. There were 47 patients (28.83%) with positive anxiety symptoms, 146 patients (89.57%) with positive depression symptoms and 53 patients (32.52%) with sleep disorder. The scores of anxiety and depression of HADS were respectively (6.47±2.89) and (10.29±2.22), which were significantly higher than the domestic norm (P<0.05). PSQI score was(6.21±3.16). The scores of anxiety and depression for sleep disorders were(8.13±3.49)and(9.51±2.22). The PSQI score of patients with positive anxiety symptoms was higher (P<0.05). There were no significant differences in anxiety, depression and sleep among patients with different gender, age, education background and work environment (P>0.05). PSQI score of indoor workers was higher than that of outdoor workers(P<0.05). Conclusion Patients with hyperhidrosis have significant anxiety and depression, and the depression is more serious. Patients with sleep disorders had anxiety and depression. Anxiety patients generally have sleep disorders. The sleep quality of indoor workers was worse than that of outdoor workers.

Key words: hyperhidrosis, anxiety, depression, sleep disorder, psychosomatic dermatosis