Trầm cảm, lo âu ở người bệnh dị dạng mạch máu ngoại biên tại Bệnh viện Đại học Y Dược Thành phố Hồ Chí Minh

Peripheral vascular malformations (PVM) are congenital anomalies of the vascular system that significantly impact patients' physical and mental well-being. Previous research has highlighted the psychological burden associated with PVM, particularly the high prevalence of depression and anxiety, especially in visible areas like the head, face, and neck, severely diminishing patients' quality of life. Despite these known challenges, studies in Vietnam predominantly focus on clinical treatment efficacy, often overlooking the critical psychological aspect. This study addresses this gap by investigating the socio-demographic, clinical characteristics, and prevalence of depression and anxiety among PVM patients at the University Medical Center Ho Chi Minh City, aiming to integrate mental health considerations into comprehensive patient care.

Medical professionals, researchers, psychologists, and healthcare policymakers specializing in vascular medicine, mental health, and patient care for individuals with peripheral vascular malformations.

This cross-sectional descriptive study aimed to evaluate the socio-demographic and clinical characteristics, alongside the prevalence of depression and anxiety, in 51 patients with peripheral vascular malformations (PVM) at the University Medical Center Ho Chi Minh City from January to April 2025. Employing convenience sampling and the Hospital Anxiety and Depression Scale (HADS), the research revealed a median patient age of 30 years (22-37), with females constituting 62.8% of the cohort. The prevalence rates for depression and anxiety were found to be 7.8% and 13.6%, respectively, which are relatively lower than some international reports, potentially due to the predominant lesion location in the lower limbs in this study, which may have less cosmetic impact compared to head or neck lesions. Most patients suffered from venous malformations (74.5%) and had a long-standing disease duration of over 48 months. Interventional treatment was the most common approach (88.2%), with surgical intervention being less frequent (11.8%). The findings underscore that most patients were female, had lesions primarily in the lower limbs, and presented with associated cardiovascular comorbidities. The study concludes that while the observed prevalence of depression and anxiety in this specific cohort was low, it is crucial to integrate mental health screening and appropriate intervention strategies into the overall treatment plans for PVM patients, especially those with facial/neck lesions or co-existing cardiovascular diseases, to improve their holistic quality of life. The study recommends future multi-center research with larger sample sizes, including pediatric populations, and standardized assessment tools for broader generalizability.