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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Psychologic distress in postmyocardial infarction patients who have returned to work.
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Psychologic distress in postmyocardial infarction patients who have returned to work.

机译：恢复工作的心肌梗死后患者的心理困扰。

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OBJECTIVE: To assess the prevalence of psychologic distress in women and men returning to work after a myocardial infarction (MI) and to compare this prevalence with the prevalence observed among men and women of the general working population. METHODS: The study population was composed of 990 post-MI patients (106 women and 884 men) recruited in 30 hospitals who had returned to work after their first MI. Psychologic distress was measured with the French version of the Psychiatric Symptom Index (PSI). Adjusted mean PSI score and prevalence of psychologic distress were compared with those observed in 8829 other workers (3823 women and 5006 men), representative of the general working population. RESULTS: Mean PSI score was higher in post-MI women (30.3) than in post-MI men (20.3). This score was also higher in the post-MI population than in the general working population, both for women (30.3 compared with 17.0) and men (20.3 compared with 14.1). Psychologic distress was more prevalent in post-MI women than in post-MI men (prevalence ratio [PR], 1.62; confidence interval [CI], 1.27-2.07). This score was also higher in post-MI women and post-MI men than in the general working population (PR, 2.18; CI, 1.75-2.71 and 1.76; CI, 1.48-2.08, respectively). CONCLUSIONS: Among the presumably fittest post-MI patients, namely those who had returned to work, psychologic distress was significantly more prevalent than in the general working population, particularly among women. Further research is needed to shed light on prognosis in post-MI workers experiencing psychologic distress and on adequate intervention before and after their return to work.
机译：目的：评估心肌梗塞（MI）后重返工作岗位的男女心理困扰的患病率，并将这种患病率与一般劳动人口中男女的患病率进行比较。方法：研究人群由30所医院中招募的990名MI后患者（106名女性和884名男性）组成，他们在首次MI后恢复工作。用法语版本的精神症状指数（PSI）衡量心理困扰。将校正后的平均PSI评分和心理困扰患病率与代表一般劳动人口的其他8829名工人（3823名女性和5006名男性）进行比较。结果：MI后女性的平均PSI分数（30.3）高于MI后男性（20.3）。在MI后人群中，该得分也比一般工作人群中更高，无论是女性（30.3，比17.0）和男性（20.3，比14.1）都高。心梗后女性的心理困扰比心梗后男性更为普遍（患病率[PR]为1.62;置信区间[CI]为1.27-2.07）。 MI后女性和MI后男性的这一得分也高于一般工作人群（PR，2.18; CI，1.75-2.71和1.76; CI，1.48-2.08）。结论：在可能是最合适的心梗后患者（即重返工作岗位的患者）中，心理困扰的发生率明显高于一般工作人群，尤其是女性。需要进一步的研究以揭示心梗后经历心理困扰的工人的预后以及在他们回到工作之前和之后的适当干预。

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