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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Longitudinal course of depressive symptomatology after a cardiac event: effects of gender and cardiac rehabilitation.
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Longitudinal course of depressive symptomatology after a cardiac event: effects of gender and cardiac rehabilitation.

机译：心脏事件后抑郁症状的纵向过程：性别和心脏康复的影响。

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OBJECTIVE: Recent research has linked depression to cardiac mortality, and shown a high burden of persistent depressive symptomatology among cardiac patients. The objective of this study was to longitudinally examine the prevalence and course of depressive symptomatology among women and men for 1 year after a cardiac event, and the effect of cardiac rehabilitation (CR) on this trajectory. METHODS: Nine hundred thirteen unstable angina (UA) and myocardial infarction patients from 12 coronary care units were recruited, and follow-up data were collected at 6 and 12 months. Measures included CR participation, medication usage, and the Beck Depression Inventory (BDI). The longitudinal analysis was conducted using SAS PROC MIXED. RESULTS: At baseline there were 277 (31.3%) participants with elevated depressive symptomatology (BDI > or = 10), 131 (25.2%) at 6 months, and 107 (21.7%) at 1 year. Overall, approximately 5% were taking an antidepressant medication, and 20% attended CR over their year of recovery. Participants with greater depressive symptomatology participated in significantly fewer CR exercise sessions (r = -0.19, p = .02), and minimal psychosocial interventions were offered. The longitudinal analysis revealed that all participants experienced reduced depressive symptomatology over their year of recovery (p = .04), and younger, UA participants with lower family income fared worst (ps < 0.001). CR did not have an effect on depressive symptomatology over time, but women who attended CR were significantly more depressed than men (p = .01). CONCLUSION: Depressed cardiac patients are undertreated and their symptomatology persists for up to 6 months. CR programs require greater resources to ensure that depressed participants adhere to exercise regimens, and are screened and treated for their elevated symptomatology.
机译：目的：最近的研究已将抑郁症与心脏死亡率联系起来，并显示出心脏病患者持续抑郁症状的高负担。这项研究的目的是纵向研究心脏事件后1年男女抑郁症状的患病率和病程，以及心脏康复（CR）对这一轨迹的影响。方法：招募了12个冠心病护理单位的131例不稳定型心绞痛（UA）和心肌梗塞患者，并在6和12个月时收集了随访数据。措施包括CR参与，药物使用和贝克抑郁量表（BDI）。使用SAS PROC MIXED进行纵向分析。结果：基线时有277名（31.3％）抑郁症状升高（BDI>或= 10），6个月131名（25.2％）和1年107名（21.7％）的参与者。总体而言，大约有5％的人正在服用抗抑郁药，而在康复期间，有20％的人接受了CR。抑郁症症状更严重的参与者参加的CR运动次数明显减少（r = -0.19，p = .02），并且提供的心理干预最少。纵向分析显示，所有参与者在康复的那一年都经历了抑郁症状的减轻（p = .04），而家庭收入较低的年轻UA参与者表现最差（ps <0.001）。随着时间的流逝，CR对抑郁症状没有影响，但是参加CR的女性比男性的抑郁症要严重得多（p = 0.01）。结论：抑郁症的心脏病患者未得到充分治疗，其症状持续了长达6个月。 CR项目需要更多的资源来确保沮丧的参与者坚持锻炼方案，并针对他们的症状高发进行筛查和治疗。

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