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首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >The impact of pain and depression on recovery after coronary artery bypass grafting.
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The impact of pain and depression on recovery after coronary artery bypass grafting.

机译：疼痛和抑郁对冠状动脉旁路移植术后恢复的影响。

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OBJECTIVE: To describe the relationship between pain and depression on recovery after coronary artery bypass grafting (CABG). METHODS: A secondary data analysis on 453 depressed and nondepressed post-CABG patients enrolled in a randomized, controlled, effectiveness trial of telephone-delivered collaborative care for depression. Outcome measures were collected from March 2004 to September 2007 and included pain, physical function, and mood symptoms. RESULTS: Depressed patients (baseline Patient Health Questionnaire-9 score >/=10) versus those without depression reported significantly worse pain scores on the 36-Item Short Form Health Survey Bodily Pain Scale at baseline and up to 12 months post-CABG, p < .05. Among patients with depression, those who received collaborative care reported significantly better pain scores at each time point between 2 and 12 months post-CABG versus depressed patients randomized to the usual care control group, p < .05. Regardless of intervention status, depressed participants with at least moderate pain at baseline reported significantly lower functional status (measured by the Duke Activity Status Index) at 8 and 12 months versus depressed patients with none or mild pain, p < .05. Depressed patients with at least moderate pain at baseline were also significantly less likely to show improvement of depressive symptoms throughout the course of follow-up versus depressed patients with little or no pain, p < .05. These findings controlled for age, gender, education, race, comorbid conditions, and baseline pain diagnosis. CONCLUSIONS: Depression and pain seem to influence functional recovery post-CABG. The relationship between these two conditions and 12-month outcomes should be considered by clinicians when planning treatment.
机译：目的：描述冠状动脉旁路移植术（CABG）后疼痛与抑郁之间的关系。方法：对453名接受抑郁症和非抑郁症的CABG后患者进行的一项二次数据分析，该患者参加了电话提供的抑郁症协作治疗的随机对照研究。从2004年3月至2007年9月收集了结果指标，包括疼痛，身体功能和情绪症状。结果：抑郁症患者（基线患者健康问卷9评分> / = 10）与无抑郁症患者相比，基线和CABG后长达12个月的36项简短健康调查身体疼痛量表的疼痛评分明显较差。 <.05。在抑郁症患者中，接受合作治疗的患者报告说，CABG后2到12个月之间在每个时间点的疼痛评分明显好于随机分配到常规护理对照组的抑郁患者，p <.05。无论干预状态如何，基线时至少具有中度疼痛的抑郁参与者在8个月和12个月时的功能状态明显降低（通过Duke活动状态指数衡量），而无或轻度疼痛的抑郁患者则更低（p <.05）。与没有或几乎没有疼痛的抑郁症患者相比，在基线期间至少具有中度疼痛的抑郁症患者在整个随访过程中抑郁症状改善的可能性也显着降低，p <.05。这些发现控制了年龄，性别，教育程度，种族，合并症和基线疼痛诊断。结论：抑郁和疼痛似乎影响CABG后的功能恢复。临床医生在计划治疗时应考虑这两种情况与12个月预后之间的关系。

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