• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Psychosomatic Medicine: Journal of the American Psychosomatic Society >Depression and anxiety as predictors of outcome after myocardial infarction.
【24h】

Depression and anxiety as predictors of outcome after myocardial infarction.

机译：抑郁和焦虑是心肌梗死后预后的指标。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

OBJECTIVE: The objective of this study was to investigate the significance of emotional distress immediately after a myocardial infarction as a predictor of physical, psychological, and social outcomes and resource use. METHODS: In an epidemiological survey, demographic and cardiological data were obtained for all patients from a defined geographical area who had had a myocardial infarction (according to diagnostic criteria of the Monitoring Trends and Determinants in Cardiovascular Disease [MONICA] trial). Hospital survivors were interviewed and were asked to complete self-report assessments on mental state and quality of life. Full replies were available at baseline for 347 subjects. Self-report follow-up questionnaire information was collected 3 months and 1 year later. RESULTS: Fifteen percent of patients scored as probable cases of anxiety or depression. They were more likely than noncases to report preinfarct distress and poor adjustment (as indicated on the 36-item Medical Outcome Study short form). There was an improvement at 3 months, but there was little overall or individual change after that time. Anxiety and depression did not predict subsequent mortality but did significantly predict poor outcome at 1 year on all dimensions of the 36-item short form quality-of-life measure and on specific measures of everyday activity and reports of chest pain, use of primary care resources, and secondary prevention lifestyle changes. CONCLUSIONS: Subjects who are distressed in the hospital are at high risk of adverse psychological and quality-of-life outcomes during the ensuing year. Our findings strengthen the argument for in-hospital identification and treatment of patients with depression and anxiety after myocardial infarction.
机译：目的：本研究的目的是调查心肌梗塞后情绪困扰作为身体，心理和社会结局及资源使用的预测指标的重要性。方法：在一项流行病学调查中，从指定地理区域的所有患有心肌梗塞的患者（根据“心血管疾病监测趋势和决定因素[MONICA]试验的诊断标准”）获得了人口统计学和心脏病学数据。采访了医院幸存者，并要求他们完成关于精神状态和生活质量的自我报告评估。基线有347位受试者的完整答复。 3个月和1年后收集自我报告随访问卷信息。结果：15％的患者被评为焦虑或抑郁症患者。与非病例相比，他们更有可能报告梗塞前困扰和适应不良（如36项医学成果研究简表所示）。在3个月时有所改善，但此后几乎没有整体或个人变化。焦虑和抑郁并不能预测随后的死亡率，但确实可以预测一年内在36个项目的简短生活质量指标的所有方面以及日常活动的特定指标和胸痛报告，初级保健的使用中的不良结果资源和二级预防生活方式的改变。结论：在接下来的一年中，在医院苦恼的受试者处于不良的心理和生活质量结果的高风险中。我们的发现加强了对心肌梗死后抑郁和焦虑症患者进行院内鉴定和治疗的论点。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号