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首页> 外文期刊>Journal of psychosomatic research >Men deny and women cry, but who dies? Do the wages of 'denial' include early ischemic coronary heart disease?
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Men deny and women cry, but who dies? Do the wages of 'denial' include early ischemic coronary heart disease?

机译：男人否认，女人哭泣，但谁死了？ “否认”的工资是否包括早期缺血性冠心病？

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OBJECTIVES: In this study patients with documented ischemic coronary heart disease (ICHD; prior MI or CAD per catheterization) were tested for the association of various measures of emotional distress with Age at Initial Diagnosis. METHODS: The measures were chosen because of a published track record at predicting mortality in this population. Females were oversampled to achieve equivalent numbers of each sex (n=50), and thus equivalent statistical power. In a subset of patients (38 males and 32 females), Spouse/Friend Ketterer Stress Symptom Frequency Checklists (KSSFCs) were received. RESULTS: Females reported more depression and anxiety than males. However, spouses or friends reported more anger for males. Denial (spouse/friend minus self-ratings) was greater in males for all three scales of the KSSFC (Anger, P=.005; Depression, P=.024; Anxiety, P=.001). Although females showed the same trend, self and spouse or friend ratings of distress were significantly associated with Age at Initial Diagnosis only in males. When split at the sample mean on the Spouse/Friend KSSFC AIAI (Anger) scale, Age at Initial Diagnosis occurred 14.2 years earlier in males. CONCLUSIONS: Use of a significant other in assessing psychosocial/emotional distress in males may confer greater accuracy, and therefore predictive power for clinical endpoints.
机译：目的：在这项研究中，对有证据证明患有缺血性冠心病（ICHD;每次导管置入术前有MI或CAD）的患者，在初诊时就进行了各种情绪困扰与年龄的关联性测试。方法：之所以选择这些措施，是因为在预测该人群的死亡率方面已有记录。对女性进行过采样，以达到每种性别的相等数量（n = 50），从而具有相等的统计功效。在一部分患者中（男38例，女32例），接受了配偶/朋友凯特勒应激症状频率检查表（KSSFC）。结果：女性报告的抑郁和焦虑比男性多。但是，配偶或朋友对男性的愤怒更大。在所有三个KSSFC量表中，男性的拒绝（配偶/朋友减去自我评价）都更大（愤怒，P = .005;抑郁，P = .024;焦虑，P = .001）。虽然女性表现出相同的趋势，但自我诊断，配偶或朋友的痛苦等级与男性初诊时的年龄显着相关。如果按配偶/朋友KSSFC AIAI（愤怒）量表的样本均值进行划分，则男性的初诊年龄早于14.2年。结论：在评估男性的社会心理/情绪困扰时使用其他重要手段可能会提高准确性，从而为临床终点提供预测力。

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