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首页> 外文期刊>Psychosomatics >Somatic-Affective, But Not Cognitive-Depressive Symptoms are Associated With Reduced Health-Related Quality of Life in Patients With Congestive Heart Failure
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Somatic-Affective, But Not Cognitive-Depressive Symptoms are Associated With Reduced Health-Related Quality of Life in Patients With Congestive Heart Failure

机译：躯体情感，但没有认知抑郁症状与充血性心力衰竭患者的健康有关的生活质量降低有关

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Background: Depression has been associated with poor health related quality of life (HRQoL) in patients with congestive heart failure (CHF). However, to date, whether somatic-affective and cognitive-depressive symptoms differently contribute to poor HRQoL and behavioral functional capacity in patients with CHF has yet to be investigated Objective: To examine the differential influence of somatic-affective vs cognitive-depressive symptoms on HRQoL and behavioral functional capacity in CHF patients. Method: Overall, 55 patients with CHF completed a psychologic evaluation, including the Minnesota Living with Heart Failure Questionnaire, the Beck Depression Inventory-H, and the Beck Anxiety Inventory for HRQoL, depressive, and anxiety symptoms, respectively. The patients completed the Instrumental Activities of Daily Living Questionnaire and the 6-minute walk test for behavioral functional capacity. Hierarchical regression analyses were used to predict HRQoL and behavioral functional capacity from Beck Depression Inventory-II and Beck Anxiety Inventory scores. Results: Somatic-affective depressive symptoms were associated with physical (beta 0.37, p = 0.005) and emotional (beta = 0.39, p = 0.008) Minnesota Living with Heart Failure Questionnaire sub scale scores. Likewise, somatic-affective depressive symptoms predicted Instrumental Activities of Daily Livings Scores (beta = 0.43, p = 0.004) and distance ambulated during the 6-minute walk test (beta = -0.36, p = 0.029). By contrast, cognitive-depressive symptoms and anxiety were unrelated to HRQoL and behavioral functional capacity (all p > 0.05). Conclusions: These findings showed that somatic-affective depressive symptoms, but not cognitive -depressive symptoms and anxiety, are associated with poor HRQoL and behavioral functional capacity independent of age, clinical functional status, and medical comorbidities. This study suggests that patients with CHF with somatic-affective rather than cognitive-depressive symptoms or anxiety may be at greater risk of poor HRQoL and behavioral functional capacity.
机译：背景：抑郁症与充血性心力衰竭（CHF）患者的健康相关生活质量差（HRQOL）有关。迄今为止，迄今为止，躯体情感和认知抑郁症状是否有贡献较差的HRQOL和CHF患者的行为功能能力尚未调查目标：检查SOMATIC-DEMONSIVE的差异影响HRQOL对HRQOL的抑郁症状CHF患者的行为功能能力。方法：总体而言，55例CHF患者完成了心理评价，包括患有心力衰竭问卷的明尼苏达州，贝克抑郁症 - H，以及HRQOL，抑郁和焦虑症状的BECK焦虑库存。患者完成了日常生活调查问卷的乐器活动和行为功能能力的6分钟步行率。分层回归分析用于预测Beck Depression-II和Beck焦虑库存分数的HRQOL和行为功能能力。结果：体育情感抑郁症状与物理（β0.37，P = 0.005）和情绪（β= 0.39，P = 0.008）明尼苏达患者生活在心力衰竭问卷子标准分数。同样，体育情感抑郁症状预测日常吊胶分数的工具活动（β= 0.43，p = 0.004）和在6分钟的步行测试期间设定的距离（β= -0.36，p = 0.029）。相比之下，与HRQOL和行为功能能力不相关的认知抑郁症状和焦虑（所有P> 0.05）。结论：这些研究结果表明，体育情感抑郁症状，但没有认知 - 抑郁症状和焦虑，与年龄，临床功能状况和医疗合并症无关的HRQOL和行为功能能力差。本研究表明，具有躯体情感的CHF患者，而不是认知抑郁症状或焦虑可能具有较差的HRQOL和行为功能能力的风险。

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