Christensen A J, Ehlers S L, Raichle K A, Bertolatus J A, Lawton W J
Department of Psychology, University of Iowa, Iowa City 52242, USA.
Health Psychol. 2000 Jul;19(4):348-53.
Improvement in patient quality of life is a central goal of renal transplantation. This study examined the hypothesis that change in depression following transplantation would vary as a function of patient coping preferences. Sixty patients were assessed with the Krantz Health Opinion Survey and the Beck Depression Inventory while on the waiting list for a cadaveric renal transplant. Patients were reassessed approximately 12 months later. Among the 33 patients receiving a transplant during the follow-up period, those with a high preference for health-related information exhibited a substantial reduction in depression. In contrast, patients low in preference for information showed a slight increase in depression. Among the 27 patients who were not transplanted during the follow-up period, preference for information had no effect on depression. Patient differences in preference for behavioral involvement did not exert a significant effect on depression.
改善患者生活质量是肾移植的核心目标。本研究检验了以下假设：移植后抑郁情绪的变化会因患者应对偏好的不同而有所差异。在等待尸体肾移植的名单上，对60名患者进行了克兰茨健康意见调查和贝克抑郁量表评估。大约12个月后对患者进行了重新评估。在随访期间接受移植的33名患者中，对健康相关信息偏好较高的患者抑郁情绪大幅降低。相比之下，对信息偏好较低的患者抑郁情绪略有增加。在随访期间未接受移植的27名患者中，信息偏好对抑郁情绪没有影响。患者在行为参与偏好上的差异对抑郁情绪没有显著影响。
