Kittel J, Wamper U, Hinz A, Schwarz R, Karoff M
Klinik Königsfeld der LVA-Westfalen, Institut für Rehabilitationsforschung Norderney e. V.-Abt. Königsfeld, Klinik an der Universität Witten-Herdecke.
Rehabilitation (Stuttg). 2003 Jun;42(3):164-8. doi: 10.1055/s-2003-40098.
The results of many studies show that physical recovery and social integration of cardiac patients are negatively influenced by a persistent depressive disorder. For this reason issues of occupational integration should be considered from this point of view, too. Correlations between various occupational groups and depression were investigated with 907 cardiac patients at the beginning and at the end of a follow-up treatment. The results were compared to those for 756 persons in corresponding age groups from the general population. We found that at the beginning of rehabilitation the depression values of the HADS did not show any significant differences between the various occupational groups, however, their values were significantly higher than those found in the general population. During rehabilitation the HADS values decreased significantly. At the end of rehabilitation, unskilled and semi-skilled workers had significantly higher depression values than skilled workers and persons in higher positions. Consequences for medical rehabilitation are discussed.
许多研究结果表明,持续性抑郁症会对心脏病患者的身体恢复和社会融入产生负面影响。因此,职业融入问题也应从这一角度加以考虑。在后续治疗开始时和结束时,对907名心脏病患者调查了不同职业群体与抑郁症之间的相关性。将结果与来自普通人群的756名相应年龄组人员的结果进行了比较。我们发现,在康复开始时,不同职业群体之间的医院焦虑抑郁量表(HADS)抑郁值没有显著差异,然而,他们的值显著高于普通人群中的值。在康复期间,HADS值显著下降。在康复结束时,非技术和半技术工人的抑郁值显著高于技术工人和较高职位的人员。文中讨论了对医学康复的影响。