Wiklund I, Welin C
Department of Medicine, Ostra Hospital, University of Göteborg, Sweden.
Scand J Rehabil Med. 1992 Dec;24(4):195-202.
In a consecutive study of 140 patients investigated one month after myocardial infarction (MI), a battery of American and English questionnaires was used to measure depression, anxiety, sleep problems, health locus of control and perceived health. These measures were compared with a well-documented generic questionnaire, the Nottingham Health Profile (NHP), and a similarly well-documented mood scale, the Mood Adjective Check List (MACL). There was close agreement among all measures depicting anxiety and tension. The concordance between the measures of anxiety states and depression was lower. Depression and sleep problems seem to constitute separate concepts, since they are not as highly related to the other measures of anxiety. Because psychosocial factors are important measures for the outcome after an infarction, accurate assessments of these variables are required. Further research is clearly warranted to clarify the complicated interaction between psychosocial constructs and to improve the methods used for their evaluation.
在一项对140例心肌梗死（MI）后1个月接受调查的患者的连续性研究中，使用了一系列美国和英国的问卷来测量抑郁、焦虑、睡眠问题、健康控制点和感知健康状况。这些测量结果与一份有充分文献记录的通用问卷——诺丁汉健康量表（NHP），以及一份同样有充分文献记录的情绪量表——情绪形容词检查表（MACL）进行了比较。在所有描述焦虑和紧张的测量中，结果高度一致。焦虑状态测量与抑郁测量之间的一致性较低。抑郁和睡眠问题似乎构成了不同的概念，因为它们与其他焦虑测量指标的相关性不高。由于社会心理因素是心肌梗死后预后的重要指标，因此需要对这些变量进行准确评估。显然有必要进行进一步的研究，以阐明社会心理结构之间复杂的相互作用，并改进用于评估它们的方法。
