Wagena E J, Arrindell W A, Wouters E F M, van Schayck C P
Pulmonary Rehabilitation Centre, Hornerheide, Horn, The Netherlands.
Eur Respir J. 2005 Aug;26(2):242-8. doi: 10.1183/09031936.05.00010604.
This study was designed to assess the level of psychological distress in a heterogeneous group of patients with chronic obstructive pulmonary disease (COPD), and compare them with the general population and psychiatric outpatients. A total of 118 patients with COPD, a random sample of 500 subjects from the general population and 500 psychiatric outpatients participated in this study. The Dutch version of the Symptom Checklist-90-Revised was used to assess general psychological distress. The sample of patients with COPD experienced significantly more psychological distress than the general population and significantly less than psychiatric outpatients. Furthermore, no significant association was found between the severity of the pulmonary disease and the level of psychological distress, although patients with severe or very severe COPD appeared to be at increased risk of depression. Lastly, the pattern of psychological complaints seems comparable in depressed patients with COPD and psychiatric outpatients. Once patients with COPD report suffering from depressive symptoms, the level of distress seems to increase to that found in psychiatric outpatients. In conclusion, in clinical settings in which psychological complaints are not routinely assessed, the Beck Depression Inventory and Symptom Checklist-90-Revised are very useful for drawing attention to depression and psychological distress.
本研究旨在评估慢性阻塞性肺疾病（COPD）异质性患者群体的心理困扰水平，并将他们与普通人群和精神科门诊患者进行比较。共有118例COPD患者、从普通人群中随机抽取的500名受试者以及500名精神科门诊患者参与了本研究。使用荷兰版的症状自评量表90修订版来评估总体心理困扰。COPD患者样本经历的心理困扰明显多于普通人群，且明显少于精神科门诊患者。此外，尽管重度或极重度COPD患者似乎有更高的抑郁风险，但未发现肺部疾病严重程度与心理困扰水平之间存在显著关联。最后，COPD抑郁患者和精神科门诊患者的心理主诉模式似乎相似。一旦COPD患者报告有抑郁症状，其困扰水平似乎会升至精神科门诊患者的水平。总之，在未常规评估心理主诉的临床环境中，贝克抑郁量表和症状自评量表90修订版对于引起对抑郁和心理困扰的关注非常有用。
