Oxlad Melissa, Wade Tracey D
Flinders University, South Australia.
J Health Psychol. 2008 Jan;13(1):79-92. doi: 10.1177/1359105307084314.
This research aimed to identify modifiable risk factors for poor psychological functioning six months post-operatively, using a chronic illness model to explain the relationships between risk factors. Consecutive elective CABG patients (N = 119) completed self-report measures including optimism, illness representations, self-rated health, social support, coping methods, depression, anxiety and PTSD symptomatology in a repeated measures design. Poor pre-operative psychological functioning was the strongest psychological risk factor for adverse psychological functioning six months post-operatively. Longitudinal support for the chronic illness model examined was limited. Further research to identify modifiable risk factors and pre-operative psychopathology screening to determine individuals at-risk of poor psychological outcome is recommended.
本研究旨在确定术后六个月心理功能不佳的可改变风险因素,采用慢性病模型来解释风险因素之间的关系。连续择期冠状动脉旁路移植术患者(N = 119)在重复测量设计中完成了自我报告测量,包括乐观主义、疾病认知、自我评定健康状况、社会支持、应对方式、抑郁、焦虑和创伤后应激障碍症状。术前心理功能不佳是术后六个月不良心理功能的最强心理风险因素。对所研究的慢性病模型的纵向支持有限。建议进行进一步研究以确定可改变的风险因素,并进行术前心理病理学筛查以确定心理结果不佳风险的个体。