Kitzlerová Eva, Anders Martin, Kautzner Josef, Dohnalová Alena
Department of Psychiatry, First Faculty of Medicine, Charles University.
Exp Clin Cardiol. 2007 Spring;12(1):42-5.
A higher prevalence of anxiety- and depression-related symptoms are expected in patients with at least one somatic disease and who are on medications compared with the general population.
To determine if patients with paroxysmal supraventricular tachycardia (PSVT) show a higher prevalence of anxiety and depressive symptoms compared with a control population. The induction of depressive symptoms by beta-blockers or calcium channel blockers was also evaluated.
Twenty-five patients (17 women, eight men) with documented PSVT (atrioventricular re-entrant tachycardia or atrioventricular nodal re-entrant tachycardia) were evaluated by a battery of questionnaires and inventories, which provide information about the presence of symptoms of anxiety and/or depression. All patients were examined by a psychiatrist and completed the following five scales: Symptom Checklist-90, Hamilton Anxiety Scale, Hamilton Depression Rating Scale, Zung's Self-Rating Depression Scale and Beck Self-Assessment Depression Scale.
The majority of the evaluations (Hamilton Anxiety Scale, Beck Self-Assessment Depression Scale, Zung's Self-Rating Depression Scale), did not show a higher incidence of severe symptoms of depression in the group of patients with PSVT. However, the Hamilton Depression Rating Scale rated the symptoms of depression as significant, but the score was low enough to be considered nonsignificant. According to the Symptom Checklist-90, men perceived the presence of the cardiological disease more intensively and more negatively than women (P=0.1). Psychiatric history and therapy with psychopharmacological agents were comparable in both groups. It was noted that patients had sporadic contacts with a psychiatrist or a psychologist, but this was not directly associated with PSVT.
与普通人群相比，至少患有一种躯体疾病且正在服药的患者中，焦虑和抑郁相关症状的患病率预计更高。
确定阵发性室上性心动过速（PSVT）患者与对照组相比，焦虑和抑郁症状的患病率是否更高。同时评估β受体阻滞剂或钙通道阻滞剂是否会诱发抑郁症状。
对25例经记录确诊为PSVT（房室折返性心动过速或房室结折返性心动过速）的患者（17例女性，8例男性）进行了一系列问卷调查和量表评估，以获取有关焦虑和/或抑郁症状的信息。所有患者均由精神科医生检查，并完成以下五个量表：症状自评量表90、汉密尔顿焦虑量表、汉密尔顿抑郁评定量表、zung氏自评抑郁量表和贝克抑郁自评量表。
大多数评估（汉密尔顿焦虑量表、贝克抑郁自评量表、zung氏自评抑郁量表）显示，PSVT患者组中重度抑郁症状的发生率并未更高。然而，汉密尔顿抑郁评定量表将抑郁症状评定为显著，但得分低至可视为不显著。根据症状自评量表90，男性比女性更强烈、更消极地感知到心脏病的存在（P = 0.1）。两组的精神病史和心理药物治疗情况相当。值得注意的是，患者与精神科医生或心理医生有零星接触，但这与PSVT并无直接关联。
