Department of Psychology, Bellaria Hospital, University of Bologna, Bologna, Italy.
Psychosomatics. 2009 Sep-Oct;50(5):493-9. doi: 10.1176/appi.psy.50.5.493.
In the past decade, there has been an increasing awareness of both quality-of-life impairment and the negative prognostic role of depression in congestive heart failure (CHF) patients.
The aims of this study were to evaluate distress, psychological well-being, and clinical and subclinical depression in 68 CHF outpatients at Bellaria Hospital in Bologna, Italy, at an initial assessment and at a 2-month routine follow-up visit.
Patients reported a high prevalence of somatic complaints, depression, and demoralization, and low scores on psychological well-being. Among the variables examined as potential risk factors for cardiovascular outcome events, based on rehospitalization and cardiac death, only minor depression attained statistical significance.
Clinicians should thus assess minor depression among other psychological variables in these patients.
在过去的十年中，人们越来越意识到充血性心力衰竭（CHF）患者的生活质量受损和抑郁的负面预后作用。
本研究的目的是评估意大利博洛尼亚贝拉里亚医院 68 例 CHF 门诊患者在初始评估和 2 个月常规随访时的痛苦、心理幸福感以及临床和亚临床抑郁情况。
患者报告了较高的躯体主诉、抑郁和意志消沉发生率，以及较低的心理幸福感评分。在作为再住院和心脏死亡的心血管结局事件的潜在危险因素的变量中，只有轻度抑郁具有统计学意义。
因此，临床医生应该在这些患者中评估轻度抑郁和其他心理变量。
