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等待肾移植的患者中焦虑和抑郁呈渐进性增加。

Progressive increase of anxiety and depression in patients waiting for a kidney transplantation.

机构信息

INSERMU 669, Department of Psychiatry, Bicêtre University Hospital, Paris XI University, Assistance Publique-Hôpitaux de Paris, 78 Rue du Général Leclerc, 94230 Le Kremlin Bicêtre, France.

出版信息

Behav Med. 2010 Jan-Mar;36(1):32-6. doi: 10.1080/08964280903521339.

DOI:10.1080/08964280903521339
PMID:20185399
Abstract

Because of the increasing duration of the waiting-list period for kidney transplantation, we hypothesized that this period was associated with a progressive increase in depressive and anxious symptoms in patients waitlisted for a kidney transplantation. In a prospective naturalistic follow-up cohort study, 390 patients on a waiting list for kidney transplant were assessed for anxiety and depression at the time of inclusion on the waiting list, 12 months later, 24 months later, and 3 months after transplantation. The Beck Depression Inventory-Short Version (Short-BDI) and the State and Trait Anxiety Inventory (STAI) were used for this assessment. We found that in this sample, anxious and depressive symptoms progressively increased before transplantation and showed a marked decrease after transplantation. We conclude that to limit anxious and depressive symptoms in patients waiting for a kidney transplantation, the duration of the waiting list period should be reduced as far as possible.

摘要

由于肾移植等待名单的时间越来越长,我们假设这段时间与等待肾移植的患者的抑郁和焦虑症状呈渐进性增加有关。在一项前瞻性自然随访队列研究中,390 名等待肾移植的患者在等待名单上时、12 个月后、24 个月后和移植后 3 个月进行了焦虑和抑郁评估。使用贝克抑郁量表短版(Short-BDI)和状态特质焦虑量表(STAI)进行评估。我们发现,在这个样本中,移植前焦虑和抑郁症状逐渐增加,移植后明显下降。我们得出结论,为了限制等待肾移植患者的焦虑和抑郁症状,应尽可能缩短等待名单的时间。

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