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[心脏病患者的精神病理学与人格]

[Psychopathology and personality of patients with heart disease].

作者信息

Ríos-Martínez Blanca P, Huitrón-Cervantes Gloria, Rangel-Rodríguez Gabriela A

机构信息

Instituto Nacional de Cardiología Ignacio Chávez, México, DF.

出版信息

Arch Cardiol Mex. 2009 Oct-Dec;79(4):257-62.

PMID:20191985
Abstract

PURPOSE

To know the psychological aspects involved in cardiac ailments and whether there was a distinctive personality profile of each disorder.

METHODS

We evaluated 137 patients with congenital heart, acute myocardial infarction (AMI) or awaiting a heart transplant who came to the National Institute of Cardiology Ignacio Chavez. We used multiphase Personality Inventory, which provides information on personality traits and psychopathology.

RESULTS

There were significant differences between some cardiac sufferings and the scales that the inventory measures, as well as the existence of differences between sexes.

CONCLUSIONS

The diseases associated with the heart involve not only some physical and psychological consequences, but also significant psychological consequences depending on the type of heart disease. Those with a congenital heart had better conditions than other emotional heart diseases studied. For their part, those who have suffered IAM are showing higher depressive Levels (being higher in males), while those more concerned about their health in this study were patients awaiting heart transplantation. That is why it is important to take into account the psychological aspects in the cardiac conditions to achieve a better multidisciplinary management.

摘要

目的

了解心脏疾病所涉及的心理因素,以及每种疾病是否存在独特的人格特征。

方法

我们评估了137名患有先天性心脏病、急性心肌梗死(AMI)或等待心脏移植的患者,这些患者前往伊格纳西奥·查韦斯国家心脏病研究所就诊。我们使用了多相人格量表,该量表可提供有关人格特质和精神病理学的信息。

结果

一些心脏疾病与该量表所测量的维度之间存在显著差异,并且在性别之间也存在差异。

结论

与心脏相关的疾病不仅会带来一些生理和心理后果,还会因心脏病类型的不同而产生显著的心理影响。患有先天性心脏病的患者比其他所研究的情感性心脏病患者状况更好。就急性心肌梗死患者而言,他们表现出更高的抑郁水平(男性中更高),而在本研究中更关注自身健康的是等待心脏移植的患者。这就是为什么在心脏疾病中考虑心理因素对于实现更好的多学科管理很重要的原因。

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Arch Cardiol Mex. 2009 Oct-Dec;79(4):257-62.
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引用本文的文献

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The psychopathological influence of congenital heart disease in Korean male adolescents: an analysis of multiphasic personal inventory test results.先天性心脏病对韩国男性青少年的精神病理学影响:多相人格量表测试结果分析。
Yonsei Med J. 2012 Nov 1;53(6):1107-12. doi: 10.3349/ymj.2012.53.6.1107.