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血液透析患者的疾病表现与并发抑郁症状。

Illness representations and concurrent depression symptoms in haemodialysis patients.

机构信息

School of Psychology, University of Hertfordshire, College Lane, Hatfield, Hertfordshire, UK.

出版信息

J Health Psychol. 2011 Oct;16(7):1127-37. doi: 10.1177/1359105311401672. Epub 2011 Apr 1.

DOI:10.1177/1359105311401672
PMID:21459924
Abstract

We examined the association between illness perceptions and depression symptoms in established haemodialysis patients (HD). Two hundred and fifteen patients completed the Revised Illness Perception Questionnaire and the Beck Depression Inventory-II (BDI). Patients with a BDI ≥ 16 were termed as 'depressed'. Lower personal control and illness coherence, and greater perceived consequences were all related to depression significantly increasing the explained variance over clinical factors. Our findings suggest it is not disease characteristics or co-morbidity per se that is related to mood symptoms in HD patients, rather the apparent interpretation and regulation of the illness.

摘要

我们研究了既定血液透析患者(HD)的疾病认知与抑郁症状之间的关联。215 名患者完成了修订版疾病认知问卷和贝克抑郁量表第二版(BDI)。BDI 得分≥16 的患者被定义为“抑郁”。较低的个人控制感和疾病连贯性,以及更大的感知后果都与抑郁显著相关,增加了对临床因素的解释方差。我们的研究结果表明,与 HD 患者的情绪症状相关的不是疾病特征或合并症本身,而是对疾病的明显解释和调节。

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