Mamedov M N, Didigova R T, Bulgucheva Z Z
Kardiologiia. 2012;52(1):20-5.
Assessment of psychological status including levels of anxiety and depression as well as susceptibility to chronic stress of men and women with ischemic heart disease (IHD) and effort angina.
We included in this study 530 patients with IHD and functional class I+/-III effort angina (300 men, mean age 54+/-0,4 years and 230 women, mean age 55,7+/-0,5 years). We used the Reeder questionnaire for assessment of susceptibility to chronic stress, and hospital HADS score for analysis of anxiety and depression.
Just 22% of patients had low level of stress while in 58.5% and 19.5% level of stress was medium and high, respectively. High stress was more often noted among men (22,3%) compared with women (15,7%). However this difference was not statistically significant. Overall 82 and 72% of men and 79 and 71% of women had various degrees of depression and anxiety, respectively. Depression and anxiety were clinically manifested in 38 and 42% of patients. There was no statistically significant difference in depression and anxiety rates between men and women.
According to questionnaire data psychological status of patients with IHD was characterized by susceptibility to high and medium chronic stress as well as by subclinical and clinical anxiety and depression. There were no significant differences in rates of psychosomatic disturbances between men and women with IHD. Each forth patient required professional correction of derangements of psychological status.
评估患有缺血性心脏病（IHD）和劳力性心绞痛的男性和女性的心理状态，包括焦虑和抑郁水平以及对慢性应激的易感性。
本研究纳入了530例患有IHD且心功能I+/-III级劳力性心绞痛的患者（300例男性，平均年龄54±0.4岁；230例女性，平均年龄55.7±0.5岁）。我们使用里德问卷评估对慢性应激的易感性，并使用医院焦虑抑郁量表（HADS）分析焦虑和抑郁情况。
仅有22%的患者应激水平较低，而应激水平为中度和高度的患者分别占58.5%和19.5%。与女性（15.7%）相比，男性（22.3%）中更常出现高应激情况。然而，这种差异无统计学意义。总体而言，分别有82%和72%的男性以及79%和71%的女性有不同程度的抑郁和焦虑。抑郁和焦虑在38%和42%的患者中临床表现明显。男性和女性在抑郁和焦虑发生率上无统计学显著差异。
根据问卷数据，IHD患者的心理状态表现为对中高度慢性应激易感，以及存在亚临床和临床焦虑及抑郁。IHD男性和女性在心身障碍发生率上无显著差异。每四位患者中就有一位需要对心理状态紊乱进行专业纠正。
