Serber Eva R, Edwards-Hampton Shenelle A, Yeager Brooke, Clair Mark, Taylor Marian, Galloway Sarah K, Balliet Wendy E, Madan Alok, Borckardt Jeffrey J
Division of Bio-Behavioral Medicine, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA.
Pain Res Treat. 2012;2012:138680. doi: 10.1155/2012/138680. Epub 2012 Nov 1.
Psychosocial factors of cardiovascular disease receive a preponderance of attention. Little attention is paid to psychosocial factors of pulmonary disease. This paper sought to describe psychosocial characteristics and to identify differences between cardiac and pulmonary patients entering a phase II rehabilitation program. Parametric and nonparametric analyses were conducted to examine scores on the Brief Symptom Inventory-18 (BSI-18) and the CAGE-D, administered at entry as standard clinical care. Participants were 163 cardiac and 63 pulmonary patients. Scores on the BSI-18 "chest pain" item indicated that more cardiac patients report chest pain than pulmonary patients. Among all subjects, chest pain ratings were positively related to anxiety, depression, and global distress. There were equivocal proportions of anxiety and somatization in patient groups. Pulmonary patients were more likely to endorse clinically significant levels of depression and global psychological distress than cardiac patients. Cardiac patients were significantly more likely to screen positively on the CAGE-D than pulmonary patients. Findings show a relationship between symptoms of chest pain and psychological distress. Despite equivalent proportions of anxiety and somatization between groups, a greater proportion of pulmonary patients reported symptoms of depression and global psychological distress, while more cardiac patients reported chest pain. Further research is needed to examine this paradigm.
心血管疾病的社会心理因素受到了大量关注。而肺部疾病的社会心理因素却很少受到关注。本文旨在描述社会心理特征，并确定进入二期康复项目的心脏病患者和肺病患者之间的差异。我们进行了参数分析和非参数分析，以检验在入院时作为标准临床护理措施所使用的简明症状量表18项版（BSI - 18）和CAGE - D量表的得分情况。研究参与者包括163名心脏病患者和63名肺病患者。BSI - 18中“胸痛”项目的得分表明，报告胸痛的心脏病患者比肺病患者更多。在所有受试者中，胸痛评分与焦虑、抑郁和总体痛苦呈正相关。两组患者中焦虑和躯体化症状的比例不明确。与心脏病患者相比，肺病患者更有可能认可临床上显著的抑郁水平和总体心理痛苦。心脏病患者在CAGE - D量表上筛查呈阳性的可能性显著高于肺病患者。研究结果表明胸痛症状与心理痛苦之间存在关联。尽管两组之间焦虑和躯体化症状的比例相当，但报告有抑郁症状和总体心理痛苦的肺病患者比例更高，而报告有胸痛的心脏病患者更多。需要进一步的研究来检验这一模式。
