抑郁和焦虑对心肌梗死幸存者生活质量受损的影响。
Contribution of depression and anxiety to impaired quality of life in survivors of myocardial infarction.
作者信息
Hosseini Seyed Hamzeh, Ghaemian Ali, Mehdizadeh Elaheh, Ashraf Haleh
机构信息
Department of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences , Sari , Iran.
出版信息
Int J Psychiatry Clin Pract. 2014 Aug;18(3):175-81. doi: 10.3109/13651501.2014.940049.
OBJECTIVE
To quantify the adverse influence of depression and anxiety assessed at the time of myocardial infarction, on the quality of life 5 years after the infarction.
METHODS
The Beck Depression Inventory (BDI) and the State-Trait Anxiety Inventory (STAI) were completed in a group of 196 patients admitted in the hospital following non-fatal myocardial infarction, and the SF-12 quality of life questionnaire was administered during the 5- year follow-up.
RESULTS
Regression analysis showed a strong association between baseline depression and QoL in both the physical and mental domains; the higher the depression scores, the poorer the QoL. However, anxiety present at the time of myocardial infarction did not predict later QoL.
CONCLUSIONS
Depression but not anxiety following MI predicts longer-term quality of life in myocardial infarction survivors.
目的
量化心肌梗死发生时评估的抑郁和焦虑对梗死后5年生活质量的不良影响。
方法
对196例因非致命性心肌梗死入院的患者进行贝克抑郁量表（BDI）和状态-特质焦虑量表（STAI）测评，并在5年随访期间进行SF-12生活质量问卷调查。
结果
回归分析显示，基线抑郁与身体和心理领域的生活质量均密切相关；抑郁得分越高，生活质量越差。然而，心肌梗死发生时的焦虑并不能预测后期的生活质量。
结论
心肌梗死后的抑郁而非焦虑可预测心肌梗死幸存者的长期生活质量。
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