疾病认知对心力衰竭患者心理困扰的影响。
The contribution of illness perception to psychological distress in heart failure patients.
机构信息
Department of Psychology, Division of Population Health Science, Royal College of Surgeons in Ireland, Dublin 2, Ireland ; Perdana University, PU-RCSI School of Medicine, Block B & D Aras 1, MAEPS Building, MARDI Complex, Jalan MAEPS Perdana, 43400 Serdang Darul Ehsan, Malaysia.
Department of Psychology, Division of Population Health Science, Royal College of Surgeons in Ireland, Dublin 2, Ireland.
出版信息
BMC Psychol. 2014 Nov 28;2(1):50. doi: 10.1186/s40359-014-0050-3. eCollection 2014.
BACKGROUND
The influences on the psychological well-being of heart failure (HF) patients have received limited attention. Illness perceptions are a specific set of cognitive representations that have been shown to predict health-related outcomes in other patient groups. This study sought to explore the role of illness perceptions in the psychological well-being of HF patients by creating a profile of illness perceptions in HF and examining their relations with anxiety and depression.
METHODS
Participants were 95 consecutive outpatients. Indices of psychological well-being were depression and anxiety, measured using the Hospital Anxiety and Depression Scale (HADS). Illness perceptions were measured using the Illness Perception Questionnaire - Revised (IPQ-R). Functional status was also determined using the New York Heart Association (NYHA) classification.
RESULTS
Illness perceptions were associated with indices of psychological well-being. Regression analyses showed that illness perceptions accounted for a significant proportion of the variance in both depression and anxiety. The contribution of illness perceptions was greater than that made by traditional covariates (socio-demographic variables and functional status).
CONCLUSIONS
Results highlight dynamic interrelations between perceptions of illness and mental health indices. They also suggest that in considering the role of illness perceptions in psychological well-being, the primary focus should be on the overall dynamic of an individual's illness experience rather than on specific illness dimensions. Findings highlight the potential role of illness perceptions in depression and anxiety in HF. This has implications for interventions to maximise psychological well-being in this patient group.
背景
心力衰竭（HF）患者的心理健康影响受到的关注有限。疾病认知是一组特定的认知表现，已被证明可以预测其他患者群体的健康相关结果。本研究旨在通过创建 HF 疾病认知档案并研究其与焦虑和抑郁的关系，探讨疾病认知在 HF 患者心理健康中的作用。
方法
参与者为 95 名连续门诊患者。使用医院焦虑和抑郁量表（HADS）测量心理健康的抑郁和焦虑指标。使用修订后的疾病认知问卷（IPQ-R）测量疾病认知。还使用纽约心脏协会（NYHA）分类法确定功能状态。
结果
疾病认知与心理健康指标相关。回归分析显示，疾病认知在抑郁和焦虑方面都占了很大一部分。疾病认知的贡献大于传统协变量（社会人口统计学变量和功能状态）的贡献。
结论
结果强调了疾病认知和心理健康指标之间的动态相互关系。它们还表明，在考虑疾病认知在心理健康中的作用时，重点应放在个体疾病体验的整体动态上，而不是特定的疾病维度上。研究结果强调了疾病认知在 HF 中的抑郁和焦虑中的潜在作用。这对最大程度地提高该患者群体的心理健康干预措施具有影响。
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