冠状动脉疾病女性的不良心理结局。
Adverse psychological outcome in women with coronary artery disease.
作者信息
Pedersen S S, Boersma E, Jansen C G, Deckers J W, Erdman R A M
出版信息
Neth Heart J. 2001 Dec;9(9):365-371.
OBJECTIVES
To investigate gender differences on psychological outcome following cardiac disease, and to identify predictors of psychological distress.
METHODS
In total, 536 consecutive cardiac patients ≤70 years were identified from medical records to participate in the study: 36 of them proved to have died since the index event. The mean time since the index event was one year and seven months. Of the 500 patients, 357 (71%) agreed to attend an interview on biomedical risk factors and fill in a psychological questionnaire. Complete psychological data were available for 287 (80%) patients.
RESULTS
Women scored significantly higher on anxiety, depression, vital exhaustion and social inhibition, and lower on wellbeing compared with men. Gender, age, percutaneous transluminal coronary angioplasty, smoking and admission for a recurrent event since the index event were independent predictors of psychological outcome.
CONCLUSION
These results add to current knowledge on gender differences and show that women have an adverse outcome on a range of psychological variables. This has implications for secondary prevention and rehabilitation. Longitudinal studies are needed to assess the implications of adverse psychological outcome in women on prognosis.
目的
研究心脏病患者心理结局的性别差异，并确定心理困扰的预测因素。
方法
从病历中总共筛选出536例年龄≤70岁的连续心脏病患者参与研究：其中36例自索引事件后已死亡。自索引事件后的平均时间为1年零7个月。在这500例患者中，357例（71%）同意参加关于生物医学危险因素的访谈并填写一份心理问卷。287例（80%）患者有完整的心理数据。
结果
与男性相比，女性在焦虑、抑郁、活力耗竭和社交抑制方面得分显著更高，而在幸福感方面得分更低。性别、年龄、经皮腔内冠状动脉成形术、吸烟以及自索引事件后因复发事件入院是心理结局的独立预测因素。
结论
这些结果丰富了当前关于性别差异的知识，并表明女性在一系列心理变量上有不良结局。这对二级预防和康复有影响。需要进行纵向研究来评估女性不良心理结局对预后的影响。
Zotero 插件