Lossnitzer Nicole, Herzog Wolfgang, Schultz Jobst Hendrik, Taeger Tobias, Frankenstein Lutz, Wild Beate
Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
Patient Educ Couns. 2015 Jun;98(6):783-7. doi: 10.1016/j.pec.2015.02.008. Epub 2015 Feb 19.
To date, very little is known about the specific needs of patients with chronic heart failure (CHF) who must cope with depression. We therefore questioned CHF patients reporting depressive symptoms about their concerns and preferences regarding various psychosocial treatment options. After three-month, we determined how many patients had actually participated in a treatment.
85 patients with CHF fulfilling the criteria of a depressive disorder according to the PHQ-9 were investigated. Data were analyzed using descriptive and frequency, as well as logistic regression analyses.
64.7% of the sample reported that they could envision adhering to supportive talks at longer intervals, whereas only 34.1% would accept an antidepressant. After three months, 24.7% of the patients had actually participated in a treatment. Generalized anxiety severity (GAD-7) was very closely associated with treatment preferences and treatment utilization: The higher the generalized anxiety severity, the more likely was the patients' disposition to begin an antidepressant and/or psychotherapy.
The most favoured treatment option was a low-threshold service with supportive talks.
Future studies investigating the improvement of patient-centred care in CHF patients should include measurements of generalized anxiety.
迄今为止，对于必须应对抑郁症的慢性心力衰竭（CHF）患者的具体需求知之甚少。因此，我们询问了报告有抑郁症状的CHF患者对各种心理社会治疗选择的担忧和偏好。三个月后，我们确定了实际参与治疗的患者人数。
对85例符合PHQ-9抑郁症诊断标准的CHF患者进行调查。使用描述性和频率分析以及逻辑回归分析对数据进行分析。
64.7%的样本报告称他们可以设想较长时间间隔地坚持支持性谈话，而只有34.1%的人会接受抗抑郁药。三个月后，24.7%的患者实际参与了治疗。广泛性焦虑严重程度（GAD-7）与治疗偏好和治疗利用率密切相关：广泛性焦虑严重程度越高，患者开始使用抗抑郁药和/或心理治疗的倾向就越大。
最受欢迎的治疗选择是提供支持性谈话的低门槛服务。
未来研究改善CHF患者以患者为中心的护理时应包括对广泛性焦虑的测量。
