Al Yassin Altaib, Ouyang Bichun, Temes Richard
From the New York Institute of Technology, College of Osteopathic Medicine, Old Westbury, N.Y. (AAY); Rush University Medical Center, Chicago; (BO) and Hofstra North Shore-LIJ School of Medicine, Hempstead, N.Y (RT).
J Neuropsychiatry Clin Neurosci. 2017 Winter;29(1):67-69. doi: 10.1176/appi.neuropsych.15070171. Epub 2016 Jul 15.
Although survival has dramatically improved following aneurysmal subarachnoid hemorrhage (aSAH), the reasons for persistent high rates of unemployment in this population remain unknown. Retrospective review for medical records of patients with aSAH admitted to Rush University Medical Center was undertaken. Multivariate logistic regression models were used to test the association of either depression or anxiety with the 6-month employment status. Among the 29 patients who developed depression or anxiety, 86.2% were unemployed at 6 months following their aSAH. After controlling for confounding factors, anxiety and depression were significantly associated with higher 6-month unemployment rates (odds ratio [OR]=0.08, 95% confidence interval [CI]=0.02-0.3, p=0.0002). Depression and anxiety are common following aSAH and are associated with increased unemployment rates 6 months post aSAH.
尽管动脉瘤性蛛网膜下腔出血（aSAH）后的生存率有了显著提高，但该人群持续高失业率的原因仍不清楚。我们对 Rush 大学医学中心收治的 aSAH 患者的病历进行了回顾性研究。采用多因素逻辑回归模型来检验抑郁或焦虑与 6 个月就业状况之间的关联。在 29 例出现抑郁或焦虑的患者中，86.2%在 aSAH 后 6 个月处于失业状态。在控制混杂因素后，焦虑和抑郁与 6 个月时较高的失业率显著相关（优势比[OR]=0.08，95%置信区间[CI]=0.02 - 0.3，p = 0.0002）。aSAH 后抑郁和焦虑很常见，并且与 aSAH 后 6 个月失业率增加有关。
