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心肌梗死后的习得性无助与抑郁症状

Learned Helplessness and Depressive Symptoms Following Myocardial Infarction.

作者信息

Smallheer Benjamin A, Vollman Michael, Dietrich Mary S

机构信息

1 Duke University, Durham, NC, USA.

2 Georgetown University, Washington, DC, USA.

出版信息

Clin Nurs Res. 2018 Jun;27(5):597-616. doi: 10.1177/1054773816689752. Epub 2017 Jan 27.

Abstract

Psychosocial factors are known to impact depressive symptoms across clinical populations. Learned helplessness has the potential of affecting depressive symptoms following acute myocardial infarction (AMI), though little is known about this relationship. The purpose of this study was to examine the relationship between learned helplessness and depressive symptoms in patients following an AMI. Using a descriptive cross-sectional design, participants with a diagnosed AMI within the past 12 months were recruited. Standardized instruments and measures were used to evaluate learned helplessness and depressive symptoms. A statistically significant direct relationship was found between learned helplessness and depressive symptoms, suggesting that individuals with higher self-reported levels of learned helplessness also reported more depressive symptoms. These results indicate learned helplessness is associated with depressive symptoms in individuals following an AMI. In developing post-AMI treatment plans, health care staff should focus on psychologic points of intervention to the same extent as physiologic interventions.

摘要

众所周知,社会心理因素会影响各类临床人群的抑郁症状。习得性无助有可能影响急性心肌梗死(AMI)后的抑郁症状,不过人们对这种关系了解甚少。本研究的目的是探讨AMI患者中习得性无助与抑郁症状之间的关系。采用描述性横断面设计,招募了在过去12个月内被诊断为AMI的参与者。使用标准化工具和测量方法来评估习得性无助和抑郁症状。研究发现习得性无助与抑郁症状之间存在统计学上显著的直接关系,这表明自我报告习得性无助水平较高的个体也报告了更多的抑郁症状。这些结果表明,习得性无助与AMI后个体的抑郁症状有关。在制定AMI后的治疗计划时,医护人员应在同等程度上关注心理干预要点和生理干预。

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