Moshkani Farahani Maryam, Taghipour Mehrdad, Motalebi Mohsen, Bakhshian Ramezan, Shahverdi Ehsan, Taghipour Sovaid, Abdi Soheyla, Moradi Ramzan
Atherosclerosis Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Nephrology and Urology Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2016 Oct 3;11(4):168-173.
Psychological problems such as depression constitute a dilemma that patients with the implantable cardioverter-defibrillator (ICD) usually encounter and may impact their quality of life. The purpose of this study was to evaluate the prevalence of depression among adults with the ICD and the relationship between depression and associated factors. Totally, 115 individuals with the ICD participated in this cross-sectional study in Tehran, Iran, and depression and other related risk factors were evaluated in them. Two questionnaires, one for demographic characteristics and the Beck Depression Inventory, were applied for data acquisition. The data were analyzed, and the factors associated with depression in the patients with the ICD were assessed. The mean age of the study population was 59.85 ± 11.46 years. Males comprised 88 (76.5%) and females 27 (23.5%) of the patients. The multivariate analysis on the 115 patients revealed that frequency of ICD shocks (OR = 1.08, 95%CI: 1.02 - 1.10), male sex (OR = 2.28, 95%CI: 1.027 - 5.07), more hospital admissions (OR = 1.19, 95%CI: 1.11 - 1.25), smoking cessation (OR = 9.8, 95%CI: 4.48 - 20.07), presence of ICD shocks (OR = 4.5, 95%CI: 2.45 - 7.38), dyslipidemia (OR = 2.8, 95%CI: 1.22 - 4.95), and family history of depression (OR = 6.4, 95%CI: 3.0 - 13.46) were significantly and independently associated with the Beck score classifications. These findings suggest that a poor psychosocial outcome in patients with the ICD may occur as a result of a variety of associated factors, most of which are predictable and preventable.
抑郁症等心理问题是植入式心脏复律除颤器（ICD）患者通常会遇到的困境，可能会影响他们的生活质量。本研究的目的是评估ICD成年患者中抑郁症的患病率以及抑郁症与相关因素之间的关系。共有115名ICD患者参与了在伊朗德黑兰进行的这项横断面研究，并对他们的抑郁症及其他相关危险因素进行了评估。使用两份问卷进行数据收集，一份用于收集人口统计学特征，另一份是贝克抑郁量表。对数据进行了分析，并评估了ICD患者中与抑郁症相关的因素。研究人群的平均年龄为59.85±11.46岁。患者中男性有88名（76.5%），女性有27名（23.5%）。对这115名患者的多变量分析显示，ICD电击次数（OR = 1.08，95%CI：1.02 - 1.10）、男性（OR = 2.28，95%CI：1.027 - 5.07）、更多的住院次数（OR = 1.19，95%CI：1.11 - 1.25）、戒烟（OR = 9.8，95%CI：4.48 - 20.07）、存在ICD电击（OR = 4.5，95%CI：2.45 - 7.38）、血脂异常（OR = 2.8，95%CI：1.22 - 4.95）以及抑郁症家族史（OR = 6.4，95%CI：3.0 - 13.46）与贝克评分分类显著且独立相关。这些发现表明，ICD患者不良的心理社会结局可能是由多种相关因素导致的，其中大多数是可预测和可预防的。
