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哪些心理、心理生理和人体测量因素与心血管疾病患者的生活事件、抑郁及生活质量相关?

Which psychological, psychophysiological, and anthropometric factors are connected with life events, depression, and quality of life in patients with cardiovascular disease.

作者信息

Slepecky Milos, Kotianova Antonia, Prasko Jan, Majercak Ivan, Gyorgyova Erika, Kotian Michal, Zatkova Marta, Popelkova Marta, Ociskova Marie, Tonhajzerova Ingrid

机构信息

Department of Psychology Sciences, Faculty of Social Science and Health Care, Constantine the Philosopher University in Nitra, Nitra.

Psychagogia, Liptovsky Mikulas, Slovak Republic.

出版信息

Neuropsychiatr Dis Treat. 2017 Aug 4;13:2093-2104. doi: 10.2147/NDT.S141811. eCollection 2017.

Abstract

OBJECTIVE

The aim of the study was to determine psychological, psychophysiological, and anthropometric factors connected with life events, level of depression, and quality of life in people at risk for cardiovascular disease and healthy controls.

METHODS

This is a cross-sectional study involving arterial hypertension patients and healthy controls. There were several measurements including physical, anthropological, cardiovascular, and psychophysiological measurements and administration of questionnaires.

RESULTS

A total of 99 participants were recruited for this study, 54 healthy controls (mean age: 35.59±13.39 years) and 45 patients with cardiovascular disease (CVD) (mean age: 46.33±12.39 years). The healthy controls and the patients with CVD significantly differed in the mean total score of life events, level of depression, quality of life score, temperature, blood pressure (BP), pulse transit time, heart rate, high-frequency total power, heart rate variability total power, waist-to-height ratio (WHtR), body fat percentage, fat control, pulse wave velocity, and augmentation index. In healthy subjects, the total score of the life events was not correlated with any cardiovascular or anthropometric factor. A score of depression significantly correlated with the WHtR, augmentation index, body fat percentage, and fat control. The quality of life - visual scale correlated with the body temperature, BP, and percentage of body fat. In the group of the patients with CVD, the score of the life events did not correlate with any measured cardiovascular or anthropometric factor. The level of depression correlated with the augmentation index. The quality of life - visual scale significantly correlated with body temperature, WHtR, and fat control.

CONCLUSION

The patients with CVD reported higher scores of life events, worse quality of life, and a greater level of depressive symptoms than healthy controls. In healthy controls, a higher mean total score of life events significantly negatively correlated with high-frequency total power, and the degree of depression correlated with being overweight. In patients with CVD, a score of depression was linked to being overweight.

摘要

目的

本研究旨在确定与心血管疾病风险人群及健康对照者的生活事件、抑郁水平和生活质量相关的心理、心理生理和人体测量因素。

方法

这是一项涉及动脉高血压患者和健康对照者的横断面研究。进行了多项测量,包括身体、人类学、心血管和心理生理测量以及问卷调查。

结果

本研究共招募了99名参与者,54名健康对照者(平均年龄:35.59±13.39岁)和45名心血管疾病(CVD)患者(平均年龄:46.33±12.39岁)。健康对照者和CVD患者在生活事件总分、抑郁水平、生活质量得分、体温、血压(BP)、脉搏传输时间、心率、高频总功率、心率变异性总功率、腰高比(WHtR)、体脂百分比、脂肪控制、脉搏波速度和增强指数方面存在显著差异。在健康受试者中,生活事件总分与任何心血管或人体测量因素均无相关性。抑郁得分与WHtR、增强指数、体脂百分比和脂肪控制显著相关。生活质量——视觉量表与体温、BP和体脂百分比相关。在CVD患者组中,生活事件得分与任何测量的心血管或人体测量因素均无相关性。抑郁水平与增强指数相关。生活质量——视觉量表与体温、WHtR和脂肪控制显著相关。

结论

与健康对照者相比,CVD患者报告的生活事件得分更高、生活质量更差且抑郁症状更严重。在健康对照者中,较高的生活事件平均总分与高频总功率显著负相关,抑郁程度与超重相关。在CVD患者中,抑郁得分与超重有关。

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