Saquib Juliann, AlRomaih Nouf Abdulrahman, Al-Mutairi Hanadi Mufakkir, Alenazi Renad Nasser, Al-Mutairi Reef Deyf Allah, AlHtlani Dona Jamal, Al-Theyab Fatemah Saleh, Alhsaon Mnahel Ali, Imran Mohammed, Khalaf Hassan, Saquib Nazmus
Department of Family and Community Medicine, College of Medicine, Qassim University, Qassim, Saudi Arabia.
Department of Education, Training and Research, Prince Sultan Cardiac Center, King Fahd Specialist Hospital, Qassim, Saudi Arabia.
J Saudi Heart Assoc. 2018 Jul;30(3):240-246. doi: 10.1016/j.jsha.2018.04.001. Epub 2018 May 3.
After myocardial infarction (MI), patients have an elevated risk for depression, which has a negative impact on morbidity and mortality for patients. As depression and memory function are associated, we examined them in the context of one another. Our objectives were to determine the proportion of patients with either depression only, memory loss only, or both depression and memory loss and to examine the correlates with each outcome.
This study was a cohort of 264 patients who had myocardial infarction. Data sources included medical records and phone interviews.
The participants' mean age was 62 ± 12.2 years and mean body mass index was 28.4 ± 5.8 kg/m. Of the participants, 6.4% had memory loss alone, 23.17% had depression alone, and 6.1% had combined memory loss and depression. Activity level and poor health were significantly associated with depression only ( < 0.05). Poor health was significantly associated with combined memory loss and depression ( < 0.05).
Activity level and poor health were identified as correlates of depression as well as combined memory loss and depression. Future studies should aim to improve screening for depression among post-MI patients and develop appropriate interventions to raise the level of activity.
心肌梗死(MI)后,患者患抑郁症的风险升高,这对患者的发病率和死亡率有负面影响。由于抑郁症与记忆功能相关,我们对二者进行了相互关联的研究。我们的目标是确定仅患有抑郁症、仅存在记忆丧失或同时患有抑郁症和记忆丧失的患者比例,并研究与每种结果相关的因素。
本研究纳入了264例心肌梗死患者队列。数据来源包括医疗记录和电话访谈。
参与者的平均年龄为62±12.2岁,平均体重指数为28.4±5.8kg/m²。参与者中,6.4%仅存在记忆丧失,23.17%仅患有抑郁症,6.1%同时存在记忆丧失和抑郁症。活动水平和健康状况不佳仅与抑郁症显著相关(P<0.05)。健康状况不佳与记忆丧失和抑郁症同时存在显著相关(P<0.05)。
活动水平和健康状况不佳被确定为抑郁症以及记忆丧失和抑郁症同时存在的相关因素。未来的研究应旨在改善心肌梗死后患者抑郁症的筛查,并制定适当的干预措施以提高活动水平。