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急性冠脉综合征住院患者中抑郁症状报告的性别差异

GENDER SPECIFIC DIFFERENCES IN REPORTING DEPRESSIVE SYMPTOMS AMONG PATIENTS HOSPITALIZED WITH ACUTE CORONARY SYNDROME.

作者信息

Tatishvili S, Sinitsa M, Jorbenadze R, Kavtaradze G, Gordeladze D

机构信息

Tbilisi State Medical University, Department of Internal Medicine №3, Acad. G. Chapidze Emergency Cardiology Center, Tbilisi Georgia.

出版信息

Georgian Med News. 2018 Jul-Aug(280-281):80-84.

PMID:30204100
Abstract

In patients with acute coronary syndrome (ACS) low level of depressive symptoms is associated with coronary event recurrence and morbidity. Large epidemiological trials revealed that there is a disparity between males and females in their reports of different somatic depressive symptoms. The aim of our study was to identify gender differences in reporting depressive symptoms in patients with acute coronary events. Depreesion screening using BDI questionnaire was performed in patients with ACS in Emergency Cardiology center, Tbilisi, Georgia. The total number of participants was 84. Patients' data were collected from hospital records. Descriptive statistical tests were used for the calculation of frequencies, means and standard deviations. Chi-square test was applied for categorical variables in order to establish difference between groups. The Independent t-test was used to compare means for numerical variables. The mean age for both genders was 59.2 (10.2) years. Classic coronary risk factors were more prevalent in men than in women. However, women, compared to men have a greater number of cognitive as well as somatic depressive symptoms. Women hospitalized with an acute coronary syndrome reported greater number of depressive symptoms compared to men. Early detection of depressive symptoms will help healthcare providers reduce risks and improve outcome of ACS.

摘要

在急性冠状动脉综合征(ACS)患者中,抑郁症状水平较低与冠状动脉事件复发及发病率相关。大型流行病学试验表明,男性和女性在不同躯体抑郁症状的报告方面存在差异。我们研究的目的是确定急性冠状动脉事件患者在报告抑郁症状方面的性别差异。在格鲁吉亚第比利斯急救心脏病中心,对ACS患者使用贝克抑郁自评量表(BDI)问卷进行抑郁筛查。参与者总数为84人。患者数据从医院记录中收集。描述性统计测试用于计算频率、均值和标准差。卡方检验用于分类变量以确定组间差异。独立t检验用于比较数值变量的均值。男女的平均年龄为59.2(10.2)岁。经典的冠状动脉危险因素在男性中比在女性中更普遍。然而,与男性相比,女性有更多的认知及躯体抑郁症状。与男性相比,因急性冠状动脉综合征住院的女性报告的抑郁症状更多。早期发现抑郁症状将有助于医疗服务提供者降低风险并改善ACS的预后。

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