中国心脏神经症患者的躯体症状及其与焦虑和抑郁的关联。
Somatic symptoms and their association with anxiety and depression in Chinese patients with cardiac neurosis.
作者信息
Zheng Feng, Duan Yinglong, Li Jingle, Lai Lin, Zhong Zhuqing, Hu Manhui, Ding Siqing
机构信息
Department of Cardiology, Third Xiangya Hospital, Central South University, Changsha, China.
Department of Nursing, Third Xiangya Hospital, Central South University, Changsha, China.
出版信息
J Int Med Res. 2019 Oct;47(10):4920-4928. doi: 10.1177/0300060519869711. Epub 2019 Aug 26.
OBJECTIVE
We sought to investigate somatic symptoms detected by the Somatic Self-rating Scale and to evaluate whether they were associated with the psychological symptoms of anxiety and depression in patients with cardiac neurosis.
METHODS
A total of 180 patients with cardiac neurosis at the Third Xiangya Hospital, Changsha, China, were surveyed from January 2017 to July 2018. Participants completed a general information questionnaire, the Somatic Self-rating Scale, the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder Scale-7.
RESULTS
The mean (±standard deviation) somatic symptom score in patients with cardiac neurosis was 40.83 ± 7.12. The most severe symptoms were cardiovascular symptoms, fatigue and muscle soreness. A total of 90 patients (46.4%) had anxiety and 80 (50.0%) had depression. Multiple stepwise regression analysis showed that somatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression.
CONCLUSION
Somatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression. Therefore, it is important to provide effective emotional interventions to promote patient rehabilitation.
目的
我们旨在调查通过躯体自评量表检测出的躯体症状，并评估其是否与心脏神经症患者的焦虑和抑郁心理症状相关。
方法
2017年1月至2018年7月，对中国长沙中南大学湘雅三医院的180例心脏神经症患者进行了调查。参与者完成了一份一般信息问卷、躯体自评量表、患者健康问卷-9和广泛性焦虑障碍量表-7。
结果
心脏神经症患者的平均（±标准差）躯体症状评分为40.83±7.12。最严重的症状是心血管症状、疲劳和肌肉酸痛。共有90例患者（46.4%）存在焦虑，80例（50.0%）存在抑郁。多元逐步回归分析表明，心脏神经症患者的躯体症状与焦虑和抑郁均相关。
结论
心脏神经症患者的躯体症状与焦虑和抑郁均相关。因此，提供有效的情绪干预措施以促进患者康复很重要。
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