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个性和焦虑与未破裂颅内动脉瘤患者的健康相关生活质量有关:一项横断面研究。

Personality and anxiety are related to health-related quality of life in unruptured intracranial aneurysm patients selected for non-intervention: A cross sectional study.

机构信息

Department of Psychology, School of Humanities, Universidad EAFIT, Medellín, Antioquia, Colombia.

Department of International Business, Organization and Management School, Universidad EAFIT, Medellín, Antioquia, Colombia.

出版信息

PLoS One. 2020 Mar 12;15(3):e0229795. doi: 10.1371/journal.pone.0229795. eCollection 2020.

Abstract

BACKGROUND

Personality traits and mental health problems have been previously reported in unruptured intracranial aneurysm (UIA) patients; however, few studies have clarified the relations between these variables and health-related quality of life (HRQoL). This study was designed to characterize the personality traits, HRQoL and mental health of patients with UIA and to evaluate whether personality has an influence on HRQoL and whether this is mediated by the patients' emotional symptoms.

METHODS

Sixty-three patients with UIAs (mean age 62.6 years, 83.9% women) answered questionnaires for depression, anxiety, HRQoL and personality traits between June 2016 and May 2019.

RESULTS

Eight percent of the sample had depression, and 27.4% had anxiety. Participants showed high levels of responsibility, kindness and neuroticism and low levels of extraversion and openness. HRQoL scores were normal compared with the Colombian population. Structural equation analysis showed that patients' HRQoL was negatively affected by anxiety levels and that the latter are associated with the patient's personality, where neuroticism is directly associated with symptomatology and inversely associated with extraversion.

CONCLUSIONS

The results of this study showed the importance of personality and emotional symptoms in the HRQoL of UIA patients. These results are important for developing strategies for psychological counseling in patients with UIAs.

摘要

背景

先前有研究报道颅内未破裂动脉瘤(UIA)患者存在人格特质和心理健康问题,但很少有研究阐明这些变量与健康相关生活质量(HRQoL)之间的关系。本研究旨在描述 UIA 患者的人格特质、HRQoL 和心理健康状况,并评估人格特质是否对 HRQoL 有影响,以及这种影响是否通过患者的情绪症状来介导。

方法

2016 年 6 月至 2019 年 5 月,63 例 UIA 患者(平均年龄 62.6 岁,83.9%为女性)回答了抑郁、焦虑、HRQoL 和人格特质问卷。

结果

8%的样本患有抑郁,27.4%的样本患有焦虑。参与者表现出高度的责任心、善良和神经质,以及低度的外向性和开放性。与哥伦比亚人群相比,患者的 HRQoL 评分正常。结构方程分析显示,患者的 HRQoL 受到焦虑水平的负面影响,而焦虑水平与患者的人格特质有关,其中神经质与症状直接相关,与外向性呈负相关。

结论

本研究结果表明人格特质和情绪症状对 UIA 患者的 HRQoL 具有重要影响。这些结果对于制定 UIA 患者心理辅导策略非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2da5/7067413/6278de086874/pone.0229795.g001.jpg

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