Shahmansouri Nazila, Salehi Mehrdad, Bakhshandeh Ali Reza, Sattarzadeh Badkoubeh Roya, Lotfi-Tokaldani Masoumeh, Noorbala Ahmad Ali, Mashayekhi Azadeh
Psychosomatic Medicine Research Center, Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
Imam Khomeini Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2020 Jan;15(1):12-17.
Heart transplantation is a major procedure which imposes high emotional stress on patients. Illness perception (IP) is a psychological issue which affects psychological adjustment after transplantation. This study aimed to investigate the association between IP and emotional status in Iranian post-heart transplantation patients. The present cross-sectional study, conducted between 2018 and 2019 in Imam Khomeini Hospital, Tehran, Iran, recruited 121 post-heart transplantation patients. IP was measured using the Brief Illness Perception Questionnaire (B-IPQ), and emotional status was measured using the Hospital Anxiety and Depression Scale. The association between IP and depression/anxiety was assessed. Men comprised 80.2% of the study population. The mean age of the participants was 43.9±12.95 years. Definite caseness for depression and anxiety was reported in 11.6% and 18.2% of the participants, respectively. The median score of IP was 55. The association between anxiety and IP in total IP and the 3 dimensions of IP was statically significant (P=0.015, P=0.018, P=0.002, and P=0.023 for the cognition, emotion, and understanding dimensions and the total IPQ, respectively). Additionally, the association between depression and IP was significant (P=0.001, P=0.029, and P=0.002 for the cognition and emotion dimensions and the total IPQ, correspondingly, except for the understanding dimension). Furthermore, lower levels of anxiety in the patients showed a greater impact on IP than did depression. There was a significant association between IP and depression and anxiety in our study population. Therefore, the diagnosis and management of anxiety and depression in heart transplantation patients may improve IP. The cross-sectional design of the present study precluded an investigation of the causality between IP and emotional status.
心脏移植是一项重大手术，会给患者带来巨大的情绪压力。疾病认知（IP）是一个影响移植后心理调适的心理问题。本研究旨在调查伊朗心脏移植术后患者的疾病认知与情绪状态之间的关联。本横断面研究于2018年至2019年在伊朗德黑兰的伊玛目霍梅尼医院进行，招募了121名心脏移植术后患者。使用简短疾病认知问卷（B-IPQ）测量疾病认知，使用医院焦虑抑郁量表测量情绪状态。评估了疾病认知与抑郁/焦虑之间的关联。男性占研究人群的80.2%。参与者的平均年龄为43.9±12.95岁。分别有11.6%和18.2%的参与者报告有明确的抑郁和焦虑病例。疾病认知的中位数得分为55分。焦虑与总体疾病认知及其三个维度之间的关联具有统计学意义（认知、情绪、理解维度和总体IPQ的P值分别为0.015、0.018、0.002和0.023）。此外，抑郁与疾病认知之间的关联也具有统计学意义（认知和情绪维度以及总体IPQ的P值分别为0.001、0.029和0.002，理解维度除外）。此外，患者较低水平的焦虑对疾病认知的影响比抑郁更大。在我们的研究人群中，疾病认知与抑郁和焦虑之间存在显著关联。因此，对心脏移植患者的焦虑和抑郁进行诊断和管理可能会改善疾病认知。本研究的横断面设计排除了对疾病认知与情绪状态之间因果关系的调查。
