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性格乐观会影响惊恐障碍和抑郁障碍的预后吗?

Could Dispositional Optimism Impair Panic Disorder and Depression Outcomes?

机构信息

Treatment Resistant Depression Ambulatory, Psychiatry Institute, Federal University of Rio de Janeiro.

Institute of Mathematics and Statistics, Federal Fluminense University, Niterói, Rio de Janeiro.

出版信息

J Nerv Ment Dis. 2021 Jun 1;209(6):459-462. doi: 10.1097/NMD.0000000000001317.

Abstract

The objective of this study was to investigate potential correlates of dispositional optimism and quality of life in patients with depression and panic disorder. The study used a cross-sectional design. The analyzed sample consisted of 77 participants with panic disorder and 75 participants with depression attending two outpatient clinics at the Psychiatry Institute of the Federal University of Rio de Janeiro. Both groups presented similar impairments in optimism and quality of life. In the panic disorder group, optimism scores were significantly correlated with a decrease in anxiety and depression scores (r = 0.26 and r = 0.37, respectively); in the depression group, increases in optimism scores were significantly correlated with decreases in anxiety and depression scores (r = 0.23 and r = 0.3, respectively). The present study showed that high anxiety and depression are correlated with poor optimism and quality of life scores in panic disorder and depression groups. Thus, psychological treatments that can address these topics, besides acute symptoms, are crucial to the absolute recovery of patients.

摘要

本研究旨在探讨抑郁和惊恐障碍患者特质乐观与生活质量的潜在相关性。该研究采用了横断面设计。分析样本包括 77 名惊恐障碍患者和 75 名抑郁患者,他们均来自里约热内卢联邦大学精神病学研究所的两家门诊。两组患者的乐观程度和生活质量均存在相似的受损情况。在惊恐障碍组中,乐观评分与焦虑和抑郁评分的降低呈显著正相关(分别为 r = 0.26 和 r = 0.37);在抑郁组中,乐观评分的增加与焦虑和抑郁评分的降低呈显著正相关(分别为 r = 0.23 和 r = 0.3)。本研究表明,高焦虑和抑郁与惊恐障碍和抑郁组中较差的乐观和生活质量评分相关。因此,除了急性症状之外,能够解决这些问题的心理治疗对患者的全面康复至关重要。

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