Årestedt Kristofer, Israelsson Johan, Djukanovic Ingrid, Herlitz Johan, Carlsson Jörg, Petersson Suzanne, Bremer Anders
Faculty of Health and Life Sciences, Linnaeus University, SE-39182 Kalmar, Sweden.
The Research Section, Region Kalmar County, Box 601, SE-39126 Kalmar, Sweden.
J Clin Med. 2021 Sep 21;10(18):4285. doi: 10.3390/jcm10184285.
Knowledge about psychological distress in older cardiac arrest (CA) survivors is sparse, and the lack of comparisons with general populations make it difficult to draw any strong conclusions about prevalence and potential changes caused by CA. Our aim was to compare psychological distress between older CA survivors and a general population. This study included survivors 65-80 years old and an age- and sex-matched general population. Data on survivors was collected from the Swedish Register of Cardiopulmonary Resuscitation. The Hospital Anxiety and Depression Scale was used to measure psychological distress. Data were analyzed with non-parametric statistics. The final sample included 1027 CA survivors and 1018 persons from the general population. In both groups, the mean age was 72 years (SD = 4) and 28% were women. The prevalence of anxiety was 9.9% for survivors and 9.5% for the general population, while the corresponding prevalence for depression was 11.3% and 11.5% respectively. Using the cut-off scores, no significant differences between the groups were detected. However, CA survivors reported significantly lower symptom levels using the subscale scores (ΔMdn = 1, < 0.001). In conclusion, the CA survivors did not report higher symptom levels of anxiety and depression than the general population. However, since psychological distress is related to poor quality-of-life and recovery, screening for psychological distress remains important.
关于老年心脏骤停（CA）幸存者心理困扰的知识匮乏，且缺乏与普通人群的比较，这使得难以就CA导致的患病率及潜在变化得出任何有力结论。我们的目的是比较老年CA幸存者与普通人群之间的心理困扰情况。本研究纳入了65至80岁的幸存者以及年龄和性别匹配的普通人群。从瑞典心肺复苏登记处收集了幸存者的数据。使用医院焦虑抑郁量表来测量心理困扰。数据采用非参数统计进行分析。最终样本包括1027名CA幸存者和1018名普通人群。两组的平均年龄均为72岁（标准差 = 4），女性占28%。幸存者的焦虑患病率为9.9%，普通人群为9.5%，而抑郁的相应患病率分别为11.3%和11.5%。使用临界分数，未检测到两组之间存在显著差异。然而，CA幸存者使用分量表分数报告的症状水平显著更低（中位数差值 = 1，< 0.001）。总之，CA幸存者报告的焦虑和抑郁症状水平并不高于普通人群。然而，由于心理困扰与生活质量差和康复有关，对心理困扰进行筛查仍然很重要。
