述情障碍是心肌梗死后长期病程中早期死亡的一个决定因素。
Alexithymia is a determinant of early death in the long-term course of post-myocardial infarction.
作者信息
Carta Mauro Giovanni, Sancassiani Federica, Bina Davide, Licciardi Marco, Cossu Giulia, Nardi Antonio Egidio, Meloni Luigi, Montisci Roberta
机构信息
Department of Medical Sciences and Public Health, University of Cagliari.
Laboratory of Panic and Respiration, Institute of Psychiatry of Federal University of Rio de Janeiro (IPUB/UFRJ), Rio de Janeiro.
出版信息
J Public Health Res. 2022 Mar 16;11(2):2803. doi: 10.4081/jphr.2022.2803.
Among people with ST-segment elevation myocardial infarction (STEMI), high alexithymia was associated with delay to hospital arrival. High alexithymia could be a determinant of early death in the long term after STEMI. People with STEMI who participated in a survey in 2011, was tested about the state of life in 2021. The sample was divided into two cohorts (cut-off: TAS-20≥61 in 2011). The relationship between possible death occurred and having high alexithymia was calculated by comparing the mortality after 10 years in the two cohorts through the Cox' proportional hazard model. Status in life was verified on 39.3% of the sample. No differences were found regarding age, sex, high alexithymia between individuals on whom it was possible to verify the state in life and in whose it was not. In 2021, among people having high alexithymia in 2011, a higher risk of early death was found (RR=5.75, CI 95% 1.116-29.637).
在ST段抬高型心肌梗死（STEMI）患者中，高述情障碍与延迟就医有关。高述情障碍可能是STEMI后长期早期死亡的一个决定因素。2011年参与一项调查的STEMI患者，在2021年接受了生活状况测试。样本被分为两个队列（临界值：2011年多伦多述情障碍量表（TAS-20）≥61）。通过Cox比例风险模型比较两个队列10年后的死亡率，计算可能发生的死亡与高述情障碍之间的关系。对39.3%的样本进行了生活状况核实。在能够核实生活状况的个体与无法核实生活状况的个体之间，在年龄、性别、高述情障碍方面未发现差异。2021年，在2011年有高述情障碍的人群中，发现早期死亡风险更高（风险比=5.75，95%置信区间1.116-29.637）。
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