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在心脏康复二期前后,使用患者健康问卷-9对心脏病患者的临床抑郁指标进行评估。

Assessment of clinical depression metrics in cardiac patients using the patient health Questionnaire-9 before and after phase-II cardiac rehabilitation.

作者信息

Quindry John C, McNamara Michael, Oser Carrie, Fogle Crystelle

机构信息

Integrative Physiology and Athletic Training, University of Montana, Missoula, MT, USA.

St. Patrick's Hospital, Missoula, MT, USA.

出版信息

Sports Med Health Sci. 2023 Sep 11;6(3):240-245. doi: 10.1016/j.smhs.2023.09.004. eCollection 2024 Sep.


DOI:10.1016/j.smhs.2023.09.004
PMID:39234489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11369830/
Abstract

Cardiovascular disease remains a leading cause of morbidity and mortality, a fact that is commonly associated with co-morbidities such as clinical depression. While phase II cardiac rehabilitation is an established intervention for those with cardiovascular disease, its effect on patients who also suffer from depression are under studied. Aim: To quantify Pre- and Post-cardiac rehabilitation questionnaire scores collected from a large patient data registry. For this investigation, 27 ​670 patients completed Patient Health Questionnaire-9 questionnaires both Pre- and Post-rehabilitation (averaging [28.0 ​± ​8.7] phase II sessions). Findings reveal that questionnaire scores decreased by 40%-48% across all groups, a finding that was independent of assigned sex, race, and ethnicity. Moreover, when data were stratified for questionnaire scores that may indicate major and minor depressive disorder, phase II cardiac rehabilitation outcomes were lower by 61% and 49% respectively. While all groups exhibited lower questionnaire scores following cardiac rehabilitation participation, numerical differences at Pre- and Post-rehabilitation time points indicate that males and White patients have more favorable scores. This latter observation, while not confirmed currently, appears to be linked to referral rates to phase II cardiac rehabilitation, which remain poor for females, racial and ethnic minorities.

摘要

心血管疾病仍然是发病和死亡的主要原因,这一事实通常与临床抑郁症等合并症相关。虽然心脏康复二期是针对心血管疾病患者的既定干预措施,但其对同时患有抑郁症患者的影响仍有待研究。目的:量化从大型患者数据登记处收集的心脏康复前后问卷调查得分。在本次调查中,27670名患者在康复前后均完成了患者健康问卷-9(平均[28.0±8.7]次心脏康复二期疗程)。研究结果显示,所有组的问卷得分均下降了40%-48%,这一结果与患者的性别、种族和民族无关。此外,当对可能表明重度和轻度抑郁症的问卷得分进行分层分析时,心脏康复二期的结果分别降低了61%和49%。虽然所有组在参与心脏康复后问卷得分均有所降低,但康复前后时间点的数值差异表明,男性和白人患者的得分更为理想。后一项观察结果目前尚未得到证实,但其似乎与心脏康复二期的转诊率有关,女性、少数族裔和种族的转诊率仍然很低。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/11369830/d74e9ccdc8ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/11369830/67767a66fda0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/11369830/d74e9ccdc8ec/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/11369830/67767a66fda0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e5b3/11369830/d74e9ccdc8ec/gr2.jpg

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Assessment of clinical depression metrics in cardiac patients using the patient health Questionnaire-9 before and after phase-II cardiac rehabilitation.

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引用本文的文献

[1]
Sex Differences in Anxiety and Depression Among Coronary Heart Disease Patients During Cardiac Rehabilitation: A Quasi-Experimental Study.

Epidemiologia (Basel). 2025-8-7

[2]
Changes in Mental and Physical Health Outcomes Following One Day a Week Cardiopulmonary Rehabilitation in Regional New South Wales.

Aust J Rural Health. 2025-4

本文引用的文献

[1]
Prevalence of Depression in Patients With Post-Acute Coronary Syndrome and the Role of Cardiac Rehabilitation in Reducing the Risk of Depression: A Systematic Review.

Cureus. 2021-12-31

[2]
Tracking Cardiac Rehabilitation Utilization in Medicare Beneficiaries: 2017 UPDATE.

J Cardiopulm Rehabil Prev. 2022-7-1

[3]
Heart Disease and Stroke Statistics-2022 Update: A Report From the American Heart Association.

Circulation. 2022-2-22

[4]
Benchmarking Depressive Symptoms in Cardiac Rehabilitation.

J Cardiopulm Rehabil Prev. 2022-5-1

[5]
Sex and Age Differences in Anxiety and Depression Levels Before and After Aerobic Interval Training in Cardiac Rehabilitation.

J Cardiopulm Rehabil Prev. 2022-1-1

[6]
Cardiac Rehabilitation and Resting Blood Pressure: MONTANA OUTCOMES PROJECT CARDIAC REHABILITATION REGISTRY FINDINGS.

J Cardiopulm Rehabil Prev. 2022-3-1

[7]
Symptoms of Depression and Anxiety in Patients With Type 2 Diabetes in a Canadian Outpatient Cardiac Rehabilitation Program.

J Cardiopulm Rehabil Prev. 2021-9-1

[8]
Exercise Preconditioning as a Cardioprotective Phenotype.

Am J Cardiol. 2021-6-1

[9]
Psychological Health, Well-Being, and the Mind-Heart-Body Connection: A Scientific Statement From the American Heart Association.

Circulation. 2021-3-9

[10]
Accuracy of the PHQ-2 Alone and in Combination With the PHQ-9 for Screening to Detect Major Depression: Systematic Review and Meta-analysis.

JAMA. 2020-6-9

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