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冠心病患者的疾病认知作为焦虑和抑郁症状的预测因素

Illness perceptions as predictive factors for anxiety and depressive symptoms among patients with coronary heart disease.

作者信息

Al-Sutari Manal, Khraisat Omar

机构信息

Acute and Chronic Care Nursing Department, Faculty of Nursing Al-Ahliyya Amman University.

College of Nursing King Khalid University, Muhail Asir.

出版信息

Health Psychol Res. 2025 Apr 6;13:133564. doi: 10.52965/001c.133564. eCollection 2025.

DOI:10.52965/001c.133564
PMID:40201067
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11975538/
Abstract

BACKGROUND

Individuals diagnosed with Coronary Heart Disease (CHD) form specific perceptions about their condition. These illness perceptions (IP) influence several clinical and mental aspects of patients' health outcomes.

OBJECTIVE

To describe IP in Jordanian patients with CHD and to examine the role of IP domains in predicting anxiety and depressive symptoms in Jordanian patients with CHD.

METHODS

In a cross-sectional study, a convenience sample of 193 patients with CHD, who visited the cardiac clinic for routine follow-up, completed the brief illness perception questionnaire and the Hospital Anxiety and Depression Scale.

RESULTS

Participants perceived CHD as a chronic condition with moderate negative consequences and they were highly concerned about their illness. Illness perceptions domains were significantly associated with anxiety and depressive symptoms. Personal control, treatment control, and disease identity were significant predictors of depressive symptoms, while personal control and emotional representation were significant predictors of anxiety symptoms.

CONCLUSION

Findings indicate that negative illness perceptions are strongly associated with anxiety and depressive symptoms. Study findings suggest that interventions targeting personal control, treatment control, identity, and emotional representation could improve CHD patients' mental well-being.

摘要

背景

被诊断患有冠心病(CHD)的个体对自身病情会形成特定的认知。这些疾病认知(IP)会影响患者健康结局的多个临床和心理方面。

目的

描述约旦冠心病患者的疾病认知,并探讨疾病认知领域在预测约旦冠心病患者焦虑和抑郁症状方面的作用。

方法

在一项横断面研究中,选取193例到心脏科门诊进行常规随访的冠心病患者作为便利样本,他们完成了简短疾病认知问卷和医院焦虑抑郁量表。

结果

参与者将冠心病视为具有中度负面后果的慢性疾病,并且他们对自己的疾病高度关注。疾病认知领域与焦虑和抑郁症状显著相关。个人控制、治疗控制和疾病认同是抑郁症状的显著预测因素,而个人控制和情绪表征是焦虑症状的显著预测因素。

结论

研究结果表明,负面的疾病认知与焦虑和抑郁症状密切相关。研究结果表明,针对个人控制、治疗控制、认同和情绪表征的干预措施可能会改善冠心病患者的心理健康。

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本文引用的文献

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Illness intrusiveness, health locus of control, and anxiety symptoms among veterans with congestive heart failure.充血性心力衰竭退伍军人的疾病侵扰性、健康控制点与焦虑症状
Health Psychol Open. 2024 May 8;11:20551029241250311. doi: 10.1177/20551029241250311. eCollection 2024 Jan-Dec.
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Symptom Burden and Quality of Life Among Patients With Heart Failure.心力衰竭患者的症状负担与生活质量
SAGE Open Nurs. 2024 Mar 28;10:23779608241242023. doi: 10.1177/23779608241242023. eCollection 2024 Jan-Dec.
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The burden of Cardiovascular diseases in Jordan: a longitudinal analysis from the global burden of disease study, 1990-2019.约旦的心血管疾病负担:来自全球疾病负担研究,1990-2019 年的纵向分析。
BMC Public Health. 2024 Mar 21;24(1):879. doi: 10.1186/s12889-024-18316-0.
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Impact of Mental Health Treatment on Outcomes in Patients With Heart Failure and Ischemic Heart Disease.心理健康治疗对心力衰竭和缺血性心脏病患者结局的影响。
J Am Heart Assoc. 2024 Apr 2;13(7):e031117. doi: 10.1161/JAHA.123.031117. Epub 2024 Mar 20.
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Psychological Distress and the Risk of Adverse Cardiovascular Outcomes in Patients With Coronary Heart Disease.冠心病患者的心理困扰与不良心血管结局风险
JACC Adv. 2024 Feb;3(2). doi: 10.1016/j.jacadv.2023.100794. Epub 2023 Dec 22.
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Illness Perception and the Severity of Depression and Anxiety Symptoms in Patients with Multimorbidity: Observational Cohort Studies.共病患者的疾病认知与抑郁和焦虑症状的严重程度:观察性队列研究
J Clin Med. 2023 Dec 22;13(1):69. doi: 10.3390/jcm13010069.
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Illness Perception, Self-Efficacy, and Medication Adherence in Patients With Coronary Artery Disease: A Path Analysis of Conceptual Model.冠心病患者的疾病认知、自我效能感与药物依从性:概念模型的路径分析
SAGE Open Nurs. 2023 Jun 12;9:23779608231171772. doi: 10.1177/23779608231171772. eCollection 2023 Jan-Dec.
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Positivity and Health Locus of Control: Key Variables to Intervene on Well-Being of Cardiovascular Disease Patients.积极心态与健康控制点:干预心血管疾病患者幸福感的关键变量。
J Pers Med. 2023 May 22;13(5):873. doi: 10.3390/jpm13050873.
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Depressive and anxiety symptoms and illness perception among patients with acute coronary syndrome.急性冠状动脉综合征患者的抑郁和焦虑症状及疾病认知。
J Adv Nurs. 2023 Jul;79(7):2632-2642. doi: 10.1111/jan.15612. Epub 2023 Mar 10.
10
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