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急性心肌梗死患者感知应激水平、心理灵活性、抑郁和焦虑之间的关系

Relationship Between Perceived Stress Level, Psychological Flexibility, Depression, and Anxiety in Patients with Acute Myocardial Infarction.

作者信息

Polat Esra, Çiriş Şükrü, Çelikbas Zekiye, Chaudhry Afnan

机构信息

Department of Cardiology, Gaziantep City Hospital, Gaziantep 27470, Turkey.

Department of Psychiatry, Gölhisar State Hospital, Burdur 15400, Turkey.

出版信息

Medicina (Kaunas). 2025 Jun 25;61(7):1139. doi: 10.3390/medicina61071139.

Abstract

: Stress and type A personality are known to be risk factors for the development of acute myocardial infarction (AMI), and depression is both a risk factor for AMI and a prognostic factor. In this study, we aimed to evaluate the relationship between psychological flexibility, perceived stress level, depression, and anxiety in AMI patients. : The study included 89 patients with a diagnosis of AMI and 89 volunteer participants with no previous history of coronary angiography and no diagnosis of AMI. Patients were evaluated with the Acceptance and Action Questionnaire (AAQ)-II, the Hospital Anxiety and Depression Scale (HADS), and the Perceived Stress Scale (PSS)-14. : A strong positive statistically significant correlation was found between the Perceived Stress Scale score and HAD-II (r = 0.697 < 0.001), HAD-Anxiety (r = 0.715 < 0.001), and HAD-Depression (r = 0.657 < 0.001) scores. A statistically significant moderate positive correlation was found between the HAD-Depression Scale and HAD-Anxiety (r = 0.593 < 0.001) and AAQ-II (r = 0.530 < 0.001) scores. A strong positive statistically significant correlation was found between the HAD-Anxiety Scale and AAQ-II (r = 0.809 < 0.001) scores. : Investigation of psychological flexibility, anxiety, and depression in AMI patients with scales such as AAQ-II, PSS-14, and HADS may help early diagnosis and treatment of individuals at risk for psychiatric disorders.

摘要

压力和A型人格被认为是急性心肌梗死(AMI)发生的危险因素,而抑郁症既是AMI的危险因素,也是一个预后因素。在本研究中,我们旨在评估AMI患者的心理灵活性、感知压力水平、抑郁和焦虑之间的关系。:该研究纳入了89例诊断为AMI的患者和89名无冠状动脉造影史且未诊断为AMI的志愿者。患者使用接受与行动问卷(AAQ)-II、医院焦虑抑郁量表(HADS)和感知压力量表(PSS)-14进行评估。:感知压力量表得分与HAD-II(r = 0.697,P < 0.001)、HAD-焦虑(r = 0.715,P < 0.001)和HAD-抑郁(r = 0.657,P < 0.001)得分之间存在统计学上显著的强正相关。HAD-抑郁量表与HAD-焦虑(r = 0.593,P < 0.001)和AAQ-II(r = 0.530,P < 0.001)得分之间存在统计学上显著的中度正相关。HAD-焦虑量表与AAQ-II(r = 0.809,P < 0.001)得分之间存在统计学上显著的强正相关。:使用AAQ-II、PSS-14和HADS等量表对AMI患者的心理灵活性、焦虑和抑郁进行调查,可能有助于对有精神障碍风险的个体进行早期诊断和治疗。

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