Crisp A H, Stonehill E
Postgrad Med J. 1969 Jul;45(525):423-7. doi: 10.1136/pgmj.45.525.423.
An initial clinical observation that patients with externally located cardiac pacemakers are more distressed and depressed than those with internally sited pacemakers has been confirmed. The total patient group is also characterized by its tendency to report that it does not worry about getting an incurable illness. At the same time, it is evident to others that it does have such an illness. Those patients who acknowledge that they did worry in this way were found to score significantly higher on several scales of a standardized psychoneurotic index than did the overall ‘pacemaker’ population. Possible reasons for the greater psychological distress displayed by the group of patients with external pacemakers are discussed.
最初的临床观察发现,心脏起搏器外置的患者比起搏器内置的患者更痛苦、更抑郁,这一发现已得到证实。整个患者群体的另一个特点是,他们倾向于表示不担心患上不治之症。然而,其他人明显看出他们确实患有这种疾病。结果发现,那些承认自己曾为此担忧的患者在标准化精神神经症指数的几个量表上的得分明显高于整个“起搏器”人群。本文讨论了外置起搏器患者群体表现出更大心理痛苦的可能原因。