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冠状动脉搭桥手术患者焦虑和抑郁的病程。

The course of anxiety and depression in patients undergoing coronary artery bypass graft surgery.

作者信息

Duits A A, Duivenvoorden H J, Boeke S, Taams M A, Mochtar B, Krauss X H, Passchier J, Erdman R A

机构信息

Department of Medical Psychology and Psychotherapy, Erasmus University, Rotterdam, The Netherlands.

出版信息

J Psychosom Res. 1998 Aug;45(2):127-38. doi: 10.1016/s0022-3999(97)00307-3.

Abstract

A semilongitudinal study was designed to follow-up the course of anxiety and depression in patients undergoing coronary artery bypass graft (CABG) surgery. The focus was on possible effects of gender and age on variations in both mean level and interindividual differences over time. At two timepoints before and two after surgery, 217 patients completed self-report questionnaires. Multivariate testing revealed an overall decrease in mean levels of anxiety and depression in the postoperative period but different trends for men and women. Compared with men, women reported more anxiety and depression, both pre- and postoperatively, but showed a relatively stronger decrease in the early postoperative period. Regarding variations in interindividual differences over time, multivariate testing revealed different trends of depression for men and women. Women appeared to be most homogeneous in the early days after surgery, whereas interindividual differences for men showed a stable trend.

摘要

一项半纵向研究旨在追踪接受冠状动脉搭桥术(CABG)的患者的焦虑和抑郁病程。重点关注性别和年龄对随时间变化的平均水平和个体差异的可能影响。在手术前的两个时间点和手术后的两个时间点,217名患者完成了自我报告问卷。多变量测试显示术后焦虑和抑郁的平均水平总体下降,但男性和女性呈现不同趋势。与男性相比,女性在术前和术后都报告了更多的焦虑和抑郁,但在术后早期下降相对更强。关于随时间变化的个体差异,多变量测试显示男性和女性的抑郁趋势不同。女性在手术后早期似乎最为同质,而男性的个体差异呈现稳定趋势。

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