恐慌和偶发性呼吸困难在临终性疾病患者中的相互作用:一个横截面研究
Karlotta Schloesser1, Anja Bergmann2, Yvonne Eisenmann1
1Department of Palliative Medicine, University of Cologne, Faculty of Medicine and University Hospital, Cologne, Germany.
Annals of palliative medicine
|September 11, 2023
概括
灾难性的想法在偶发性喘息期间加剧了恐慌. 与恐慌一起解决这些想法对于患者的支持和管理喘息紧急情况至关重要.
科学领域:
- 医学研究 医学研究
- 心理学 心理学 心理学
- 临床医学 临床医学
背景情况:
- 插曲性呼吸困难经常与恐慌有关,创造了一个可能导致紧急情况的循环.
- 插曲性喘息和恐慌之间的相互作用需要进一步调查,以改善患者的护理.
研究的目的:
- 为了更好地理解恐慌和偶发性喘息之间的相互作用.
- 为患有这些症状的患者制定有针对性的支持策略提供信息.
主要方法:
- 患有生命限制疾病引起的偶发性喘息的患者填写了关于喘息和恐慌的问卷.
- 用患者健康问卷和DSM-IV诊断 (SCID) 的结构化临床访谈进行了惊慌失调的查.
- 一个开放式的问题探讨了患者在喘息期间的恐慌经历.
主要成果:
- 在46名患者中,61%的患者在整个喘息期间感到恐慌,25%的患者被诊断为恐慌症.
- 较高水平的呼吸困难和灾难性的想法与在发作期间增加的恐慌相关 (P<0.001).
- 灾难性的想法显著调解了喘息强度和经历的恐慌之间的关系.
结论:
- 关于治疗偶发性喘息的未来研究应该解决恐慌和潜在的机制,如灾难化.
- 针对灾难性的思想的干预措施可以减轻偶发性喘息和相关恐慌的负担.
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