严重COPD患者的认知功能与心理因素之间的关联
Kristina Kock Hansen1,2, Ole Hilberg1,2, Hanne Irene Jensen2,3
1Department of Respiratory Diseases, Lillebaelt Hospital, Vejle, University Hospital of Southern Denmark, Denmark.
International journal of chronic obstructive pulmonary disease
|September 25, 2023
概括
患有慢性阻塞性肺病 (COPD) 的患者经历了更高的心理痛苦. 虽然压力会影响注意力,但心理因素并不能显著预测COPD患者的认知能力下降,除了人口统计.
科学领域:
- 肺部医学 肺部医学
- 精神病学是一个精神病学.
- 神经科学是一个神经科学.
背景情况:
- 与普通人群相比,慢性阻塞性肺病 (COPD) 患者的焦虑,抑郁和压力率更高.
- 了解心理健康和认知功能之间的相互作用对于管理COPD至关重要.
研究的目的:
- 研究COPD患者的认知功能与心理因素 (焦虑,抑郁,压力) 之间的关系.
- 为了确定心理因素是否有助于COPD的认知障碍超出社会人口统计学变量.
主要方法:
- 一项涉及80名重症慢性肺炎患者和22名年龄匹配对照的横截面研究.
- 使用蒙特利尔认知评估 (MoCA),连续反应时间测试 (CRT) 和驾驶模拟器评估认知功能.
- 通过医院焦虑和抑郁量表 (HADS) 和感知压力量表 (PSS) 评估心理状态.
- 使用了层次的多重线性回归分析.
主要成果:
- 慢性肺炎患者报告的心理症状明显高于对照组 (p ≤ 0.001).
- 在认知障碍和非认知障碍的COPD患者之间,没有发现焦虑,抑郁或压力的显著差异.
- 感知到的压力是注意力下降的重要预测因素,由减少的反应时间稳定性 (p = 0.02) 表示.
结论:
- 慢性肺炎患者的心理痛苦增加,感知到的压力与注意力受损有关.
- 心理因素无法解释超出社会人口统计学和自我报告症状的认知功能的额外变异.
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