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成年人患有先天性心脏病的焦虑和抑郁症
Adrienne H Kovacs1, Koen Luyckx2, Corina Thomet3
1Equilibria Psychological Health, Toronto, Ontario, Canada.
Journal of the American College of Cardiology
|January 17, 2024
概括
全球近三分之一患有先天性心脏病的成年人经历了高度的抑郁和焦虑症状,显著影响了他们的生活质量和健康状况. 早期识别和管理心理痛苦至关重要.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 成人先天性心脏病 (ACHD) 的结果需要了解心理功能.
- 一项全球性研究探讨了ACHD患者的抑郁和焦虑症状.
研究的目的:
- 在全球 ACHD 样本中调查抑郁和焦虑症状升高的患病率.
- 检查与这些症状相关的社会人口统计学和医疗因素.
- 评估心理症状对生活质量 (QOL) 和健康状况 (HS) 的影响.
主要方法:
- APPROACH-IS的子研究 (先天性心脏病成年人患者患者报告结果的模式评估 - 国际研究).
- 使用医院焦虑和抑郁量表 (HADS) 来评估症状.
- 使用模拟尺度 (0-100) 测量QOL和HS.
主要成果:
- 来自15个国家的3815名参与者的30.1%报告了症状升高 (HADS-A和/或HADS-D).
- 流行率在不同国家有所不同.
- 增加的焦虑和抑郁症状与较低的QOL和HS显著相关 (P<0.001).
结论:
- 全球近三分之一的ACHD人口经历了高度的抑郁和/或焦虑.
- 心理困扰与ACHD患者的QOL和HS降低有关.
- 强烈建议在ACHD中使用临床策略来识别和管理心理困扰.
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