在患有慢性心力衰竭的患者中,有或没有抑郁性并发症的患者体征特征
Thomas Müller-Tasch1,2, Bernd Löwe3, Lutz Frankenstein4
1Department of Psychosomatic Medicine and Psychotherapy, Klinikum am Weissenhof, Weinsberg, Germany.
Frontiers in psychiatry
|April 3, 2024
概括
患有慢性心力衰竭 (CHF) 和抑郁症的患者会出现更严重的身体症状. 这包括心脏症状,强调在评估CHF患者症状时需要考虑抑郁症.
科学领域:
- 心脏病学 心脏病学
- 精神病学是一个精神病学.
- 精神病体医学是一种精神病体医学.
背景情况:
- 慢性心力衰竭 (CHF) 患者通常会同时出现抑郁症.
- 慢性心血管疾病和抑郁症都可能表现为体质症状.
- 准确的症状归因对于有效的患者管理至关重要.
研究的目的:
- 研究患有抑郁症并发症和没有抑郁症并发症的CHF患者之间体质症状严重程度的差异.
- 为了确定特定的体征症状是否在患有抑郁症的CHF患者中更明显.
主要方法:
- 评估了308名心血管疾病门诊患者.
- 使用患者健康问卷-9 (PHQ-9) 评估抑郁症并发症.
- 用患者健康问卷-15 (PHQ-15) 测量体质症状严重程度,并对共变率进行项目级分析.
主要成果:
- 30.3%的CHF患者患有抑郁症并发症.
- 患有抑郁症的患者报告了13种体征症状中的10种症状的严重程度明显更高.
- 头痛,胸痛,呼吸短促和心显示出最大的效果大小.
结论:
- 阴性症状在患有抑郁症并发症的CHF患者中更为明显.
- 心脏症状如胸痛和呼吸短促在患有抑郁症的CHF患者中显著加剧,无论CHF的严重程度如何.
- 临床实践应将体征症状视为潜在的潜在指标,表明CHF患者的潜在抑郁性并发症.
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