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患有先天性心脏病的成年人的创伤后痛苦:保护因素和临床影响
Annika Freiberger1, Caroline Andonian-Dierks2,3, Jürgen Beckmann2,4,5
1Department of Congenital Heart Disease and Pediatric Cardiology, German Heart Center Munich, TUM University Hospital, Munich, Germany. freiberger@dhm.mhn.de.
International journal of behavioral medicine
|November 12, 2024
概括
患有先天性心脏病 (ACHD) 的成人面临创伤后应激症状 (PTSS) 的风险. 一致感和社会支持显著降低了PTSS的可能性,而低性增加了它.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 公共卫生 公共卫生
背景情况:
- 患有先天性心脏病 (ACHD) 的成年人容易出现创伤后应激症状 (PTSS).
- 了解心理社会保护因素对于在ACHD中管理PTSS至关重要.
- 先天性心脏病 (CHD) 的复杂性可能会影响PTSS风险和保护因子的有效性.
研究的目的:
- 在患有先天性心脏病 (ACHD) 的成年人中调查针对PTSS的心理社会保护因素.
- 评估弹性,连贯感 (SOC) 和社会支持在缓解PTSS中的作用.
- 探索这些因素如何与先天性心脏病 (CHD) 的不同复杂性相互作用.
主要方法:
- 从2021年11月到2022年8月,招募了234名患有先天性心脏病 (ACHD) 的成年人.
- 收集的数据包括PTSS (PDS),弹性 (RS-13),连贯感 (SOC-L9) 和社会支持 (F-SozU K-14).
- 进行了统计分析,以确定保护因素与PTSS之间的关联.
主要成果:
- 一致感 (SOC) 和社会支持显著与PTSS的可能性降低有关.
- 发现低弹性增加了发展PTSS的可能性.
- 报告了性,SOC和社会支持的平均得分,为研究人口提供了基线.
结论:
- 儿童时期的家长和家庭支持积极影响SOC的发展,与较低的PTSS相关.
- 整合社交网络和提供教育来增强弹性和SOC可以改善ACHD的心理社会结果.
- 建议对个人资源进行查,例如弹性和SOC,以便在早期转诊时提供专门的心理社会护理.
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