应对策略和D型人格变化与皮肤穿透冠状动脉干预后9个月的抑郁倾向有关
Daisuke Yamaguchi1, Yoshihiro Asano1, Koichiro Kuwahara2
1Division of Nursing, School of Health Sciences, Shinshu University, Matsumoto city, Nagano, Japan.
在冠状动脉疾病 (CAD) 患者中,D型人格会影响抑郁症. 具体的应对策略,如规划,可以改善皮肤冠状动脉干预 (PCI) 后抑郁倾向.
科学领域:
- 心脏病学 心脏病学
- 心理学 心理学 心理学
- 行为医学是一种行为医学.
背景情况:
- D型人格,以负面情感和社会抑制为特征,与冠状动脉疾病 (CAD) 和抑郁症有关.
- 患有D型人格的CAD患者的应对策略需要进一步调查.
研究的目的:
- 在CAD患者中分析D型人格特征和应对策略.
- 通过皮肤冠状动脉干预 (PCI) 后的随访期间探索与抑郁倾向相关的因素.
主要方法:
- 接受PCI的84名CAD患者在出院前进行了人格和应对策略的评估.
- 抑郁倾向在PCI后9个月被前性评估.
主要成果:
- 抑郁倾向的持续与"计划"应对策略相反相关 (OR:0.80).
- 抑郁倾向的改善与"计划" (OR: 1.47),"逃避思维" (OR: 1.47) 和"积极解释" (OR: 1.43) 应对策略相关.
- 在随访期间,在患有D型人格的患者中观察到抑郁症恶化,而改善与特定的应对策略有关.
结论:
- 具体的应对策略显著影响PCI后CAD患者抑郁倾向的持续或改善.
- 在随访期间,D型人格状态的变化与抑郁倾向状态相关.
- 整合应对策略的以人格为导向的治疗方法可能为预防抑郁和改善CAD患者护理提供新的方法.
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