在缺血性心脏病中查抑郁症:性别差异和心理社会影响使用自主开发的问卷
Laura Ioana Bondar1,2, Diana Carina Iovanovici1, Victor Măduța2
1Doctoral School of Biomedical Sciences, University of Oradea, 410087 Oradea, Romania.
Journal of clinical medicine
|February 13, 2025
概括
抑郁症在缺血性心脏病 (IHD) 患者中很常见,严重程度和寻求帮助方面存在性别差异. 在缺血性心脏病问卷中评估抑郁症 (DA-IHDQ) 是一个可靠的查工具.
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:
- 缺血性心脏病 (IHD) 是全球死亡的主要原因.
- 抑郁症经常与IHD同时发生,恶化结果和生活质量.
- 性别影响IHD患者的抑郁症严重程度和寻求帮助的行为.
研究的目的:
- 评估使用DA-IHDQ的IHD患者的抑郁症患病率和严重程度.
- 为了调查抑郁症严重程度的基于性别的差异.
- 探索在IHD患者中寻求心理支持的性别差异.
主要方法:
- 在罗马尼亚对103名IHD患者 (62名男性,41名女性) 的横截面研究.
- 使用了自己开发的抑郁症评估在缺血性心脏病问卷 (DA-IHDQ).
- 评估了抑郁症的严重程度 (最小,轻度,中度,严重) 和对心理支持的兴趣;评估了DA-IHDQ心理测量属性 (克朗巴赫α = 0.957,敏感性 = 90.0%,特异性 = 98.8%).
主要成果:
- 轻度抑郁是最普遍的;严重的抑郁是最不常见的.
- 男性的整体抑郁频率较高 (较轻微的病例),而女性的中度/重度病例较多.
- 男人对心理帮助的兴趣明显较低;女性更愿意寻求支持.
结论:
- 在IHD患者中,抑郁症的高患病率需要有针对性的心理干预.
- 心理健康参与中的性别差异需要定制策略.
- DA-IHDQ是一种经过验证的,准确的查工具,用于IHD护理中的抑郁症.
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