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慢性疾病中加速死亡的愿望的相关性:一个横截面网络分析
Eun-Jung Shim1, Donghee Jeong1, Saim Jung2
1Department of Psychology, Pusan National University, Busan, Republic of Korea.
Journal of psychosomatic research
|October 18, 2025
概括
感知到的负担和焦虑与慢性疾病中加速死亡 (DHD) 的愿望密切相关. 抑郁症是DHD网络的核心,强调需要解决情绪困扰和感知负担.
科学领域:
- 精神病学和心理学 精神病学和心理学
- 医学社会学 医学社会学
- 老年学是一门学科.
背景情况:
- 渴望加速死亡 (DHD) 是一个复杂的问题,通常与慢性病患者的深刻身体和心理社会痛苦有关.
- 了解导致DHD的心理因素的复杂相互作用,对于开发有效的干预措施至关重要.
- 网络分析提供了一种新的方法来探索各种心理结构和DHD之间的关系.
研究的目的:
- 研究患有慢性身体疾病的患者队列中DDH的心理社会和认知情感相关物.
- 利用横截面网络分析来绘制DHD及其相关因素之间的关系.
- 识别网络中的关键节点和路径,这些节点和路径有助于加速死亡的愿望.
主要方法:
- 一项涉及366名患有脏,心血管或脑血管疾病的韩国患者的横截面研究.
- 经过验证的问卷评估了DHD,生活质量,感知到的负担 (PB),挫败的归属感 (TB),对死亡的无畏,绝望,无助,失去自主,抑郁和焦虑.
- 用高斯图形模型来估计网络结构,然后进行中心性,可预测性和相对重要性分析.
主要成果:
- 11.0%的参与者报告高DHD. 网络分析解释了43.1%的DDH.HD差异.
- 感知负担 (PB) 显示了与DHD最强的直接关联,其次是绝望,焦虑和无助.
- 抑郁是网络中最核心的节点,虽然没有直接连接到DHD. PB和焦虑被确定为最重要的相关因素.
结论:
- 感知负担 (PB) 和焦虑是慢性身体疾病患者的DHD的强有力的相关因子.
- 抑郁症在网络结构中起着关键作用,这表明它对DHD的间接影响.
- 针对感知负担和情绪困扰的干预措施,特别是焦虑,对于在这个人群中管理DHD至关重要.
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