Are somatic symptoms of depression better predictors of cardiac events than cognitive symptoms in coronary heart disease?
Are somatic symptoms of depression better predictors of cardiac events than cognitive symptoms in coronary heart disease?
复制标题
抑郁症的体细胞症状是否比冠心病的认知症状更好地预测心脏事件？
DOI：
10.1097/psy.0b013e3182405ac4
复制
发表时间：
2012-01
影响因子：
3.3
通讯作者：
Freedland KE
中科院分区：
文献类型：
--
作者：
Carney RM;Freedland KE
最近的几项研究发现，抑郁症的躯体症状可以预测已确诊冠心病患者的心脏事件，但抑郁症的认知症状却不能。然而，其他研究并未支持这一发现，并且该领域的研究因方法差异和“认知”和“躯体”症状分类的不一致而复杂化。此外，在心脏病患者中，躯体症状比认知症状更常见，并且往往与更严重的抑郁症相关。这些因素可能混淆躯体症状和心脏结果之间的关系。在心脏病患者中，躯体症状可能比认知症状更常见的一些原因被考虑在内，以及躯体症状是否可能是抑郁症或内科疾病的症状。最后，对今后的研究方向进行了展望。
Several recent studies have found that somatic symptoms of depression predict cardiac events in patients with established CHD, but cognitive symptoms of depression do not. However, other studies have not supported this finding, and the research in this area is complicated by methodological differences and inconsistencies in the classification of “cognitive” and “somatic” symptoms. In addition, somatic symptoms are more common than cognitive symptoms in cardiac patients, and are often associated with more severe depression. These factors may confound the relationship between somatic symptoms and cardiac outcomes. Some reasons why somatic symptoms may be more common than cognitive symptoms in cardiac patients are considered, as well as whether somatic symptoms are likely to be symptoms of depression or of medical illness. Finally, some directions for future research are proposed.