Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease.
Psychosocial characteristics after acute myocardial infarction: the ENRICHD pilot study. Enhancing Recovery in Coronary Heart Disease.
复制标题
急性心肌梗死后的心理社会特征：ENRICHD 试点研究。
DOI：
10.1097/00008483-200111000-00003
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发表时间：
2001
期刊：
影响因子：
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通讯作者：
EnhancingRecoveryinCoronaryHeartDisease(ENRICHD)PilotStudy
中科院分区：
文献类型：
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作者：
MendesdeLeon,CF;Dilillo,V;Czajkowski,S;Norten,J;Schaefer,J;Catellier,D;Blumenthal,JA;EnhancingRecoveryinCoronaryHeartDisease(ENRICHD)PilotStudy
心理社会因素，如情绪困扰和社会孤立，已越来越多地被认为是影响急性心肌梗死（AMI）患者康复的重要危险因素。本研究探讨年龄，性别和种族的差异，抑郁症和一般困扰，社会支持，健康相关的生活质量后AMI.METHODS数据来自一系列的88例患者，年龄62.1 ± 14.2岁（46%女性）谁是住院的AMI在8个不同的美国临床中心参加了增强恢复冠心病（ENRICHD）试点研究。采用标准化的心理测量方法评估三个社会心理领域：（1）抑郁和一般困扰（心理健康功能），（2）社会支持，（3）健康相关的生活质量。多变量方差分析用于研究年龄、性别和种族差异在三个心理社会领域中的影响。040）。心理健康功能的性别差异因年龄而异（P =. 046），在年轻女性患者中观察到的差异最大。老年患者（P =. 014)女性患者（P =. 025)与年轻患者和男性患者相比，报告的社会支持水平较低。少数民族患者没有不同的非少数民族患者的心理健康功能或社会支持，并有没有显着差异，在AMI后的生活质量的基础上的年龄，性别，或ethnicity.CONCLUSIONSThe心理社会风险档案AMI后可能是不同的男性和女性患者，和干预措施可能需要考虑到每个性别的具体需求。
PURPOSEPsychosocial factors, such as emotional distress and social isolation, have been increasingly recognized as important risk factors for patients’ recovery from acute myocardial infarction (AMI). This study examined age, gender, and ethnic differences in depression and general distress, social support, and health-related quality of life after AMI.METHODSData came from a series of 88 patients aged 62.1±14.2 years (46% female) who were hospitalized for AMI at eight different US clinical centers participating in the Enhancing Recovery in Coronary Heart Disease (ENRICHD) Pilot Study. Standardized psychometric measures were administered to assess three psychosocial domains:(1) depression and general distress (mental health functioning),(2) social support, and (3) health-related quality of life. Multivariate analysis of variance was used to examine the effects of age, gender, and ethnic differences in each of the three psychosocial domains.RESULTSFemale patients reported higher levels of depression and distress compared with male patients (P=. 040). Gender differences in mental health functioning differed by age (P=. 046), with the greatest differences observed among younger female patients. Older patients (P=. 014) and female patients (P=. 025) reported lower levels of social support compared with younger and male patients, respectively. Minority patients did not differ from nonminority patients in mental health functioning or social support, and there were no significant differences in post-AMI quality of life on the basis of age, gender, or ethnicity.CONCLUSIONSThe psychosocial risk profile after AMI may be different for male and female patients, and interventions may need to take account of each gender’s specific needs.