Aspects of social support associated with depression at hospitalization and follow-up assessment among cardiac patients.
Aspects of social support associated with depression at hospitalization and follow-up assessment among cardiac patients.
复制标题
DOI：
10.1097/00008483-200311000-00002
复制
发表时间：
2003-11-01
期刊：
影响因子：
--
通讯作者：
Sheps, David
中科院分区：
文献类型：
--
作者：
Barefoot, John C;Burg, Matthew M;Sheps, David
目得：高水平的抑郁症状已被证明会影响心肌梗死（MI）患者的发病率、死亡率和功能。研究结果表明，社会支持与抑郁症患者和社区样本。本研究探讨了社会支持的各个方面，因为他们与抑郁症状的MI患者，无论是在医院和2 weeks last.METHODS：作为提高恢复冠心病（ENRICHD）试点研究的一部分，措施的感知社会支持，社交网络，社会支持收到，社会冲突管理196例MI患者。这些患者还接受了贝克抑郁量表和汉密尔顿抑郁评定量表。两周后再次评估抑郁。结果：抑郁症状的患病率较高，尤其是在贫困和年轻的患者。随着时间的推移，情况略有改善。社会支持得分高的患者，特别是那些反映感知支持的患者，在基线时的抑郁量表得分较低。高水平的感知支持和低社会冲突在基线与较少的后续抑郁症，由贝克认知量表，但不是贝克躯体量表，也不是汉密尔顿规模。有几个协会与措施的社交网络，并收到supports.CONCLUSIONS：社会支持指标差异相关的抑郁症心肌梗死患者，而在医院和2周后。关联的模式也取决于抑郁的程度。为了充分了解它们的相互关系，需要对社会支持和抑郁症进行广泛的评估策略。
PURPOSE: High levels of depressive symptoms have been shown to affect the morbidity, mortality, and functioning of patients with myocardial infarction (MI). Findings have shown that social support is associated with depression in both patient and community samples. This study examined various aspects of social support as they relate to depressive symptoms in patients with MI, both in the hospital and 2 weeks later.METHODS: As part of the Enhancing Recovery in Coronary Heart Disease (ENRICHD) pilot study, measures of perceived social support, social networks, social support received, and social conflict were administered to 196 patients with MI. These patients also were administered the Beck Depression Inventory and the Hamilton Rating Scale for Depression. Depression was reassessed 2 weeks later. Relations between social support indicators and the depression measures were examined.RESULTS: The prevalence of depression symptoms was high, especially among poorer and younger patients. There was modest improvement across time. Patients with high social support scores, particularly those reflecting perceived support, had lower scores on depression measures at baseline. High levels of perceived support and low social conflict at baseline were associated with less follow-up depression, as measured by the Beck cognitive scale, but not the Beck somatic scale nor the Hamilton scale. There were few associations with measures of social networks and received support.CONCLUSIONS: Social support indicators were differentially related to depression among patients with MI while in the hospital and 2 weeks later. The pattern of associations also depended on the measure of depression. A broad assessment strategy of both social support and depression is needed for a full understanding of their interrelations.