Persistence of Psychological Distress in Surgical Patients with Interest in Psychotherapy: Results of a 6-Month Follow-Up

Persistence of Psychological Distress in Surgical Patients with Interest in Psychotherapy: Results of a 6-Month Follow-Up
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DOI:
10.1371/journal.pone.0051167
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发表时间:
2012-12-05
期刊:
影响因子:
3.7
通讯作者:
Krampe, Henning
Krampe, Henning
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Kerper, Leonie F.;Spies, Claudia D.;Krampe, Henning

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目的:这项前瞻性观察性研究调查了手术患者自我报告的心理困扰和酒精使用问题在术前基线评估和术后6个月随访检查中是否发生变化。方法:对来自不同外科领域的1157例患者分别于术前和术后6个月进行精神病学问卷调查,包括患者健康问卷4(PHQ-4)、简明症状自评量表(BSI)、流行病学研究中心抑郁量表(CES-D)、世界卫生组织5项幸福感指数(WHO-5)和酒精使用障碍识别测验(AUDIT)。此外,还询问了患者对心理治疗的兴趣。结果:16.7%的患者对心理治疗感兴趣。与不感兴趣的患者相比,他们在基线和6个月时在所有评估的心理测量上都表现出更高的痛苦(p在
Objectives: This prospective observational study investigated whether self-reported psychological distress and alcohol use problems of surgical patients change between preoperative baseline assessment and postoperative 6-month follow-up examination. Patients with preoperative interest in psychotherapy were compared with patients without interest in psychotherapy.Methods: A total of 1,157 consecutive patients from various surgical fields completed a set of psychiatric questionnaires preoperatively and at 6 months postoperatively, including Patient Health Questionnaire-4 (PHQ-4), Brief Symptom Inventory (BSI), Center for Epidemiologic Studies Depression Scale (CES-D), World Health Organization 5-item Well-Being Index (WHO-5), and Alcohol Use Disorder Identification Test (AUDIT). Additionally, patients were asked for their interest in psychotherapy. Repeated measure ANCOVA was used for primary data analysis.Results: 16.7% of the patients were interested in psychotherapy. Compared to uninterested patients, they showed consistently higher distress at both baseline and month 6 regarding all of the assessed psychological measures (p's between