Depression and other psychological risks following myocardial infarction
Depression and other psychological risks following myocardial infarction
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DOI：
10.1001/archpsyc.60.6.627
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发表时间：
2003-06-01
影响因子：
--
通讯作者：
Lespérance, F
中科院分区：
文献类型：
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作者：
Frasure-Smith, N;Lespérance, F
背景资料：有一致的证据表明，抑郁症状预测心肌梗死后的长期死亡率，最近的结果显示了剂量相关的梯度。其他心理变量的重要性尚不清楚。方法：本研究探讨抑郁，焦虑，愤怒和社会支持的相对重要性，在预测5年的心脏相关的死亡率后，心肌梗死和评估的作用，任何共同的基本尺寸。本研究采用自评量表（Beck抑郁量表、状态-特质焦虑量表的状态量表、一般健康问卷的20项版本、改良躯体知觉问卷、愤怒表达量表、领悟社会支持量表、亲密朋友和亲戚的数量、愤怒和压力的视觉模拟量表）。这项研究在10家郊区医院进行。这些患者包括896名经历过心肌梗死的患者，年龄在24至88岁之间（232名女性），使用医疗保险记录随访5年; 95.0%的患者的基线数据完整。干预措施为常规护理，主要结局指标为5年心脏相关死亡率。
Background: There is consistent evidence that depression symptoms predict long-term mortality following a myocardial infarction, and recent results show a dose-related gradient. The importance of other psychological variables remains unclear.Methods: This study examines the relative importance of depression, anxiety, anger, and social support in predicting 5-year cardiac-related mortality following a myocardial infarction and assesses the role of any common underlying dimensions. The design of this cohort analytic study involves self-reports (Beck Depression Inventory, state scale of the State-Trait Anxiety Inventory, 20-item version of the General Health Questionnaire, Modified Somatic Perception Questionnaire, Anger Expression Scale, Perceived Social Support Scale, number of close friends and relatives, and visual analog scales of anger and stress). The study was conducted in 10 Montreal-area hospitals. The patients included 896 persons who experienced a myocardial infarction, aged 24 to 88 years (232 were women), followed up for 5 years using Medicare records; baseline data were complete for 95.0% of the patients. The intervention was usual care, and the main outcome measure was 5-year cardiac-related mortality.Results: The Beck Depression Inventory (P