Predictive Relationship Between Depression and Physical Functioning After Coronary Surgery
Predictive Relationship Between Depression and Physical Functioning After Coronary Surgery
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DOI：
10.1001/archinternmed.2010.368
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发表时间：
2010-10-25
影响因子：
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通讯作者：
Regitz-Zagrosek, Vera
中科院分区：
文献类型：
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作者：
Kendel, Friederike;Gelbrich, Goetz;Regitz-Zagrosek, Vera
背景：抑郁是接受冠状动脉搭桥手术（CABG）患者的普遍状况，通常与较差的健康状况相关。本研究的目的是探讨CABG患者抑郁与身体功能之间的关系。方法：分析基于883例连续接受CABG的受试者（年龄35-93岁，19.8%为女性）的样本。使用患者健康问卷（PHQ）评估抑郁症；子量表“身体机能”取自36项简短健康调查。术前1 ~ 3天（T1）、术后2个月（T2）、1年（T3）进行问卷调查。结果：交叉滞后路径分析模型显示，抑郁症状的增加预示着身体功能的下降(β (T1-T2)=-0.15 [P
Background: Depression is a prevalent condition in patients undergoing coronary artery bypass graft surgery (CABG) and is often associated with a less favorable health status. The aim of this study was to investigate the relationship between depression and physical functioning in patients undergoing CABG.Methods: The analyses were based on a sample of 883 consecutive subjects (aged 35-93 years; 19.8% women) undergoing CABG. Depression was assessed using the Patient Health Questionnaire (PHQ); the subscale "physical functioning" was taken from the 36-Item Short-Form Health Survey. Questionnaires were administered 1 to 3 days before surgery (T1) and 2 months (T2) and 1 year (T3) after surgery.Results: A cross-lagged path analytic model showed that an increase in depressive symptoms predicted a de-crease in physical functioning (beta(T1-T2)=-0.15 [P