Hopelessness and depression in the early recovery period after hospitalization for acute coronary syndrome.
Hopelessness and depression in the early recovery period after hospitalization for acute coronary syndrome.
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DOI：
10.1097/00008483-200605000-00007
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发表时间：
2006-05-01
期刊：
影响因子：
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通讯作者：
Holmes-Rovner, Margaret
中科院分区：
文献类型：
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作者：
Dunn, Susan L;Corser, William;Holmes-Rovner, Margaret
目得：社会心理因素，如抑郁症，已被确定为冠心病患者发病率和死亡率的重要预测因素;然而，很少有研究探讨这一人群的绝望。本调查研究的频率和严重程度的绝望和抑郁症在急性冠脉综合征（ACS）住院后的早期恢复期，绝望和抑郁症之间的关系，和病人的特点，导致这2个variable.METHODS：共525后ACS患者在密歇根州的5家医院进行了采访。措施包括贝克绝望量表和中心的流行病学调查，抑郁Scale.Results的认知预期因素：绝望的症状是频繁和中度至重度的样本的27%，而抑郁症是频繁和中度至重度的受试者的36%。绝望与抑郁症中度相关，但许多不同的患者特征可预测每种情况。较低的教育水平预示着绝望，但不是抑郁症。接受冠状动脉搭桥手术或冠状动脉成形术的患者更绝望，但并没有更抑郁。女性可以预测抑郁，但不能预测绝望。结论：部分ACS患者在恢复期早期存在中、重度的绝望和抑郁情绪。绝望和抑郁之间存在关联，而不同的患者特征与每一种都有更强的关联。需要进行纵向分析以检查ACS恢复期后期的绝望和抑郁。
PURPOSE: Psychosocial factors, such as depression, have been identified as important predictors of morbidity and mortality in individuals with coronary heart disease; however, little research has been done examining hopelessness in this population. This investigation examined the frequency and severity of hopelessness and depression in the early recovery period after hospitalization for acute coronary syndrome (ACS), the relationship between hopelessness and depression, and patient characteristics leading to these 2 variables.METHODS: A total of 525 post-ACS patients at 5 hospitals in Michigan were interviewed. Measures included the cognitive expectations factor of the Beck Hopelessness Scale and the Center for Epidemiologic Studies-Depression Scale.RESULTS: Hopelessness symptoms were frequent and moderate to severe in 27% of the sample, whereas depression was frequent and moderate to severe in 36% of subjects. Hopelessness was moderately correlated with depression, yet a number of different patient characteristics were predictive of each. Lower educational level predicted hopelessness, but not depression. Patients who had coronary artery bypass surgery or coronary angioplasty were more hopeless, but not more depressed. Female gender predicted depression, but not hopelessness. Hopelessness and depression had a shared variance of 33%.CONCLUSIONS: Hopelessness and depression were frequent and moderate to severe in a portion of patients in the early ACS recovery period. An association between hopelessness and depression exists, while different patient characteristics were more strongly associated with each. Longitudinal analysis is needed to examine hopelessness and depression in later phases of the ACS recovery period.