Psychological status and the role of coping style after coronary artery bypass graft surgery. Results of a prospective study
Psychological status and the role of coping style after coronary artery bypass graft surgery. Results of a prospective study
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冠状动脉搭桥手术后心理状态和应对方式的作用。
DOI：
10.1023/a:1016697719078
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发表时间：
2004
影响因子：
3.5
通讯作者：
G. Backer
中科院分区：
文献类型：
--
作者：
H. Boudrez;G. Backer
本文介绍了对首次接受冠状动脉搭桥手术的患者进行的前瞻性研究的结果。该项目的目标包括评估手术后第一年的心理变化。为此，连续招募了 330 名患者。他们在手术前和手术后三次通过多种心理量表进行评估。这些量表是：心脏病患者心理问卷 (HPPQ)、状态-特质焦虑量表 (STAI)、症状检查表 (SCL-90)、马斯特里赫特问卷 (MQ) 和马洛·皇冠意愿量表。此外，该研究重点关注三种应对方式的差异影响。数据表明，在 CABG 后的第一年，更具体地说是在前 6 个月，心理状态有了明显的整体改善。患者的焦虑、抑郁、疲惫程度减轻，主观幸福感增强。然而，几乎 30% 的患者并没有经历平均的有利进化。最终的心理最终状态是通过术前测量（躯体不适、敌意和烦躁）和术后短期测量（焦虑）的心理变量来预测的。没有任何单一的医学变量可以预测患者的心理最终状态。最后，最有利的改变是表现出敏感应对方式的患者，从而降低了焦虑和抑郁。因此，卫生保健提供者、医生以及护理人员和心理学家应该使用心理诊断工具来识别有负面心理结果风险的患者。因此，可以在未来的研究中开发和评估适当的治疗干预措施。
The results of a prospective study in patients who underwent a first coronary artery bypass graft operation are presented. The goals of this project consisted in assessing the psychological changes during the first year after surgery. For that purpose, 330 consecutive patients were recruited. They were assessed by means of several psychological scales before and on three occasions after surgery. These scales were: the Heart Patients' Psychological Questionnaire (HPPQ), the State–Trait Anxiety Scale (STAI), the Symptom Check List (SCL-90), the Maastricht Questionnaire (MQ) and the Marlowe Crowne Desirability Scale. Furthermore, the study focused on the differential influence of three coping styles. The data demonstrate a clear overall improvement in psychological status over the first year, more specifically during the first 6 months after CABG. Patients were less anxious, less depressed, less exhausted and experienced more subjective well-being. However, almost 30% of all patients did not experience that average favourable evolution. The final psychological end-state was predicted by psychological variables, measured pre-operatively (somatic complaints, hostility and dysphoria) and short-term post-operatively (anxiety). No single medical variable could predict patients' psychological end-state. Finally, the most favourable change was made by patients who display the sensitising coping style, resulting in lower anxiety and depression. Health care providers, physicians as well as nursing staff and psychologists, should therefore use psychodiagnostic tools in order to identify patients at risk for negative psychological outcome. Appropriate therapeutic interventions may consequently be developed and evaluated in future research.
防御性敌意：与冠心病患者心肌缺血多种标志物的关系。
DOI：
10.1037//0278-6133.14.3.202
发表时间：
1995
期刊：
Health psychology : official journal of the Division of Health Psychology, American Psychological Association
影响因子：
--
作者：
Helmers,KF;Krantz,DS;Merz,CN;Klein,J;Kop,WJ;Gottdiener,JS;Rozanski,A
通讯作者：
Rozanski,A
男性和女性的压抑应对和血脂。
影响因子：
3.3
作者：
Niaura,R;Herbert,PN;McMahon,N;Sommerville,L
通讯作者：
Sommerville,L