SPIRITUAL WELL-BEING AND DEPRESSION IN HEART FAILURE

心力衰竭时的精神健康和抑郁

• 批准号: 7375839
• 负责人: SYDNEY MORSS DY
• 金额: $ 0.06万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-12-01 至 2006-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7375839
• 关键词: SPIRITUAL; WELL; BEING; DEPRESSION; HEART

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. An estimated 5 million Americans suffer from heart failure, and 550,000 new cases are diagnosed each year. Depression is a significant problem in heart failure patients. Using diagnostic psychiatric interviews, rates of major depressive disorder range from 14-37% and symptoms of depression are even more common. Heart failure patients with depression have worse short term health status, declines in functional status, increased hospitalization and mortality. Spirituality and religion may protect against depression and despair. While spirituality has been studied in AIDS and cancer patients, it has not been systematically studied in heart failure patients. This is a study to test the feasibility of assessing spiritual well-being in a sample of elderly patients with advance heart failure and to determine if lower levels of spiritual well being are associated with depression. The investigators aim to 1) describe the nature and variation in spiritual well being in heart failure patients, 2) determine the extent of depression and the relationship of degree of depression with spiritual well being, 3) describe how patients use spirituality to cope with illness; 4) determine is severity of heart failure is associated with spiritual well being or depression.

该子项目是利用NIH/NCRR资助的中心赠款提供的资源的许多研究子项目之一。子项目和研究者（PI）可能从另一个NIH来源获得主要资金，因此可以在其他CRISP条目中表示。所列机构为中心，不一定是研究者所在机构。估计有500万美国人患有心力衰竭，每年诊断出55万新病例。抑郁是心力衰竭患者的一个重要问题。使用诊断性精神病学访谈，重度抑郁症的发病率在14-37%之间，抑郁症的症状甚至更常见。心力衰竭合并抑郁症患者的短期健康状况较差，功能状态下降，住院率和死亡率增加。灵性和宗教可以防止抑郁和绝望。虽然在艾滋病和癌症患者中已经研究了灵性，但在心力衰竭患者中还没有系统的研究。这是一项研究，旨在测试评估老年心力衰竭患者样本的精神健康的可行性，并确定较低水平的精神健康是否与抑郁症相关。研究人员的目的是1）描述心力衰竭患者精神健康的性质和变化，2）确定抑郁的程度以及抑郁程度与精神健康的关系，3）描述患者如何使用灵性来科普疾病; 4）确定心力衰竭的严重程度与精神健康或抑郁有关。