综合医院门诊患者焦虑、抑郁症状调查

目的：分析综合医院门诊患者中,焦虑、抑郁症状的发生率及其可能的影响因素。方法：选取4所综合医院2485例门诊患者,采用自编一般情况调查表及综合医院焦虑抑郁量表进行调查。结果：门诊患者中焦虑、抑郁发生率分别达到26.0%、26.6%,焦虑抑郁共发率达12.7%,明显高于普通人群。不同级别医院、科室、男女之间焦虑、抑郁评分有显著差异。结论：综合医院门诊患者中焦虑抑郁有较高的患病率,值得引起关注。     

冠心病所致焦虑、抑郁情绪及其心理干预效果

我们对所见的冠心病所致焦虑、抑郁情绪进行了分析,并采取相应的心理干预措施。现将结果报道于后。     

冠心病患者焦虑抑郁情绪及影响因素分析

目的调查分析冠心病患者焦虑与抑郁患病情况及其相关的影响因素。方法收集心内科确诊的冠心病患者64例,采用一般情况调查表、焦虑自评表、特质应对方式问卷表、抑郁自评量表和社会支持评定量问卷进行测评并对结果进行分析。结果本组64例患者中焦虑患者24例(37.5%),男13例,女11例;抑郁患者40例(62.5%),同时存在焦虑及抑郁患者23例(35.9%),男12例,女11例。男女抑郁与焦虑的患病率差异具有统计学意义。积极应对(P<0.01)与焦虑呈正相关。结论冠心病患者普遍存在焦虑和抑郁情绪,是影响抑郁焦虑情绪的主要因素,积极应对与抑郁焦虑呈正相关。     

内科住院患者焦虑抑郁症状调查

综合医院焦虑抑郁量表（HAD）是综合医院发现和处理情绪障碍可靠而有效的工具。本研究以此调查综合医院内科住院患者的焦虑抑郁症状发生情况,报告如下。     

高龄孕产妇焦虑、抑郁症状分析

目的：探讨高龄孕产妇焦虑、抑郁症状的发生率及相应的危险因素。方法：随机选取两家妇产科医院的孕妇522名,采用综合医院焦虑和抑郁量表（HAD）、爱丁堡产后抑郁量表（EPDS）和自编危险因素问卷,分别评估人组时、孕38周、产后7d、产后42d和产后3个月的焦虑、抑郁症状。结果：522名中有19例高龄孕产妇。高龄孕产妇5个时点的焦虑症状发生率依次为：15.8％、11．1％、21．1％、6．7％和10．0％;孕期HAD评定的抑郁症状发生率为21．1％、11.1％,产后EPDS评定抑郁症状发生率为10.5％、28．6％和20．0％。高龄孕产妇焦虑、抑郁症状的发生率均高于非高龄孕产妇。初潮年龄和担忧孩子喂养与高龄孕产妇人组时的抑郁情绪相关,分娩时紧张状态和产后抢救与产后7d的焦虑情绪相关。结论：高龄孕产妇存在较多的焦虑和抑郁情绪,应针对其危险因素进行预防。     

舒必利治疗焦虑、抑郁症状的疗效分析

对４０例患有焦虑、抑郁症状的患者进行舒必利治疗。观察时间为８周，剂量０．４～０．８ｇ／日。治疗１周内开始见效。４０例患者的总有效率为１００％，其中痊愈６０％，显著好转３５％，好转５％。以对焦虑症状的疗效最为显著，其次为抑郁改善，对失眠亦有治疗作用。提示此药可作为抗焦虑、抑郁剂在临床应用。     

冠心病伴焦虑抑郁的诊治进展

冠心病是冠状动脉粥样硬化性心脏病的简称,其临床表现包括心绞痛、心律失常、急性心肌梗死、心力衰竭和心脏骤停等.目前国内外有不少报道冠心病发生后常出现复杂的心理反应,临床上多表现为焦虑、抑郁,直接影响疾病的治疗和康复.故本文将其流行病学、发病关系、诊断依据及治疗现状作一综述.     

100例住院心脏病病人的焦虑抑郁调查

本文以１００名心脏内科住院人为对象，采用综合性医院焦虑抑郁量表（ＨＡＤ），和生活事件心理应激评定量表（ＳＲＲＳ）进行调查。结果显示：４０％的心脏内科住院病人有焦虑，２４％有抑郁。炎性心脏病病人有心理障碍者高达８０．９５％，缺血性心脏病病人有心理障碍者为４０．９％。     

合并抑郁、焦虑对老年冠心病患者PCI术后自主神经功能的影响

目的 研究合并抑郁、焦虑对老年冠心病(CHD)患者经皮冠状动脉介入(PCI)术后自主神经功能的影响.方法 选取我院78例接受过经皮冠状动脉介入(PCI术)的CHD患者,其中具有焦虑/抑郁症状患者39例为焦虑/抑郁组,另选无焦虑/抑郁患者39例为非焦虑/抑郁组,观察两组PCI术30天后自主神经功能指标;观察两组PCI术3...     

中学生抑郁、焦虑情绪调查

就中学生焦虑、抑郁情绪问题与性别、性格、年级、成绩等各种因素之间的关系进行调查,报告如下.1 对象和方法抽取上海市南汇区初、高级中学各1所.其中,初中3个班,高中4个班,共1 040人.采用自编一般情况量表、焦虑自评量表(SAS)和抑郁自评量表(SDS)进行测评.现场运用统一指导语,无记名方式答卷,收回有效问卷972份,有效率为93.46%.     

Depression,not anxiety,is independently associated with 5-year hospitalizations and mortality in patients with ischemic heart disease

Objective

The objective of the current study was to examine whether depression and anxiety are independently associated with 5-year cardiac-related hospitalizations and all-cause mortality in patients with ischemic heart disease (IHD).

Methods

Patients treated for MI, angina, or ischemic heart failure (N = 610) were recruited from Holbæk Hospital, Denmark. All patients completed the Hospital Anxiety and Depression Scale (HADS) in December 2005. Data regarding patient characteristics at baseline, and hospitalizations and deaths during follow-up were collected from Danish population-based registers. Cox and negative binomial regression analyses were performed to examine the relationship between depression, anxiety and the endpoints.

Results

At baseline, 71 (11.6%) patients reported depression and 120 (19.7%) reported anxiety. Models including both depression and anxiety showed that depression was independently associated with time to first cardiac-related hospitalization, cumulative number and length of cardiac-related hospitalizations, and all-cause mortality, while anxiety was only associated with the total length of hospitalizations (all p-values < .05). After adding sociodemographic and clinical factors, depression remained associated with the number (incidence rate ratio (IRR) = 2.00, 95% confidence interval (CI): 1.44–2.77) and length of cardiac-related hospitalizations (IRR = 3.69, 95% CI: 2.75–4.96), and all-cause mortality (hazard ratio (HR) = 2.12, 95% CI: 1.13–3.96). The associations between depression and time to first hospitalization and between anxiety and length of stay were eliminated.

Conclusions

The current study showed that depression, and not anxiety, is associated with the number and length of cardiac-related hospitalizations and all-cause mortality in IHD patients, independent of traditional risk factors. In order to improve health outcomes, better awareness and treatment of depression in IHD patients are crucial.     

Depression, mortality, and medical morbidity in patients with coronary heart disease.

There is substantial evidence that depression is a risk factor for cardiac morbidity and mortality, both for patients without clinical evidence of coronary heart disease at index examination and for patients with established coronary disease. The relationship is most apparent for patients with a recent acute myocardial infarction. Many questions about the impact of depression on heart disease remain unresolved.     

性传播疾病患者抑郁焦虑状况的初步研究

目的：探讨性传播疾病患者抑郁及焦虑情绪的存在情况和严重程度。方法：应用SAS和CES－D量表测查90例性传播疾病患者,并与对照组进行比较,结果：研究组SAS和CES－D的平均得分以及症状发生率均明显高于对照组（P＜0．01）。结论：性传播疾病患者的抑郁和焦虑情绪比较普遍和突出。     

帕金森氏病伴焦虑,抑郁31例分析

目的了解帕金森氏病患者伴发焦虑、抑郁的状况。方法采用汉密尔登焦虑、抑郁评定量表和焦虑、抑郁自评量表评定３１例帕金森氏病患者的焦虑、抑郁。结果３１例患者中５８１％伴焦虑，５４８％伴抑郁。女性多于男性。焦虑抑郁与疾病严重程度密切相关。结论帕金森氏病伴发焦虑、抑郁比较常见，应予抗焦虑、抗抑郁治疗，以提高患者的生活质量     

冠状动脉内支架植入术治疗患者的情绪障碍及心理干预

目的　了解冠状动脉内支架植入术 (PTCA)治疗前后患者的情绪障碍和心理干预的效果。方法　在手术前后对患者进行心理干预 ,并用汉密顿焦虑量表 (HAMA)和汉密顿抑郁量表 (HAMD)在心理干预前后对患者进行测查。结果　心理干预前患者有明显的焦虑抑郁情绪 ,心理干预后患者的焦虑抑郁情绪明显改善。结论　心理干预是减轻PTCA治疗患者焦虑抑郁情绪障碍的有效方法 ,值得广泛应用     

Illness perceptions,mood and quality of life: A systematic review of coronary heart disease patients

Objective

To examine published literature investigating the relationship between illness perceptions, mood and quality of life (QoL) in coronary heart disease (CHD) populations.

Methods

Key databases were systematically searched (CINAHL, Medline, PsycINFO, Scopus and Web of Science) for studies matching the inclusion criteria between November 2011 and February 2012. References of included studies were examined and key authors contacted. Studies were subject to a quality control check.

Results

21 studies met the inclusion criteria. A synthesis of the results found that illness perceptions were correlated to and predicted QoL and mood across CHD diagnoses. Specific illness perceptions (control, coherence and timeline) were found to be important for patients that had experienced an unexpected medical event, such as myocardial infarction.

Conclusion

The results of this study provide support that illness perceptions are related to outcomes across CHD populations and disease progression, however the results do not selectively support one particular model. Recommendations are consistent with cardiac rehabilitation guidelines. Further research should focus on the systemic impact of illness perceptions.     

A cross-sectional study of the prevalence of psychopathology in adults with congenital heart disease

OBJECTIVE: Several studies have suggested high levels of psychopathology in children and adolescents with congenital heart disease (CHD). However, little information is published relating to psychopathology in adults with CHD. We wanted to estimate the prevalence of psychopathology in adults with CHD. DESIGN: A cross-sectional study of attenders at an adult CHD clinic compared with orthopaedic outpatients of the same hospital. SETTING: A tertiary CHD clinic in South Wales, the comparison group being recruited from the orthopaedic outpatient clinic in the same teaching hospital. PARTICIPANTS: One hundred and one individuals attending the CHD clinic were identified, 87 successfully completed questionnaires. Forty-five from 80 randomly selected orthopaedic outpatients completed questionnaires. MAIN OUTCOME MEASURES: The General Health Questionnaire 30 (GHQ30) and the Hospital Anxiety and Depression Scale (HADS). RESULTS: We found a statistically significant difference in the mean GHQ 30 score between the CHD and comparison groups, the CHD group having lower scores. The difference remained after adjustment for age and sex. The mean HADS scores differed in the same direction, and were of borderline statistical significance. CONCLUSIONS: In this study, adult subjects with CHD had a lower prevalence of psychopathology. Possible explanations for this finding are discussed.     

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Objective

Recently controversy has surrounded the dimensionality of the Hospital Anxiety and Depression Scale (HADS). We assessed the dimensionality of the HADS in a large international sample of patients with ischaemic heart disease (IHD) using confirmatory factor analysis (CFA). The analysis of an international sample enabled the current study to broaden knowledge gained from existing studies with small, regional samples.

Methods

Data from the HeartQoL study of patients with IHD (n = 6241, 22 countries speaking 15 languages) were analyzed using CFA.

Results

CFA indicated a hierarchical bifactor solution, with mostly strong item loadings on a general factor (explaining 73% of the variance), and weak to very weak loadings on orthogonal depression (16%) and anxiety (11%) subscales. The bifactor model fits the data significantly better than both the original bidimensional model and Dunbar's higher-order three-factor model.

Conclusion

These results, from a large international sample of patients with IHD, suggest that the HADS scale is dominated by a single general distress factor. Although the best CFA model fit was a hierarchical bifactor solution, the subscales had weak item loadings, providing little psychometric evidence of the ability of the HADS to differentiate anxiety and depressive symptoms. It is argued that clinicians and researchers working with patients with IHD should abandon the HADS and use alternative measures of depression and anxiety.