Although effective medical treatments have proved to successfully improve prognoses and outcomes of patients with coronary heart disease (CHD), low adherence to treatments is still common among patients. Deleterious impact of psychological distress on medical adherence has been recognized; however, few studies examined the influence of change in psychological distress on attenuation in adherence. This study investigated whether three common manifestations of distress (depression, anxiety, and perceived stress) and their changes predicted decline in medical adherence among CHD patient over 9 months.

中文翻译：

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抑郁、焦虑、感知压力及其变化预测冠心病患者超过 9 个月的医疗依从性

尽管有效的药物治疗已被证明可以成功改善冠心病 (CHD) 患者的预后和结果，但患者对治疗的依从性低仍然很常见。已经认识到心理困扰对医疗依从性的有害影响；然而，很少有研究检查心理困扰的变化对依从性减弱的影响。本研究调查了三种常见的痛苦表现（抑郁、焦虑和感知压力）及其变化是否预示着 9 个月内冠心病患者的医疗依从性下降。