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Prospective Evaluation of Association Between Negative Emotions and Heart Failure Symptom Severity
Psychology Research and Behavior Management ( IF 3.974 ) Pub Date : 2020-12-24 , DOI: 10.2147/prbm.s282493
Kyoung Suk Lee 1 , Terry A Lennie 2 , Debra K Moser 2
Affiliation  

Background: Prior studies of symptoms in heart failure (HF) were largely cross-sectional and symptoms were measured using retrospective recall. Because negative emotions influence information processing, retrospective symptom reports by patients with depressive symptoms and anxiety may be biased. The purpose of this study was to determine whether there are differences in patterns of symptom changes, measured prospectively, over 15 days by levels of depressive symptoms and anxiety.
Methods: HF patients (N=52) rated daily symptom severity for shortness of breath (SOB), fatigue, sleep disturbance, and edema over 15 days on a 10-point visual analogue scale. Patients were grouped into higher vs lower levels of depressive symptoms and anxiety, respectively, based on median scores of Brief Symptom Inventory subscales. Latent growth curve modeling was used to examine whether patterns of symptom changes over 15 days differed in higher vs lower levels of depressive symptom and anxiety groups.
Results: Those in the higher depressive symptom group had lower levels of baseline symptom severity in SOB (β: − 1.46), fatigue (β: − 1.71), sleep disturbance (β: − 1.78), and edema (β: − 1.97) than those in the lower depressive symptom group. However, there were no significant differences in rates of changes in the severity of any of the four symptoms between groups. Anxiety was not associated with baseline severity of symptoms or rates of changes in any of the four symptoms.
Conclusion: Depressive symptoms, but not anxiety, were associated with daily symptom experience. HF patients with higher levels of depressive symptoms may perceive their symptom severity differently than patients with lower levels of depressive symptoms.



中文翻译:

消极情绪与心力衰竭症状严重程度之间关联的前瞻性评估

背景:先前对心力衰竭 (HF) 症状的研究主要是横断面的,并且使用回顾性回忆来测量症状。由于负面情绪影响信息处理,抑郁症状和焦虑患者的回顾性症状报告可能存在偏差。本研究的目的是确定在 15 天内通过抑郁症状和焦虑水平前瞻性测量的症状变化模式是否存在差异。
方法:HF 患者 (N=52) 以 10 点视觉模拟量表对 15 天内的呼吸短促 (SOB)、疲劳、睡眠障碍和水肿的每日症状严重程度进行评分。根据简要症状量表子量表的中位得分,将患者分别分为抑郁症状和焦虑水平的较高和较低水平。潜在生长曲线模型用于检查 15 天内的症状变化模式在抑郁症状和焦虑水平较高和较低的组中是否存在差异。
结果:抑郁症状较高组的 SOB(β:-1.46)、疲劳(β:-1.71)、睡眠障碍(β:-1.78)和水肿(β:-1.97)的基线症状严重程度低于那些在低抑郁症状组。然而,两组之间四种症状中任何一种症状的严重程度变化率没有显着差异。焦虑与症状的基线严重程度或四种症状中任何一种的变化率无关。
结论:抑郁症状而非焦虑与日常症状体验相关。与抑郁症状水平较低的患者相比,具有较高抑郁症状水平的 HF 患者对症状严重程度的感知可能不同。

更新日期:2020-12-24
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