Paolo M Cunha, Hélcio Kanegusuku, Breno Quintella Farah, Gabriel Grizzo Cucato, Nelson Wolosker, Marilia de Almeida Correia, Raphael Mendes Ritti Dias
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引用次数: 0
Abstract
Objectives: The purpose of this investigation was to verify the association between mental health (MH) indicators with walking capacity in patients with PAD.
Methods: Two hundred and forty-six patients with PAD and claudication symptoms participated in this study. Physical function was assessed objectively with the 6-min walk test (6MWT) and subjectively using the Walking Impairment Questionnaire (WIQ). MH was assessed by the World Health Organization Quality of Life-Bref (WHOQOL-Bref) (six questions were selected - 1, 2, 10, 16, 19, and 26). Patients were divided into tertile groups according to their composite z-score for mental health (Low MH, Middle MH, and High MH).
Results: The High MH group presented higher scores (p < 0.05) for the WIQ (distance = 26.8 ± 25.6, speed = 25.4 ± 17.3, and stairs = 33.6 ± 27.5), claudication onset distance (161.6 ± 83.6 m), and total walking distance (352.9 ± 79.6 m) compared to Low MH (WIQ distance = 14.8 ± 16.2, 17.7 ± 13.0, and stairs = 22.7 ± 20.7). Additionally, the High MH group presented a longer claudication onset distance (115.5 ± 70.5 m), and total walking distance in 6MWT (306.6 ± 83.2 m), and higher scores in the total walking distance compared to Middle MH (309.5 ± 93.6 m) (p < 0.05).
Conclusion: In patients with PAD, MH was positively associated with walking capacity. Based on these results, treatments that can improve mental health, through different mechanisms, can also positively influence the ability of these patients to walk.
调查目的本研究旨在验证 PAD 患者的心理健康（MH）指标与行走能力之间的关联：246 名有跛行症状的 PAD 患者参与了这项研究。通过6分钟步行测试（6MWT）对身体功能进行客观评估，并使用步行障碍问卷（WIQ）对身体功能进行主观评估。心理健康通过世界卫生组织生活质量问卷（WHOQOL-Bref）进行评估（选取了 1、2、10、16、19 和 26 这六个问题）。根据患者的心理健康综合 Z 值将其分为三等分组（低心理健康组、中心理健康组和高心理健康组）：结果：高心理健康水平组的得分更高（P P 结论：在 PAD 患者中，心理健康水平越高，得分越高：在 PAD 患者中，心理健康与行走能力呈正相关。基于这些结果，通过不同机制改善心理健康的治疗方法也会对这些患者的行走能力产生积极影响。
期刊介绍：
Aging & Mental Health provides a leading international forum for the rapidly expanding field which investigates the relationship between the aging process and mental health. The journal addresses the mental changes associated with normal and abnormal or pathological aging, as well as the psychological and psychiatric problems of the aging population. The journal also has a strong commitment to interdisciplinary and innovative approaches that explore new topics and methods.
Aging & Mental Health covers the biological, psychological and social aspects of aging as they relate to mental health. In particular it encourages an integrated approach for examining various biopsychosocial processes and etiological factors associated with psychological changes in the elderly. It also emphasizes the various strategies, therapies and services which may be directed at improving the mental health of the elderly and their families. In this way the journal promotes a strong alliance among the theoretical, experimental and applied sciences across a range of issues affecting mental health and aging. The emphasis of the journal is on rigorous quantitative, and qualitative, research and, high quality innovative studies on emerging topics.
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