Aleksandra Chyrek-Tomaszewska, Alicja Katarzyna Popiołek, Małgorzata Piskunowicz, Alina Borkowska, Jacek Budzyński, Maciej Kazimierz Bieliński
{"title":"研究外周动脉疾病的心理因素:接受血管重建手术患者的情感气质、焦虑和抑郁","authors":"Aleksandra Chyrek-Tomaszewska, Alicja Katarzyna Popiołek, Małgorzata Piskunowicz, Alina Borkowska, Jacek Budzyński, Maciej Kazimierz Bieliński","doi":"10.2147/prbm.s463587","DOIUrl":null,"url":null,"abstract":"<strong>Purpose:</strong> This study aimed to assess the prevalence of depressive and anxiety symptoms in peripheral artery disease (PAD) patients, correlating these symptoms with clinical parameters and examining affective temperaments within the study group.<br/><strong>Material and Methods:</strong> A total of 159 PAD patients, predominantly male, admitted for vascular surgery due to lower limb atherosclerosis, participated in this cross-sectional study. Various assessments were conducted, including the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A) for affective temperaments, the Hospital Anxiety and Depression Scale (HADS) for anxiety and depression symptoms, and the Numerical Rating Scale (NRS) for pain intensity. Additionally, the Ankle-Brachial Index (ABI) was measured to assess circulation in the legs.<br/><strong>Results:</strong> The findings revealed a higher prevalence of depressive and anxiety symptoms in the PAD patient group compared to the control group. Notably, depressive and anxiety symptoms correlated with the severity of PAD, as indicated by lower ABI values in the operated leg. Patients undergoing surgical revascularizations exhibited higher depressive symptoms than those undergoing endovascular procedures. Furthermore, correlations were observed between depressive symptoms and the number of previous vascular procedures and amputations, alongside increased pain levels at admission. Clinical factors such as diabetes, hypertension, heart failure, ischemic heart disease, previous revascularization procedures, amputations, and the intensity of affective temperaments did not correlate with HADS scores.<br/><strong>Discussion:</strong> The study highlighted the intricate relationship between mood disorders and PAD severity, emphasizing the potential prognostic implications of untreated depression and anxiety in PAD patients. These findings suggest the importance of closely monitoring and addressing psychological well-being in PAD management. However, the study encountered limitations such as varying assessment timing and sample size discrepancies among comorbidities, impacting the observation of associations between mood disorders and certain conditions.<br/><strong>Conclusion:</strong> In conclusion, depressive and anxiety symptoms are often in PAD. Further research is needed to explore therapeutic interventions targeting mental health and pain management to improve the course and outcomes of PAD.<br/><br/><strong>Keywords:</strong> c<em>hronic limb</em> ischaemia, mood disorders, affective temperament, behavioral profiles, pain<br/>","PeriodicalId":20954,"journal":{"name":"Psychology Research and Behavior Management","volume":null,"pages":null},"PeriodicalIF":2.8000,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Examining Psychological Factors in Peripheral Artery Disease: Affective Temperament, Anxiety, and Depression in Patients Undergoing Revascularization Procedures\",\"authors\":\"Aleksandra Chyrek-Tomaszewska, Alicja Katarzyna Popiołek, Małgorzata Piskunowicz, Alina Borkowska, Jacek Budzyński, Maciej Kazimierz Bieliński\",\"doi\":\"10.2147/prbm.s463587\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<strong>Purpose:</strong> This study aimed to assess the prevalence of depressive and anxiety symptoms in peripheral artery disease (PAD) patients, correlating these symptoms with clinical parameters and examining affective temperaments within the study group.<br/><strong>Material and Methods:</strong> A total of 159 PAD patients, predominantly male, admitted for vascular surgery due to lower limb atherosclerosis, participated in this cross-sectional study. Various assessments were conducted, including the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A) for affective temperaments, the Hospital Anxiety and Depression Scale (HADS) for anxiety and depression symptoms, and the Numerical Rating Scale (NRS) for pain intensity. Additionally, the Ankle-Brachial Index (ABI) was measured to assess circulation in the legs.<br/><strong>Results:</strong> The findings revealed a higher prevalence of depressive and anxiety symptoms in the PAD patient group compared to the control group. Notably, depressive and anxiety symptoms correlated with the severity of PAD, as indicated by lower ABI values in the operated leg. Patients undergoing surgical revascularizations exhibited higher depressive symptoms than those undergoing endovascular procedures. Furthermore, correlations were observed between depressive symptoms and the number of previous vascular procedures and amputations, alongside increased pain levels at admission. Clinical factors such as diabetes, hypertension, heart failure, ischemic heart disease, previous revascularization procedures, amputations, and the intensity of affective temperaments did not correlate with HADS scores.<br/><strong>Discussion:</strong> The study highlighted the intricate relationship between mood disorders and PAD severity, emphasizing the potential prognostic implications of untreated depression and anxiety in PAD patients. These findings suggest the importance of closely monitoring and addressing psychological well-being in PAD management. However, the study encountered limitations such as varying assessment timing and sample size discrepancies among comorbidities, impacting the observation of associations between mood disorders and certain conditions.<br/><strong>Conclusion:</strong> In conclusion, depressive and anxiety symptoms are often in PAD. 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引用次数: 0
摘要
目的:本研究旨在评估外周动脉疾病(PAD)患者抑郁和焦虑症状的发生率,将这些症状与临床参数相关联,并检查研究组中的情感气质:共有 159 名因下肢动脉粥样硬化而接受血管外科手术的 PAD 患者参与了这项横断面研究,其中男性居多。研究人员进行了多项评估,包括孟菲斯、比萨、巴黎和圣地亚哥气质评估--自动问卷(TEMPS-A)(用于评估患者的情感气质)、医院焦虑抑郁量表(HADS)(用于评估患者的焦虑和抑郁症状)以及数字评分量表(NRS)(用于评估患者的疼痛强度)。此外,还测量了踝肱指数(ABI),以评估腿部血液循环情况:结果:研究结果显示,与对照组相比,PAD 患者组的抑郁症状和焦虑症状发生率更高。值得注意的是,抑郁和焦虑症状与 PAD 的严重程度相关,手术腿部较低的 ABI 值表明了这一点。与接受血管内手术的患者相比,接受手术血管重建的患者表现出更高的抑郁症状。此外,还观察到抑郁症状与既往血管手术和截肢次数之间的相关性,以及入院时疼痛程度的增加。临床因素,如糖尿病、高血压、心力衰竭、缺血性心脏病、既往血管重建手术、截肢以及情绪的强度与HADS评分没有相关性:该研究强调了情绪障碍与 PAD 严重程度之间错综复杂的关系,强调了 PAD 患者抑郁和焦虑未得到治疗对预后的潜在影响。这些研究结果表明,在 PAD 管理中密切监测和处理心理健康问题非常重要。然而,该研究也存在一些局限性,如评估时间的不同和合并症之间样本量的差异,影响了对情绪障碍与某些疾病之间关联的观察:总之,抑郁和焦虑症状在 PAD 中经常出现。关键词:慢性肢体缺血;情绪障碍;情感气质;行为特征;疼痛
Examining Psychological Factors in Peripheral Artery Disease: Affective Temperament, Anxiety, and Depression in Patients Undergoing Revascularization Procedures
Purpose: This study aimed to assess the prevalence of depressive and anxiety symptoms in peripheral artery disease (PAD) patients, correlating these symptoms with clinical parameters and examining affective temperaments within the study group. Material and Methods: A total of 159 PAD patients, predominantly male, admitted for vascular surgery due to lower limb atherosclerosis, participated in this cross-sectional study. Various assessments were conducted, including the Temperament Evaluation of Memphis, Pisa, Paris, and San Diego-Autoquestionnaire (TEMPS-A) for affective temperaments, the Hospital Anxiety and Depression Scale (HADS) for anxiety and depression symptoms, and the Numerical Rating Scale (NRS) for pain intensity. Additionally, the Ankle-Brachial Index (ABI) was measured to assess circulation in the legs. Results: The findings revealed a higher prevalence of depressive and anxiety symptoms in the PAD patient group compared to the control group. Notably, depressive and anxiety symptoms correlated with the severity of PAD, as indicated by lower ABI values in the operated leg. Patients undergoing surgical revascularizations exhibited higher depressive symptoms than those undergoing endovascular procedures. Furthermore, correlations were observed between depressive symptoms and the number of previous vascular procedures and amputations, alongside increased pain levels at admission. Clinical factors such as diabetes, hypertension, heart failure, ischemic heart disease, previous revascularization procedures, amputations, and the intensity of affective temperaments did not correlate with HADS scores. Discussion: The study highlighted the intricate relationship between mood disorders and PAD severity, emphasizing the potential prognostic implications of untreated depression and anxiety in PAD patients. These findings suggest the importance of closely monitoring and addressing psychological well-being in PAD management. However, the study encountered limitations such as varying assessment timing and sample size discrepancies among comorbidities, impacting the observation of associations between mood disorders and certain conditions. Conclusion: In conclusion, depressive and anxiety symptoms are often in PAD. Further research is needed to explore therapeutic interventions targeting mental health and pain management to improve the course and outcomes of PAD.
期刊介绍:
Psychology Research and Behavior Management is an international, peer-reviewed, open access journal focusing on the science of psychology and its application in behavior management to develop improved outcomes in the clinical, educational, sports and business arenas. Specific topics covered in the journal include: -Neuroscience, memory and decision making -Behavior modification and management -Clinical applications -Business and sports performance management -Social and developmental studies -Animal studies The journal welcomes submitted papers covering original research, clinical studies, surveys, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.