患有静脉血栓栓塞性疾病的年轻人的心理问题,初步报告。

Alejandro Godoy, N Bula Galli, Aldo Tabares
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引用次数: 0

摘要

背景:静脉血栓栓塞症发作后,年轻人的心理健康水平会下降,这可能与长期健康的不确定性和对复发的恐惧有关。近年来,肺栓塞后综合征已被越来越多的人接受,然而,静脉血栓栓塞后对年轻患者心理影响的关注却较少。本研究探讨了静脉血栓栓塞后患者心理障碍的发生率、类型和严重程度:该研究对阿根廷科尔多瓦私立医院血管内科 2020 年 7 月至 2021 年 10 月期间诊断为静脉血栓栓塞症的 18 岁以上患者进行了回顾性队列观察研究。由于 COVID-19 大流行,虚拟访谈使用了两份预先确定的调查问卷,由同一位精神科医生进行管理。第一份问卷收集个人资料、临床病史和心理健康信息,第二份问卷则使用迷你国际神经精神病学访谈评估情绪障碍。迷你国际神经精神访谈得分呈阳性的患者将使用汉密尔顿量表进行进一步评估。年龄小于 45 岁的患者被视为年轻患者:共有 50 名患者接受了评估,其中 56% 为女性,54% 年龄小于 45 岁。11名患者(22%)患有重度抑郁症,其中8名年轻患者(72%),3名老年患者(28%)。八名患者(16%)患有焦虑症,其中四名年轻患者,十名患者(20%)患有创伤后应激障碍,其中七名年轻患者(70%)。20名(40%)患者患有广泛性焦虑症,两组比例相似:结论:静脉血栓栓塞症发作后,心理和情绪症状很常见。结论:静脉血栓栓塞症发作后,心理和情绪症状很常见,创伤后应激障碍和抑郁症似乎在年轻人中更为普遍。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Psychological aspects in young people with venous thromboembolic disease, preliminary report.

Background: The decline in the mental well-being of young adults following an episode of venous thromboembolism may be related to the uncertainty of long-term health and fear of recurrence. In recent years, post-pulmonary embolism syndrome has gained acceptance, however, less attention has been given to the psychological impact on young patients after venous thromboembolism. This study explores the prevalence, type, and severity of psychological disorders of patients following venous thromboembolism.

Methods: A retrospective observational cohort study was performed of over 18-year-old patients diagnosed with venous thromboembolism followed in the Vascular Medicine Service at Hospital Privado de Córdoba, Argentina from July 2020 to October 2021. Due to the COVID-19 pandemic, virtual interviews were conducted using two pre-established questionnaires administered by the same psychiatrist. The first questionnaire gathered personal data, clinical history, and mental health information, while the second, evaluated mood disorders using the Mini International Neuropsychiatric Interview. Patients with a positive MINI score underwent further assessment using the Hamilton Scale. Patients were considered young if ≤45 years.

Results: A total of 50 patients were assessed, 56 % were women, and 54 % were ≤45 years. Major depression was documented in 11 (22 %) patients, eight (72 %) in the younger group, and three (28 %) in the older group. Eight (16 %) patients had an anxiety disorder, four in the younger group, and ten (20 %) patients had post-traumatic stress disorder, seven (70 %) of the younger patients. Generalized anxiety disorder was identified in 20 (40 %) patients with similar proportions in both groups.

Conclusion: Psychological and emotional symptoms are common following an episode of venous thromboembolism. Post-traumatic stress disorder and depression appear to be numerically more prevalent in the young.

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