体验回避对血液病患者焦虑和抑郁障碍的影响。

IF 2.8 3区 医学 Q2 PSYCHOLOGY, CLINICAL
Journal of Behavioral Medicine Pub Date : 2025-04-01 Epub Date: 2025-02-09 DOI:10.1007/s10865-025-00553-2
Gregor Weißflog, Jochen Ernst, Peter Esser, Uwe Platzbecker, Vladan Vucinic, Anja Mehnert-Theuerkauf, Franziska Springer
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引用次数: 0

摘要

焦虑障碍和/或抑郁症与血液病共同发生是患者的额外负担。体验性回避;在非癌症人群中,努力避免负面情绪(思想或记忆)是焦虑和抑郁障碍发病和维持的一个经验上明显的跨诊断因素。EA在预测癌症患者焦虑和抑郁方面的影响缺乏证据。这项横断面观察性研究共纳入291例血液癌患者(60%为男性,平均年龄55岁)。使用DSM-5精神障碍结构化临床访谈(SCID-5)对参与者进行评估。采用简易体验回避问卷(BEAQ)进行自我报告。采用层次二项logistic回归来估计EA对焦虑和抑郁障碍的影响。共有38名患者(13.3%)符合当前焦虑障碍的诊断标准,49名患者(17.2%)符合当前抑郁障碍的诊断标准。在双变量分析中,与无焦虑症患者相比,有焦虑症患者的EA显著升高(54.4比48.9;p = 0.01)。抑郁症也是如此(54.9比48.6;p
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The impact of experiential avoidance on anxiety and depressive disorders in hematological cancer patients.

Anxiety disorders and/or depressive disorders co-occurring with hematological cancer are an additional burden for patients. Experiential avoidance (EA; efforts to avoid negative emotions, thoughts, or memories) is an empirically evident transdiagnostic factor for the onset and maintenance of anxiety and depressive disorders in non-cancer populations. There is lack of evidence on the impact of EA in predicting anxiety and depression in cancer patients. A total of 291 patients with hematological cancer (60% male, mean age 55 years) were included in this cross-sectional observational study. Participants were assessed using the Structured Clinical Interview for DSM-5 mental disorders (SCID-5). EA was assessed via self-report using the Brief Experiential Avoidance Questionnaire (BEAQ). Hierarchical binomial logistic regression was conducted in order to estimate the impact of EA on anxiety and depressive disorders. A total of 38 patients (13.3%) met the diagnostic criteria for a current anxiety disorder, while 49 patients (17.2%) met the criteria for a current depressive disorder. In bivariate analyses, EA was significantly elevated in patients with an anxiety disorder in comparison to those without (54.4 vs. 48.9; p = 0.01). The same was true for depressive disorder (54.9 vs. 48.6; p < 0.01). After controlling for relevant sociodemographic and medical factors, EA did not predict anxiety or depressive disorder in separate regression models. The presence of an anxiety disorder was significantly predicted by female sex, younger age and elevated comorbidity burden. In contrast, the presence of a depressive disorder was predicted by comorbidity burden. Sociodemographic and medical predictors have greater predictive potential than EA regarding current anxiety and depressive disorder in hematological cancer patients.

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来源期刊
Journal of Behavioral Medicine
Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-
CiteScore
5.70
自引率
3.20%
发文量
112
期刊介绍: The Journal of Behavioral Medicine is a broadly conceived interdisciplinary publication devoted to furthering understanding of physical health and illness through the knowledge, methods, and techniques of behavioral science. A significant function of the journal is the application of this knowledge to prevention, treatment, and rehabilitation and to the promotion of health at the individual, community, and population levels.The content of the journal spans all areas of basic and applied behavioral medicine research, conducted in and informed by all related disciplines including but not limited to: psychology, medicine, the public health sciences, sociology, anthropology, health economics, nursing, and biostatistics. Topics welcomed include but are not limited to: prevention of disease and health promotion; the effects of psychological stress on physical and psychological functioning; sociocultural influences on health and illness; adherence to medical regimens; the study of health related behaviors including tobacco use, substance use, sexual behavior, physical activity, and obesity; health services research; and behavioral factors in the prevention and treatment of somatic disorders.  Reports of interdisciplinary approaches to research are particularly welcomed.
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