Impact of psychotherapy on acute coronary syndrome patients with mental disorder
FU Yan
ZHENG Guo-yan
LAI Zhi-sen
ZHONG Xin
ZHAO Yu-hua
JIA Guo-liang
ZHANG Juan
XU Jin-hua
Department of Cardiology,Dongguan Kanghua Hos-pital,1000 Dongguan Avenue,Nancheng District,Dongguan,Guangdong,China
摘要：Background In acute coronary syndrome(ACS),mental disorder is associated with poorer clinical outcomes,but there are still few data.Methods This study consecutively enrolled ACS patients with anxiety/depression at our center from January 2018 to July 2020.Patients were divided into a control group(n=271)and an experiment group(n=361)based on whether they underwent psychotherapy.Patients were followed up at 12 months.The pri-mary endpoint event was adverse cardiovascular events(MACE),including death,myocardial infarction,re-angina and the target vessel revascularization.Results There were no statistical differences in admission Hamilton anxi-ety scale(HAMA)and Hamilton depression scale(HAMD)between the two groups.The HAMA score(9.18±2.2 vs.21.26±3.9;P＜0.001)and HAMD score(23.15±3.8 vs.13.28±2.7;P＜0.001)were lower in the experimental group than in the control group at discharge.Multiple logistic regression analysis showed that psychological status at discharge[OR 0.20,95％CI(0.011-0.421),P=0.020]and treatment for psychological disorders[OR 0.20 95％CI(0.011-0.421),P=0.020]were independent predictors of 1-year MACE.Conclusions Anxiety and depressive sta-tus at discharge were independent associated with adverse events.psychotherapy significantly reduced MACEs in ACS,particularly recurrent angina,but not myocardial infarction,revascularization or all-cause mortality.
机标关键词：psychotherapyimpactwithacutecoronarydisordermentalpatients
论文发表日期：2023-03-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：6( 17-22 )
英文信息