کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
6814638 | 545876 | 2014 | 6 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Personality disorders in heart failure patients requiring psychiatric management: Comorbidity detections from a routine depression and anxiety screening protocol
ترجمه فارسی عنوان
اختلالات شخصیتی در بیماران مبتلا به نارسایی قلبی که نیاز به مدیریت روانپزشکی دارند: تشخیص های کمخونی از یک پروسه افسردگی معمولی و غربالگری اضطراب
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کلمات کلیدی
اختلال شخصیت مرزی، افسردگی شدید، نارسایی قلبی، بیماری قلب و عروقی، بیماری قلبی عروقی، اختلال شخصیت وسواسی،
موضوعات مرتبط
علوم زیستی و بیوفناوری
علم عصب شناسی
روانپزشکی بیولوژیکی
چکیده انگلیسی
Several international guidelines recommend routine depression screening in cardiac disease populations. No previous study has determined the prevalence and comorbidities of personality disorders in patients presenting for psychiatric treatment after these screening initiatives. In the first stage 404 heart failure (HF) patients were routinely screened and 73 underwent structured interview when either of the following criteria were met: (a) Patient Health Questionnaire â¥10; (b) Generalized Anxiety Disorder Questionnaire â¥7); (c) Response to one item panic-screener. Or (d) Suicidality. Patients with personality disorders were compared to the positive-screen patients on psychiatric comorbidities. The most common personality disorders were avoidant (8.2%), borderline (6.8%) and obsessive compulsive (4.1%), other personality disorders were prevalent in less than <3% of patients. Personality disorder patients had significantly greater risk of major depression (risk ratio (RR) 1.2; 95% confidence interval (CI) 1.2-13.3), generalized anxiety disorder (RR 3.2; 95% CI 1.0-10.0), social phobia (RR 3.8; 95% CI 1.3-11.5) and alcohol abuse/dependence (RR 3.2; 95% 1.0-9.5). The findings that HF patients with personality disorders presented with complex psychiatric comorbidity suggest that pathways facilitating the integration of psychiatric services into cardiology settings are warranted when routine depression screening is in place.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Psychiatry Research - Volume 220, Issue 3, 30 December 2014, Pages 954-959
Journal: Psychiatry Research - Volume 220, Issue 3, 30 December 2014, Pages 954-959
نویسندگان
Phillip J. Tully, Terina Selkow,