지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 583 - 589 (7page)
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초록· 키워드
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Purpose: Several studies have demonstrated that psychiatric disorders such as anxiety, depression and panic attack are associated with syncope, especially vasovagal and unexplained syncope (US). The aim of this study was to compare the prevalence of anxiety and depression between patients with neurally mediated syncope (NMS) and US and to investigate the clinical factors associated with anxiety and depression. Materials and Methods: Between January 2009 and March 2010, 383 patients with syncopal episodes completed a Hospital Anxiety and Depression Scale questionnaire to assess symptoms of anxiety and depression. Inclusion criteria were NMS and US. Exclusion criteria were cardiac syncope, orthostatic hypotension and other disorders mimicking syncope. After exclusion, 199 patients were included. Results: There were 176 (88.4%) NMS patients and 23 (11.6%) US patients. The prevalence of abnormal anxiety and depression were not significantly different between the NMS and US groups (10.2% vs. 8.7%, p=0.99; 8.5% vs. 17.4%, p=0.24). Clinical factors associated with anxiety were female gender (p=0.01) and six or more recurrent syncopal episodes (p=0.01) by univariate analysis. The only factor associated with abnormal anxiety score (OR=20.26, 95% CI: 1.4-291.6, p=0.01) was more than six recurrent syncopal episodes, while a positive head-up tilt table testing response was inversely associated with abnormal depression score (OR=0.28, CI: 0.08-0.97, p=0.04) in the multiple logistic regression analysis. Conclusion: Anxiety was associated with frequent syncopal episodes.
Thus, anxiety might be considered in the management of syncope patients.
목차
등록된 정보가 없습니다.
참고문헌 (19)
참고문헌 신청
Brignole M / 1991 / Carotid sinus massage, eyeball compression, and head-up tilt test in patients with syncope of uncertain origin and in healthy control subjects / Am Heart
Cohen TJ / 2000 / An association between anxiety and neurocardiogenic syncope during head-up tilt table testing / Pacing Clin Electrophysiol 23 : 837 ~ 841
D’Antono B / 2009 / Prospective evaluation of psychological distress and psychiatric morbidity in recurrent vasovagal and unexplained syncope / J Psychosom Res 67 : 213 ~ 22
Flint B / 2009 / Level of psychosocial impairment predicts early response to treatment in vasovagal syncope / Europace 11 : 231 ~ 236
Ganzeboom KS / 2006 / Lifetime cumulative incidence of syncope in the general population: a study of 549 Dutch subjects aged 35-60 years / J Cardiovasc Electrophysiol 17 : 11
Cohen TJ / 2000 / An association between anxiety and neurocardiogenic syncope during head-up tilt table testing / Pacing Clin Electrophysiol 23 : 837 ~ 841
D’Antono B / 2009 / Prospective evaluation of psychological distress and psychiatric morbidity in recurrent vasovagal and unexplained syncope / J Psychosom Res 67 : 213 ~ 22
Flint B / 2009 / Level of psychosocial impairment predicts early response to treatment in vasovagal syncope / Europace 11 : 231 ~ 236
Ganzeboom KS / 2006 / Lifetime cumulative incidence of syncope in the general population: a study of 549 Dutch subjects aged 35-60 years / J Cardiovasc Electrophysiol 17 : 11
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