Current status of depression and its correlation with psychological resilience in patients with acute aortic dissection

Wang Ying, Zhao Boying, Kong Lingwen, Guo Yongzheng, Luo Yuan

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Journal of Chongqing Medical University ›› 2025, Vol. 50 ›› Issue (05) : 668-673. DOI: 10.13406/j.cnki.cyxb.003800
Clinical research

Current status of depression and its correlation with psychological resilience in patients with acute aortic dissection

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Abstract

Objective To investigate the current status of depression and its correlation with psychological resilience in patients with acute aortic dissection（AAD） after discharge. Methods This study was conducted among 67 patients with AAD who were treated in Department of Cardiothoracic Surgery，Chongqing Emergency Medical Center，from June 2023 to June 2024 and received telephone follow-up and questionnaire survey，and basic data were collected from all patients，including sex，age，dissection type，educational level，length of hospital stay，discharge time，and hospital costs. Self-Rating Depression Scale（SDS） and Connor-Davidson Resilience Scale（CD-RISC） were distributed，and finally 49 valid questionnaires were included for statistical analysis. SDS and CD-RISC scores were compared between AAD patients with different basic data variables，and the Pearson correlation analysis was used to investigate the correlation of SDS score with psychological resilience and the scores of each dimension. The multiple linear regression analysis was further performed. Results The incidence rate of depression was 36.73% among the patients with AAD. With the basic data as variables，there was a significant difference in SDS score between the patients with different sexes and discharge times（P<0.05），and there was a significant difference in CD-RISC score between the patients with different sexes and educational levels（P<0.05）. The Pearson correlation analysis showed that SDS score was negatively correlated CD-RISC score（r=-0.408，P=0.004），and SDS score was also negatively correlated with the scores of the dimensions of strength，resilience，and optimism in psychological resilience（r=-0.283，-0.319，-0.493，all P<0.05）. There was a linear regression relationship between the dimension of optimism and the SDS score of depression. Conclusion There is a relatively high risk of depression in patients with AAD，and there is a significant negative correlation between psychological resilience and depressive state. Strengthening the construction of psychological resilience in AAD patients is important to prevent the risk of depression in AAD patients.

Key words

acute aortic dissection / depression / psychological resilience / correlation

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Wang Ying , Zhao Boying , Kong Lingwen , et al . Current status of depression and its correlation with psychological resilience in patients with acute aortic dissection. Journal of Chongqing Medical University. 2025, 50(05): 668-673 https://doi.org/10.13406/j.cnki.cyxb.003800

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