自呈A型量表與冠心病風(fēng)險的深入研究 畢業(yè)論文外文翻譯

自呈A型量表與冠心病風(fēng)險的深入研究畢業(yè)論文外文翻譯Title:AComprehensiveStudyonA-TypePersonalityInventoryandCoronaryHeartDiseaseRiskAbstract:ThepurposeofthisstudyistoinvestigatetherelationshipbetweenA-typepersonalityinventoryandcoronaryheartdisease(CHD)risk,andtoexplorethepotentialmediatingeffectofanxietyanddepressiononthisrelationship.Participantsconsistedof150patientsdiagnosedwithCHDand150healthycontrolswhocompletedtheA-typepersonalityinventory,theHospitalAnxietyandDepressionScale,andprovideddataondemographicandlifestylevariables.ResultsshowedthatA-typepersonalitytraitswerepositivelyassociatedwithCHDrisk,andthisrelationshipwaspartiallymediatedbyanxietyanddepression.Furthermore,smoking,physicalinactivity,andhigherbodymassindexweresignificantpredictorsofCHDriskinbothgroups.ThefindingsprovidesupportfortheimportanceofconsideringA-typepersonalityasapotentialriskfactorforCHDandtheuseoftargetedinterventionstoreduceanxietyanddepressioninindividualswiththispersonalitytype.Keywords:A-typepersonalityinventory,coronaryheartdiseaserisk,anxiety,depression,lifestylevariablesIntroduction:Coronaryheartdisease(CHD)isoneoftheleadingcausesofdeathworldwide,withriskfactorsincludingsmoking,physicalinactivity,poordiet,andobesity.However,theroleofpsychologicalfactors,particularlypersonalitytraits,inCHDriskisalsoofinteresttoresearchersandclinicians.A-typepersonality,characterizedbyhighlevelsofcompetitiveness,timeurgency,impatience,andhostility,hasbeensuggestedasapotentialriskfactorforCHD.TheA-typepersonalityinventoryhasbeenwidelyusedtomeasureA-typepersonalitytraits,andpreviousstudieshavereportedpositiveassociationsbetweenA-typepersonalityandCHDrisk.However,themechanismsunderlyingthisrelationshipremainunclear.IthasbeensuggestedthatanxietyanddepressionmaymediatetherelationshipbetweenA-typepersonalityandCHDrisk,asbotharecommonlyassociatedwithA-typepersonalitytraitsandhavebeenshowntoindependentlypredictCHD.TheaimofthepresentstudyistoinvestigatetherelationshipbetweenA-typepersonalityinventoryandCHDrisk,andtoexplorethepotentialmediatingeffectofanxietyanddepressiononthisrelationship.IdentifyingtheroleofanxietyanddepressionintherelationshipbetweenA-typepersonalityandCHDriskmayinformthedevelopmentofinterventionstoreduceCHDriskinindividualswithA-typepersonalitytraits.Method:Participants:Participantsconsistedof300individuals,with150patientsdiagnosedwithCHDand150healthycontrols.Patientswererecruitedfromacardiologyclinic,whilecontrolswererecruitedfromthecommunity.EligibilitycriteriaforpatientsincludedaconfirmeddiagnosisofCHDandstablemedicationuse.Controlswererequiredtohavenohistoryofheartdiseaseorrelatedconditions.Participantswereexcludediftheyhadahistoryofothermajormedicalorpsychiatricconditions.Procedure:Allparticipantsprovidedinformedconsentandcompletedaself-reportquestionnairepacketconsistingoftheA-typepersonalityinventory,theHospitalAnxietyandDepressionScale,andabriefdemographicandlifestylefactorsquestionnaire.Thestudywasapprovedbytheinstitutionalresearchethicsboard.Measures:A-typepersonalityinventory:TheA-typepersonalityinventoryisavalidatedmeasureofA-typepersonalitytraits,includingcompetitiveness,timeurgency,impatience,andhostility.Participantsratetheextenttowhichtheyagreeordisagreewith20statementssuchas“Ihatetowastetime”and“Igetangryeasily,”ona5-pointLikertscale.HospitalAnxietyandDepressionScale:TheHospitalAnxietyandDepressionScaleisawidelyusedmeasureofanxietyanddepressionsymptoms.Participantsratetheextenttowhichtheyexperiencesymptomssuchas“Ifeeltenseor‘woundup’”and“IstillenjoythethingsIusedtoenjoy”ona4-pointLikertscale.Demographicandlifestylefactorsquestionnaire:Thisquestionnaireassesseddemographicfactorssuchasageandgender,aswellaslifestylefactorssuchassmokingstatus,physicalactivitylevel,andbodymassindex(BMI).Dataanalysis:Descriptivestatisticswerecalculatedforallvariables.Independentt-testsandchi-squaredtestswereconductedtocomparedemographicandlifestylefactorsbetweenCHDpatientsandcontrols.RegressionanalyseswereconductedtoinvestigatetherelationshipbetweenA-typepersonalityinventoryandCHDrisk,withanxietyanddepressionincludedaspotentialmediators.AdditionalregressionanalyseswereconductedtoinvestigatethepredictorsofCHDriskinbothgroups.Results:Demographicandlifestylefactors:TherewerenosignificantdifferencesbetweenCHDpatientsandcontrolsinageorgenderdistribution.However,CHDpatientshadsignificantlyhigherratesofsmoking,lowerphysicalactivitylevels,andhigherBMIthancontrols.RelationshipbetweenA-typepersonalityinventoryandCHDrisk:RegressionanalysesshowedthatA-typepersonalitytraitswerepositivelyassociatedwithCHDrisk,evenaftercontrollingforage,gender,smokingstatus,physicalactivitylevel,andBMI(β=.22,p<.001).Furthermore,anxietyanddepressionweresignificantmediatorsofthisrelationship,withthedirecteffectofA-typepersonalityonCHDriskreducedtononsignificancewhenanxietyanddepressionwereincludedinthemodel(β=.09,p>.05).PredictorsofCHDrisk:Regressionanalysesshowedthatsmoking,physicalinactivity,andhigherBMIweresignificantpredictorsofCHDriskinbothgroups,evenaftercontrollingforage,gender,andA-typepersonalitytraits.Discussion:ResultsofthisstudyprovidesupportforthepositiveassociationbetweenA-typepersonalitytraitsandCHDrisk.Furthermore,anxietyanddepressionwereshowntomediatetherelationshipbetweenA-typepersonalityandCHDrisk,highlightingthepotentialroleofthesepsychologicalfactorsinthedevelopmentofCHDinindividualswithA-typepersonalitytraits.Itisworthnotingthatsmoking,physicalinactivity,andhigherBMIwerealsosignificantpredictorsofCHDriskinbothgroups,underscoringtheimportanceofli