<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1646-706X</journal-id>
<journal-title><![CDATA[Angiologia e Cirurgia Vascular]]></journal-title>
<abbrev-journal-title><![CDATA[Angiol Cir Vasc]]></abbrev-journal-title>
<issn>1646-706X</issn>
<publisher>
<publisher-name><![CDATA[Sociedade Portuguesa de Angiologia e Cirurgia Vascular]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1646-706X2021000300252</article-id>
<article-id pub-id-type="doi">10.48750/acv.424</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[A relação da doença venosa crónica avançada com a psicopatologia e a qualidade de vida]]></article-title>
<article-title xml:lang="en"><![CDATA[The relationship between advanced chronic venous disease, psychopathology, and quality of life]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Correia]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bento]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[Rita]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pais]]></surname>
<given-names><![CDATA[Fábio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garcia]]></surname>
<given-names><![CDATA[Ana Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Frederico Bastos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Maria Emília]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital de Santa Marta Serviço de Angiologia e Cirurgia Vascular ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade Nova de Lisboa NOVA Medical School ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>09</month>
<year>2021</year>
</pub-date>
<volume>17</volume>
<numero>3</numero>
<fpage>252</fpage>
<lpage>258</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S1646-706X2021000300252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S1646-706X2021000300252&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S1646-706X2021000300252&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  As consequências psicopatológicas e na qualidade de vida da DVC podem ser significativas, particularmente nos estadios mais avançados. As perturbações da ansiedade e do humor já estão frequentemente presentes no doente que procura o cirurgião vascular por DVC. O objetivo deste estudo foi identificar e caracterizar a psicopatologia na DVC e a sua relação com a qualidade de vida.  Métodos:  Estudo transversal que incluiu todos os doentes observados em primeira consulta de dois cirurgiões vasculares de um hospital universitário terciário, com o diagnóstico de DVC, de Dezembro de 2019 a Janeiro de 2021. Após realização da consulta, foram aplicados 5 questionários validados na língua portuguesa: EQ-5D (Euro quality of life - 5 Dimensions), EQVAS (Euro QoL visual analogue scale), CIVIQ20 (chronic venous insufficiency questionnaire), BAI (Beck Anxiety Inventory) e BDI (Beck&amp;apos;s Depression Inventory). Os endpoints primários foram os scores sugestivos de perturbações da ansiedade e de humor, avaliadas nos questionários BAI e BDI, respetivamente. Os endpoints secundários foram a qualidade de vida, avaliada nos questionários EQ-5D, EQVAS e CIVIQ20. Os achados foram correlacionados com a classe clínica (C) da classificação CEAP (clinical, etiological, anatomical and pathophysiological).  Resultados:  Foram incluídos 59 doentes. A idade mediana foi de 58 anos. 73% eram do sexo feminino. 20% realizava previamente medicação psiquiátrica. A distribuição na classificação clínica CEAP foi a seguinte: C1 7%; C2 64%; C3 10%; C4 15%; C5 2%; C6 2%. O score CIVIQ20 mediano foi de 48 e a pontuação mediana na escala EQVAS foi de 75. O score mediano BAI foi 16, com 40% dos doentes a relatarem níveis moderados ou potencialmente preocupantes de ansiedade; o score mediano BDI foi 7, com 31% dos doentes a relatarem níveis pelo menos ligeiros de depressão. Verificou-se uma correlação positiva entre a classe clínica CEAP e o score BAI (p=0,049) e o score BDI (p=0,039). Não se verificou correlação entre a classe clínica CEAP e a pontuação na EQVAS. Doentes com score CIVIQ20 superior selecionaram pontuações inferiores na EQVAS (p&lt;0,001). Verificou-se uma correlação positiva entre o score CIVIQ20 e o score BAI (p&lt;0,001) e o score BDI (p=0,003). Doentes com pior saúde percecionada na EQVAS apresentaram scores superiores de ansiedade (p=0,009) e de depressão (p&lt;0,001). Verificou-se uma correlação positiva entre o score BAI e o score BDI (p=0,002).  Conclusão:  As perturbações da ansiedade e do humor coexistem frequentemente e são prevalentes nos doentes com DVC sintomática. A relação entre sinais clínicos graves de DVC, qualidade de vida inferior e presença de psicopatologia foi demonstrada neste trabalho, que sugere a necessidade de uma abordagem psicológica adjuvante nos doentes com DVC.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Chronic venous disease (CVD), particularly if severe, can have significant psychopathologic consequences and major changes in quality of life. Anxiety and humor disturbances are often already present when the patient with CVD searches the vascular surgeon. This study aims to identify and characterize psychopathology in CVD and its relation with quality of life.  Methods:  A transversal study included all patients seen in the first appointment with two vascular surgeons of a tertiary university hospital, with the CVD diagnosis, from December 2019 to January 2021. Five Portuguese language-validated questionnaires were used: EQ-5D (Euro quality of life - 5 Dimensions), EQVAS (Euro QoL visual analogue scale), CIVIQ20 (chronic venous insufficiency questionnaire), BAI (Beck Anxiety Inventory) and BDI (Beck&amp;apos;s Depression Inventory). The primary endpoints were anxiety and humor disturbances&#8217; suggestive scores, evaluated on BAI and BDI questionnaires, respectively. The secondary endpoints were quality of life, evaluated on EQ-5D, EQVAS and CIVIQ20 questionnaires. The findings were correlated according to the clinical class (C) of the CEAP classification (clinical, etiological, anatomical and pathophysiological).  Results:  Fifty-nine patients were included. The median age was 58 years. 73% were female. 20% was under psychiatric pills. The CEAP clinical classification was as follows: C1 7%; C2 64%; C3 10%; C4 15%; C5 2%; C6 2%. The median CIVIQ20 and EQVAS scores were 48 and 75, respectively. The median BAI score was 16; 40% of the patients stated moderate or potentially worrying anxiety levels. The median BDI score was 7; 31% of the patients stated at least mild levels of depression. There was a positive correlation between the clinical class CEAP and the BAI score (p=0,049) and the BDI score (p=0,039). There was no correlation between the clinical class CEAP and the EQVAS score. The patients with higher CIVIQ20 scores have chosen lower scores on EQVAS (p&lt;0,001). There was a positive correlation between the CIVIQ20 score and BAI score (p&lt;0,001) and the BDI score (p=0,003). The patients with worse ascertained health on EQVAS displayed higher anxiety (p=0,009) and depression scores (p&lt;0,001). There was a positive correlation between BAI and BDI scores (p=0,002).  Conclusion:  Anxiety and depression disturbances commonly coexist and are prevalent in symptomatic CVD patients. The relation between severe clinical signs of CVD, lower quality of life and the presence of psychopathology was demonstrated in this study, which suggests the need for an adjunctive psychological approach to CVD patients.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Doença venosa crónica (DVC)]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade de vida (QoL)]]></kwd>
<kwd lng="pt"><![CDATA[Ansiedade]]></kwd>
<kwd lng="en"><![CDATA[Chronic venous disease (CVD)]]></kwd>
<kwd lng="en"><![CDATA[Quality of life (QoL)]]></kwd>
<kwd lng="en"><![CDATA[Anxiety]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[BAI (Beck Anxiety Inventory)]]></kwd>
<kwd lng="en"><![CDATA[Beck&amp;apos;s Depression Inventory (BDI)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="book">
<source><![CDATA[Depression and Other Common Mental Disorders: Global Health Estimates]]></source>
<year>2017</year>
<publisher-loc><![CDATA[Geneva ]]></publisher-loc>
<publisher-name><![CDATA[World Health Organization]]></publisher-name>
</nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Sritharan]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[TRA]]></given-names>
</name>
<name>
<surname><![CDATA[Davies]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The Burden of Depression in Patients with Symptomatic Varicose Veins]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg]]></source>
<year>2012</year>
<volume>43</volume>
<page-range>480-4</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Onida]]></surname>
<given-names><![CDATA[Sarah]]></given-names>
</name>
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[Tristan RA]]></given-names>
</name>
<name>
<surname><![CDATA[Bootun]]></surname>
<given-names><![CDATA[Roshan]]></given-names>
</name>
<name>
<surname><![CDATA[Davies]]></surname>
<given-names><![CDATA[Alun H]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Varicose veins and their management]]></article-title>
<source><![CDATA[Vascular Surgery]]></source>
<year>2019</year>
<volume>37</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>73-80</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Launois]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Mansilha]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Jantet]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[International Psychometric Validation of the Chronic Venous Disease Quality of Life Questionnaire (CIVIQ-20)]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg]]></source>
<year>2010</year>
<volume>40</volume>
<page-range>783-9</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Amsler]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Rabe]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Blättler]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Leg Symptoms of Somatic, Psychic, and Unexplained Origin in the Population-based Bonn Vein Study]]></article-title>
<source><![CDATA[Eur J Vasc Endovasc Surg]]></source>
<year>2013</year>
<volume>46</volume>
<numero>2</numero>
<issue>2</issue>
<page-range>255-62</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Moore]]></surname>
<given-names><![CDATA[HM]]></given-names>
</name>
<name>
<surname><![CDATA[Lane]]></surname>
<given-names><![CDATA[TRA]]></given-names>
</name>
<name>
<surname><![CDATA[Thapar]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Franklin]]></surname>
<given-names><![CDATA[IJ]]></given-names>
</name>
<name>
<surname><![CDATA[Davies]]></surname>
<given-names><![CDATA[AH]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[The European burden of primary varicose veins]]></article-title>
<source><![CDATA[Phlebology]]></source>
<year>2013</year>
<volume>28</volume>
<numero>^sSuppl 1</numero>
<issue>^sSuppl 1</issue>
<supplement>Suppl 1</supplement>
<page-range>141-7</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
