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Anxiety and depression in patients with coronary heart disease: a study in a tertiary hospital

Ho Siew Eng1, Loo Chee Yean, Srijit Das

  • 1Department of Nursing, Faculty of Medicine, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.

Iranian Journal of Medical Sciences
|January 30, 2013
PubMed

Insights

Coronary heart disease (CHD) patients reported low anxiety and depression. However, unmarried patients and those with co-morbidities showed higher depression levels, indicating a need for early screening.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Anxiety and depression significantly impair quality of life and prognosis in coronary heart disease (CHD) patients.
  • Early identification and management of psychological distress are crucial for improving outcomes in cardiovascular disease.

Purpose of the Study:

  • To determine the incidence and prevalence of anxiety and depression among patients with acute coronary heart disease (CHD).
  • To explore the relationship between sociodemographic factors and psychological distress in CHD patients.

Main Methods:

  • A cross-sectional study involving 108 hospitalized acute CHD patients from March to December 2008.
  • Utilized the Hospital Anxiety and Depression Scale (HADS) and sociodemographic questionnaires for data collection.
  • Analyzed HADS scores in relation to marital status, co-morbidity, age, gender, race, education, and income.

Main Results:

  • Overall, CHD patients exhibited low levels of anxiety and depression.
  • Significant differences in total HADS scores were observed based on marital status (P=0.027) and co-morbidity (P=0.012).
  • Higher depression scores were noted in unmarried patients and those with co-morbid conditions, with significant differences for marital status (P=0.021) and co-morbidity (P=0.007).

Conclusions:

  • While overall anxiety and depression were low, specific subgroups of CHD patients, particularly unmarried individuals and those with co-morbid diseases, are at higher risk for depression.
  • Early screening for anxiety and depression in acute CHD patients is recommended for timely intervention and support.
  • These findings underscore the importance of integrated care addressing both physical and mental health in cardiovascular disease management.

Keywords:
Coronary heart diseaseanxietydepressionquality of life

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