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Study of Anxiety/Depression in Patients with Coronary Heart Disease After Percutaneous Coronary Intervention

PeiYing Zhang1

  • 1Xuzhou Center Hospital, No.199 JieFang south Road, Xuzhou, 221009, Jiangsu, China. ZPYing58@126.com.

Cell Biochemistry and Biophysics
|January 11, 2015
PubMed

Insights

Percutaneous coronary intervention increases anxiety and depression in patients. However, psychological interventions effectively reduce these negative emotions, improving patient well-being post-procedure.

Area of Science:

  • Cardiology
  • Psychology
  • Health Services Research

Background:

  • Coronary heart disease (CHD) is a significant global health concern.
  • Percutaneous coronary intervention (PCI) is a common treatment for CHD.
  • The psychological impact of PCI on patients, particularly anxiety and depression, requires further investigation.

Purpose of the Study:

  • To investigate the involvement of anxiety and depression in patients with coronary heart disease following percutaneous coronary intervention.
  • To assess the effectiveness of psychological interventions in mitigating these emotional responses.

Main Methods:

  • A study involving 150 inpatients with CHD at Xuzhou Center Hospital (December 2012-July 2014).
  • Patients were divided into a stent group (100) and a non-stent group (50).
  • Within the stent group, 50 patients received psychological interventions (intervention group), while 50 did not (non-intervention group).
  • Anxiety and depression were measured using the Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) at multiple time points: post-admission, post-coronary angiography, and at discharge.

Main Results:

  • No significant differences in biochemical markers, anxiety, or depression scores were found between the stent and non-stent groups before PCI.
  • Following PCI, both the intervention and non-intervention groups showed significantly higher anxiety/depression scores compared to the non-stent group.
  • No significant differences in anxiety/depression scores were observed between the intervention and non-intervention groups immediately after PCI.
  • By the time of discharge, the intervention group exhibited the lowest anxiety and depression scores, indicating a significant reduction.

Conclusions:

  • Percutaneous coronary intervention can lead to increased anxiety and depression in patients with coronary heart disease.
  • Appropriate psychological interventions are effective in reducing negative emotions such as anxiety and depression in patients undergoing PCI.
  • Psychological support should be integrated into the care of CHD patients post-PCI to improve emotional outcomes.

Keywords:
Anxiety/depressionCoronary heart diseasePercutaneous coronary intervention

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