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PREVALENCE OF DEPRESSION AND ITS GRADING IN PATIENTS WITH CORONARY HEART DISEASE
L Rasputina1, V Rasputin1, M Ovcharuk1
1Pyrohov Memorial National Medical University, Vinnytsia; Public institution "Vinnytskyi rehionalnyi tsentr sertsevo-sudynnoi patolohii", Ukraine.
Insights
A significant number of myocardial infarction patients experience depression, with over half diagnosed across various severity levels. Depression severity correlates with patient age, gender, and medical history, highlighting a critical need for mental health support in cardiac care.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Background:
- Coronary heart disease (CHD), particularly myocardial infarction (MI), is a leading cause of mortality worldwide.
- Depression is a common comorbidity in patients with cardiovascular diseases, impacting prognosis and quality of life.
- Understanding the prevalence and severity of depression in MI patients is crucial for effective management.
Purpose of the Study:
- To determine the prevalence of depression in patients with myocardial infarction.
- To analyze the distribution of depression severity among these patients.
- To explore potential correlations between depression and patient characteristics.
Main Methods:
- A study involving 125 myocardial infarction patients (average age 64.2±4.7 years).
- Depression screening using the Patient Health Questionnaire-2 (PHQ-2).
- Severity assessment of depression using the Patient Health Questionnaire-9 (PHQ-9) for positive screeners.
Main Results:
- 64.3% of patients (80/125) screened positive for depressive disorders via PHQ-2.
- Overall, 54.4% of patients (68/125) were diagnosed with depression of varying severity.
- Prevalence included minimal (36.8%), mild (29.4%), moderately severe (23.6%), and severe (10.2%) depression.
Conclusions:
- Depression is highly prevalent in myocardial infarction patients.
- Depression severity is linked to patient age, gender, comorbidities, and history of MI and revascularization.
- Integrated mental health screening and treatment are essential for cardiac patient care.
Abstract:
The purpose of our work was to determine a prevalence of depression and its distribution by grades in patients with a coronary heart disease, namely - with the myocardial infarction. The study involved 125 patients of average age 64.2±4.7 years, treated at cardiology department for myocardial infarction. The first stage was a depression screening using PHQ - 2 questionnaire. In case of positive answer to at least one question, we assessed the severity of depression using a PHQ-9 tool. We established, that PHQ-2 questionnaire questions for screening depressive disorders were positively answered by 80 patients (64.3%). Total signs of depression of various severity grades was diagnosed in 68 patients (54.4%). Minimal depression was diagnosed in 25 (36.8%) patients, mild depression - in 20 (29.4%) patients, moderately severe disease - in 16 (23.6%) patients, and severe depression - in 7 (10.2%) patients. The severity of depression was clearly related to age, gender of patients, comorbid diseases, and a history of MI and revascularization.
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