Factors associated with depressive symptoms in patients with acute coronary syndrome undergoing percutaneous coronary
Mana Doi1,2, Hiroki Fukahori1,3, Yumiko Oyama2
1Graduate School of Health Care Sciences Tokyo Medical and Dental University Tokyo Japan.
Insights
Depression in acute coronary syndrome patients after percutaneous coronary intervention is linked to illness uncertainty and feeling annoyed by tasks. Supporting patients
Area of Science:
- Cardiology
- Psychiatry
- Nursing Research
Background:
- Acute coronary syndrome (ACS) is a critical condition requiring percutaneous coronary intervention (PCI).
- Post-PCI patients are vulnerable to psychological distress, including depression.
- Understanding factors contributing to depression is crucial for patient well-being.
Purpose of the Study:
- To investigate associations between potential factors and depression in post-PCI ACS patients.
- To identify predictors of depressive symptoms in this population.
Main Methods:
- Prospective cohort study involving 68 post-PCI ACS patients (January 2016 - June 2017).
- Hospital Anxiety and Depression Scale (HADS) scores assessed 1-3 months post-discharge.
- Regression analysis used to examine illness uncertainty and clinical factors (Roy Adaptation Model) predicting depression.
Main Results:
- Final analysis included 36 patients.
- Higher baseline depression, increased illness uncertainty, and annoyance with tasks post-discharge correlated with higher depressive scores at 1 month.
- Ineffective self-concept responses may contribute to depression.
Conclusions:
- Illness uncertainty and task-related annoyance are significant factors associated with depression post-PCI in ACS patients.
- Interventions targeting self-concept and providing support for patient responses are recommended.
- Early identification and management of psychological distress can improve outcomes.
Aim:
To identify the association between possible factors and depression among post-percutaneous coronary intervention patients with acute coronary syndrome.
Design:
Prospective cohort study.
Methods:
Sixty-eight post-percutaneous coronary intervention patients with acute coronary syndrome were enrolled between January 2016 - June 2017. The Hospital Anxiety and Depression Scale scores at 1-3 months after discharge were regressed onto uncertainty in illness and other clinical factors based on the Roy Adaptation Model.
Results:
Thirty-six patients were included in the final analysis. Higher baseline depression scores, higher changes in uncertainty in illness and feeling annoyed by troublesome tasks after discharge were associated with higher depressive scores at 1 month after discharge. Careful observation and support of patients' ineffective responses in self-concept mode may be effective in preventing depression.
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