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Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective
Changbae Lee1, Sang Cheol Lee1, Yeon Seob Shin1
1Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, Korea.
Insights
Coronary artery disease patients frequently experience depression and anxiety, impacting recovery. Early mood assessment and intervention are crucial for better outcomes in cardiac patients.
Area of Science:
- Cardiology
- Psychiatry
- Clinical Psychology
Background:
- Coronary artery disease (CAD) is linked to higher rates of depression and anxiety.
- These mood disorders are recognized risk factors for CAD development and progression.
- Understanding the interplay between cardiac health and mental well-being is critical.
Purpose of the Study:
- To evaluate the prevalence of depressive and anxious moods in CAD patients.
- To identify factors associated with mood disturbances in this population.
- To assess the persistence of these mood issues post-discharge.
Main Methods:
- Utilized Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) for mood assessment.
- Evaluated 118 CAD patients during hospitalization and 3 months post-discharge.
- Conducted cardiopulmonary exercise tests and analyzed clinical data.
Main Results:
- 33.9% of CAD patients exhibited depressive moods; 43.2% had anxious moods.
- Family history of CAD, low Korean Activity Scale Index (KASI), and beta-blocker use predicted depression.
- Lower left ventricular ejection fraction (LVEF) and low KASI score predicted anxiety.
- Significant percentages of patients (35.7% depressive, 25.0% anxious) still had mood issues at 3 months.
- Changes in BDI/BAI scores correlated with LVEF and hospital stay duration.
Conclusions:
- Depression and anxiety are prevalent in CAD patients, with significant persistence post-discharge.
- Specific clinical and demographic factors are associated with these mood disorders.
- Ongoing evaluation and treatment of emotional well-being are essential for comprehensive CAD patient care.
Abstract:
Patients with coronary artery disease (CAD) are more likely to experience depression and anxiety, which, in turn, are risk factors for CAD. The Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were applied for mood evaluation during hospitalization and again 3 months after discharge in 118 patients with CAD, and cardiopulmonary exercise tests were conducted in the outpatient department. Of the patients diagnosed with CAD, 40 (33.9%) had depressive moods, and 51 (43.2%) had anxious moods. A family history of CAD, low Korean activity scale index (KASI), and use of beta-blockers were independent factors causing depressive mood, while lower left ventricular ejection fraction (LVEF) and low KASI score were independent factors causing anxious mood. A considerable number of patients (35.7% with depressive mood and 25.0% with anxious mood) still had emotional problems after 3 months of discharge. The change values of BDI were associated with lower LVEF and longer hospital stay, while those of BAI was associated with a longer hospital stay. Since some patients had depressive and anxious moods after three months of discharge, evaluating and treating them are essential.
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