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Suicidal Ideation, Self-esteem, and Hopelessness in Patients With Pulmonary Arterial Hypertension

Sevda Korkmaz1,2, Mehmet Akbulut3, Aslı Kazgan1

  • 1Department of Psychiatry, Faculty of Medicine, Fırat University, Elazıg, Turkey.

The Primary Care Companion for CNS Disorders
|December 23, 2021
PubMed

Insights

Patients with pulmonary arterial hypertension show higher rates of hopelessness, depression, and suicidal ideation. Early psychiatric intervention is crucial for improving their self-esteem and overall well-being.

Area of Science:

  • Cardiology
  • Psychiatry
  • Pulmonary Medicine

Background:

  • Pulmonary arterial hypertension (PAH) is a severe condition impacting quality of life.
  • Mental health comorbidities, including suicidal ideation, are increasingly recognized in PAH patients.

Purpose of the Study:

  • To determine the prevalence of suicidal ideation in PAH patients.
  • To examine the correlation between suicidal ideation and psychological variables in PAH.

Main Methods:

  • A case-control study involving 50 PAH patients and 50 healthy controls.
  • Utilized sociodemographic and clinical data forms, Beck Depression Inventory (BDI), Beck Hopelessness Scale (BHS), Rosenberg Self-Esteem Scale (RSE), and Suicide Probability Scale (SPS).
  • Statistical analysis performed using SPSS version 22.

Main Results:

  • PAH patients exhibited significantly higher scores on BHS, BDI, and SPS compared to controls (P < .001, P = .001, P = .026).
  • Rosenberg Self-Esteem Scale scores were also significantly higher in the PAH group (P = .017).
  • Mean systolic pulmonary pressure was 47.48 ± 18.86 mmHg and mean pulmonary artery pressure was 33.32 ± 19.69 mmHg in PAH patients.

Conclusions:

  • PAH patients experience heightened psychological distress, including hopelessness and depressive symptoms.
  • Identifying and treating these psychological issues is vital for improving self-esteem and patient outcomes.
  • Psychiatric and psychotherapeutic interventions should be integrated into PAH patient care.

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