Psychological Distress in Patients with Coronary Artery Disease During the COVID-19 Pandemic and its Association with

Prerna Maheshwari1, K P Lakshmi1, Bindu Menon1

  • 1Department of Psychiatry, Amrita Institute of Medical Sciences, Kochi, Kerala, India.

Insights

Half of coronary artery disease patients experienced psychological distress during the COVID-19 pandemic. Factors like female gender and financial difficulties were associated with distress, with acceptance being a key coping strategy.

Area of Science:

  • Cardiology
  • Psychology
  • Public Health

Background:

  • Coronary artery disease (CAD) is linked to stress.
  • The COVID-19 pandemic exacerbated mental health challenges.
  • Individuals with chronic illnesses like CAD are more susceptible to pandemic-related stress.

Purpose of the Study:

  • To determine the prevalence of psychological distress in CAD patients during the COVID-19 pandemic.
  • To identify factors associated with psychological distress.
  • To explore coping mechanisms employed by these patients.

Main Methods:

  • A cross-sectional study was conducted in a tertiary care hospital.
  • Data collected included sociodemographic details, Kessler Psychological Distress Scale (K-10), and Brief COPE scale.
  • Informed consent was obtained from all participating CAD patients.

Main Results:

  • 50% of the 50 CAD patients studied reported psychological distress.
  • Associated factors included female gender, semiskilled occupation, incomplete COVID-19 vaccination, family COVID-19 exposure, financial difficulties, and medication access issues.
  • Acceptance and religion were common coping strategies, with acceptance proving more effective.

Conclusions:

  • Psychological distress is highly prevalent among CAD patients during the pandemic.
  • Emotional, financial, and familial instability contribute significantly to this distress.
  • Targeted interventions addressing these factors and promoting effective coping strategies are crucial.
Abstract

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