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.
Background And Objectives:
Coronary artery disease (CAD) has been associated with increased stress both etiologically and as a consequence. The current pandemic of COVID-19 infection has impacted the personal, social, and occupational spheres of people's lives and has negatively affected mental health. People with existing chronic medical illnesses may be more vulnerable to the stressful effects of the ongoing pandemic.This study was conducted on patients with CAD during the COVID-19 pandemic to estimate the prevalence of psychological distress, the factors associated with distress, and their coping mechanisms.
Materials And Methods:
A cross-sectional study was conducted at a tertiary care teaching hospital in Kerala in the cardiology department. After informed consent was obtained from the patients with CAD, sociodemographic details were collected, Kessler Psychological Distress Scale (K-10 scale) was administered to assess psychological distress and the Brief COPE scale was administered to assess their coping mechanisms.
Results:
Among 50 patients who participated, the prevalence of psychological distress was 50%. The factors associated with distress were female gender, semiskilled occupation, incomplete COVID-19 vaccination status, exposure of family to COVID-19, experiencing financial difficulties, and experiencing difficulty acquiring medications prescribed for CAD. Religion and acceptance were the most common coping strategies applied by the patients and acceptance was found to be a better coping strategy than religion.
Conclusion:
There is a high prevalence of psychological distress among patients with CAD during the pandemic, owing to the emotional, financial, and familial instability faced during the pandemic.
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