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Published on: February 26, 2013
Prevalence and Factors Associated With Anxiety and Depression in Individuals With Chronic Atrial Fibrillation: A
Gustavo Carvalho de Lima Queiroz1, Amanda da Silva Monteiro2, Débora Ananias de Melo3
1Gustavo Carvalho de Lima Queiroz, BSN, Department of Clinical Nursing, Federal University of Paraíba, João Pessoa, Brazil.
Insights
Anxiety and depressive symptoms are common in chronic atrial fibrillation (CAF). Factors like sex, education, and comorbidities influence their prevalence, highlighting the need for integrated mental health care in managing CAF patients.
Area of Science:
- Cardiology
- Psychiatry
- Public Health
Background:
- Chronic atrial fibrillation (CAF) is a prevalent cardiac arrhythmia.
- CAF significantly impacts patients' self-care, treatment adherence, and quality of life.
Purpose of the Study:
- To determine the prevalence of anxiety and depressive symptoms in individuals with CAF.
- To identify factors associated with these mental health conditions in the CAF population.
Main Methods:
- A cross-sectional analytical study was conducted in Brazil.
- The Hospital Anxiety and Depression Scale was used for assessment.
- Statistical analyses included Chi-square, prevalence ratios, and Poisson regression.
Main Results:
- 60.8% of individuals with CAF reported anxiety symptoms; 38.2% reported depressive symptoms.
- Anxiety and depressive symptoms were less prevalent in men compared to women.
- Lower educational attainment and higher comorbidity burden were associated with increased symptom prevalence.
Conclusions:
- Sex, educational level, and comorbidity count are significant factors associated with anxiety and depressive symptoms in CAF patients.
- Systematic mental health screening and integrated care are crucial for effective nursing management of individuals with CAF.
Background:
Chronic atrial fibrillation (CAF) is the most frequent sustained cardiac arrhythmia, and it is associated with a high burden of symptoms that impair self-care behaviors, treatment adherence, and quality of life.
Objective:
In this study, our aim was to estimate the prevalence of anxiety and depressive symptoms in individuals with CAF and identify associated factors.
Methods:
A cross-sectional analytical study was conducted at the cardiology outpatient clinic of a university hospital in João Pessoa (Paraíba, Brazil). Anxiety and depressive symptoms were assessed using the Hospital Anxiety and Depression Scale. Data were analyzed using the Chi-square test, prevalence ratio with a 95% confidence interval, and Poisson regression with robust variance.
Results:
The study included 102 individuals with CAF; 60.8% reported anxiety symptoms and 38.2% reported depressive symptoms. The prevalence of anxiety symptoms was significantly lower in men (39.0%) than in women, and 27.0% lower among individuals with 8 years of education or less than in those with 9 years or more. The prevalence of depressive symptoms was 59.0% lower in men than in women, and 43.0% lower in individuals with up to 3 comorbidities than in those with 4 or more comorbidities.
Conclusions:
Among individuals with CAF, factors associated with anxiety and depressive symptoms were identified, including sex, educational level, and the number of comorbidities. These findings underscore the importance of incorporating systematic mental health assessment and integrative care strategies into the nursing management of individuals with CAF.
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