Volume 2, Issue 4 (Autumn 2016 -- 2016)                   JCCNC 2016, 2(4): 231-238 | Back to browse issues page

XML Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Rouhi Balasi L, Salari A, Nourisaeed A, Moaddab F, Shakiba M, Givzadeh H. Anxiety and Depression in Patients Undergoing Coronary Angioplasty. JCCNC. 2016; 2 (4) :231-238
URL: http://jccnc.iums.ac.ir/article-1-107-en.html

1- PhD student in nursing Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
2- Associate Professor Guilan Interventional Cardiovascular Research Center, Guilan University of Medical Sciences, Rasht, Iran.
3- PhD Student Department of Psychology, Faculty of Humanities, Rasht Branch, Islamic Azad University, Rasht, Iran.
4- Instructor Department of Nursing, Faculty of Nursing and Midwifery, Rasht Branch, Islamic Azad University, Rasht, Iran.
5- Assistant Professor Department of Epidemiology, School of Health, Guilan University of Medical Sciences, Rasht, Iran.
6- MD Department of Cardiology, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran.
Abstract:   (433 Views)

Background: Anxiety and depression are the most important factors on the quality of life in patients after coronary angioplasty. These patients have less capability for adjusting themselves with changes in life style, diet, medication and physical activity adherence. This study aimed to determine predictive factors of anxiety and depression in patients undergoing coronary angioplasty. 
Methods: In this descriptive cross-sectional study, 148 patients were selected by convenience sampling method. Data were collected by a 2-section questionnaire, including sociodemographic factors and the hospital anxiety and depression scale. Multivariate logistic regression was used to determine predictors of anxiety and depression. Using a convenience sampling method, the patients were selected among those patients undergoing PCI in Heshmat Heart Medical Hospital in Rasht, Iran between March 2015 and June 2015. Analyses were performed using SPSS 19.
Results: The majority of samples were male (61.5%), married (93.2%), retired (31.1%), and illiterate (48%). Their mean (SD) age was 60.02(10.5) years. According to the findings, 62.2% suffered from clinical anxiety and 20.3% suffered from clinical depression. The results of multivariate adjusted model showed that education level is significantly associated with mild depression. Also sex and age are significant predictors for severe depression. Male patients were less likely to have severe depression compared to female ones . Middle age patients (45-64 years) compared to older adults were more likely to be diagnosed with severe depression.
Conclusion: Considering the high prevalence of anxiety and depression symptoms in these patients, they need counseling, social and psychological support before, during and after procedures such as angioplasty.

Full-Text [PDF 487 kb]   (131 Downloads)    
Type of Study: Research | Subject: General
Received: 2016/05/18 | Accepted: 2016/08/10 | Published: 2016/10/1

1. Aalto, A. M., et al., 2006. Sociodemographic, disease status, and illness perceptions predictors of global self-ratings of health and quality of life among those with coronary heart disease: One year follow-up study. Quality of Life Research, 15(8), pp. 1307–22. doi: 10.1007/s11136-006-0010-3 [DOI:10.1007/s11136-006-0010-3]
2. Bauer, L. K., et al., 2012. Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients. The American Journal of Cardiology, 109(9), pp. 1266–71. doi: 10.1016/j.amjcard.2011.12.017 [DOI:10.1016/j.amjcard.2011.12.017]
3. Baumeister, H., et al., 2015. Inpatient and outpatient costs in patients with coronary artery disease and mental disorders: A systematic review. BioPsychoSocial Medicine, 9(1). doi: 10.1186/s13030-015-0039-z [DOI:10.1186/s13030-015-0039-z]
4. Beyraghi, N., Tonekaboni, S. H., & Vakili, G. H., 2006. [Anxiety and depression in patients admitted in cardiac care unit, TaleghaniHospital, Tehran, Iran, 2003 (Persian)]. Bimonthly Journal of Hormozgan University of Medical Sciences, 9(4), pp. 261-4.
5. Celano, C. M., et al., 2015. Association between anxiety and mortality in patients with coronary artery disease: A meta-analysis. American Heart Journal, 170(6), pp. 1105–15. doi: 10.1016/j.ahj.2015.09.013 [DOI:10.1016/j.ahj.2015.09.013]
6. Chaudhury, S., & Srivastava, K., 2013. Relation of depression, anxiety, and quality of life with outcome after percutaneous transluminal coronary angioplasty. The Scientific World Journal, 2013, pp. 465979. doi: 10.1155/2013/465979 [DOI:10.1155/2013/465979]
7. Cunha, D. M. M., et al., 2016. Depressive symptoms in patients with coronary artery disease. Investigación y Educación en Enfermería, 34(2), pp. 323-28. doi: 10.17533/udea.iee.v34n2a12 [DOI:10.17533/udea.iee.v34n2a12]
8. Dalir, Z., Vahdat Feizabadi, E., Mazlom, S., & Rajaee Khorasani, A., 2013. [The effect of short-term cardiac rehabilitation program on anxiety and depression in patients after coronary artery bypass surgery (Persian)]. Evidence Based Care, 3(3), pp. 33-42.
9. Dempe, C., et al., 2013. Association of anxious and depressive symptoms with medication nonadherence in patients with stable coronary artery disease. Journal of Psychosomatic Research, 74(2), pp. 122–7. doi: 10.1016/j.jpsychores.2012.12.003 [DOI:10.1016/j.jpsychores.2012.12.003]
10. Ebadi, A., Moradian, S. T., Feyzi, F., & Asiabi, M., 2011. [Comparison of the hospital anxiety and depression among patients with coronary artery disease based on proposed treatment (Persian)]. Journal of Critical Care Nursing, 4(2), pp. 97-102.
11. Furuya, R. K., et al., 2013. [Anxiety and depression among men and women who underwent percutaneous coronary intervention (Portuguese)]. Revista da Escola de Enfermagem da USP, 47(6), pp. 1333–7. doi: 10.1590/s0080-623420130000600012 [DOI:10.1590/S0080-623420130000600012]
12. Gallagher, D., et al., 2012. Depression, anxiety and cardiovascular disease: Which symptoms are associated with increased risk in community dwelling older adults? Journal of Affective Disorders, 142(1-3), pp. 132–8. doi: 10.1016/j.jad.2012.04.012 [DOI:10.1016/j.jad.2012.04.012]
13. Holt, R. I. G., et al., 2013. The relationship between depression, anxiety and cardiovascular disease: Findings from the Hertfordshire cohort study. Journal of Affective Disorders, 150(1), pp. 84–90. doi: 10.1016/j.jad.2013.02.026 [DOI:10.1016/j.jad.2013.02.026]
14. Kaur, S., et al., 2015. Factor structure of hospital anxiety and depression scale in Malaysian patients with coronary artery disease. Asia Pacific Journal of Public Health, 27(4), pp. 450–60. doi: 10.1177/1010539514533719 [DOI:10.1177/1010539514533719]
15. Kaviani, H., et al., 2009. [Reliability and validity of anxiety and depression hospital scales (HADS): Iranian patients with anxiety and depression disorders (Persian)]. Tehran University of Medical Sciences, 67(5), pp. 379-385.
16. Moattari, M., et al., 2014. Angina self-management plan and quality of life, anxiety and depression in post coronary angioplasty patients. Iranian Red Crescent Medical Journal, 16(11), p. 16981. doi: 10.5812/ircmj.16981 [DOI:10.5812/ircmj.16981]
17. Moradian, S. T., Ebadi, A., Saeid, Y., & Asiabi, M., 2013. [Hospital anxiety and depression in patients with coronary artery disease (Persian)]. Iranian Journal of Psychiatric Nursing, 1(2), pp. 54-61.
18. Moryś, J. M., et al., 2015. [The evaluation of stress coping styles and type D personality in patients with coronary artery disease (Polish)]. Kardiologia Polska, 73(7), pp. 557–66. doi: 10.5603/kp.a2015.0039 [DOI:10.5603/KP.a2015.0039]
19. Ozturk, S., et al., 2015. Anxiety and depression scores in patients with coronary artery disease and coronary artery ectasia. International Journal of Cardiology, 186, pp. 299–301. doi: 10.1016/j.ijcard.2015.03.305 [DOI:10.1016/j.ijcard.2015.03.305]
20. Park, J. H., Tahk, S. J. & Bae, S. H., 2015. Depression and anxiety as predictors of recurrent cardiac events 12 months after percutaneous coronary interventions. The Journal of Cardiovascular Nursing, 30(4), pp. 351–9. doi: 10.1097/jcn.0000000000000143 [DOI:10.1097/JCN.0000000000000143]
21. Paryad, E., Hosseinzadeh, T., & Kazemnejad Leili, E., 2014. [Predictors of anxiety and depression in patients undergoing coronary artery bypass surgery (Persian)]. Iranian Journal of Psychiatric Nursing, 2(2), pp. 67-80.
22. Pedersen, S. S., et al., 2006. Anxiety enhances the detrimental effect of depressive symptoms on health status following percutaneous coronary intervention. Journal of Psychosomatic Research, 61(6), pp. 783–9. doi: 10.1016/j.jpsychores.2006.06.009 [DOI:10.1016/j.jpsychores.2006.06.009]
23. Potluri, R., et al., 2014. The role of angioplasty in patients with acute coronary syndrome and previous coronary artery bypass grafting. International Journal of Cardiology, 176(3), pp. 760–3. doi: 10.1016/j.ijcard.2014.07.097 [DOI:10.1016/j.ijcard.2014.07.097]
24. Rafael, B., et al., 2014. Vital exhaustion and anxiety are related to subjective quality of life in patients with acute myocardial infarct before cardiac rehabilitation. Journal of Clinical Nursing, 23(19-20), pp. 2864–73. doi: 10.1111/jocn.12563 [DOI:10.1111/jocn.12563]
25. Roohafza, H., et al., 2014. [Psychological state in patients undergoing coronary artery bypass grafting surgery or percutaneous coronary intervention and their spouses (Persian)]. International Journal of Nursing Practice, 21(2), pp. 214–20. doi: 10.1111/ijn.12234 [DOI:10.1111/ijn.12234]
26. Sharif, F., et al., 2014. The effects of discharge plan on stress, anxiety and depression in patients undergoing percutaneous transluminal coronary angioplasty: A randomized controlled trial. International Journal of Community Based Nursing and Midwifery, 2(2), pp. 60. PMCID: PMC4201194 [PMID] [PMCID]
27. Son, Y. J., Kim, S. H. & Park, J. H., 2013. Role of depressive symptoms and self-efficacy of medication adherence in Korean patients after successful percutaneous coronary intervention. International Journal of Nursing Practice, 20(6), pp. 564–72. doi: 10.1111/ijn.12203 [DOI:10.1111/ijn.12203]
28. Trotter, R., Gallagher, R. & Donoghue, J., 2011. Anxiety in patients undergoing percutaneous coronary interventions. Heart & Lung: The Journal of Acute and Critical Care, 40(3), pp. 185–92. doi: 10.1016/j.hrtlng.2010.05.054 [DOI:10.1016/j.hrtlng.2010.05.054]
29. Van Dijk, M. R., et al., 2016. Depression and anxiety symptoms as predictors of mortality in PCI patients at 10 years of follow-up. European Journal of Preventive Cardiology, 23(5), pp. 552–8. doi: 10.1177/2047487315571889 [DOI:10.1177/2047487315571889]
30. Wang, Q., et al., 2012. The prevalence and predictors of anxiety and depression in adolescents with heart disease. The Journal of Pediatrics, 161(5), pp. 943–6.e1. doi: 10.1016/j.jpeds.2012.04.010 [DOI:10.1016/j.jpeds.2012.04.010]
31. Wang, Z. J., et al., 2013. Association of depression with adverse cardiovascular events after percutaneous coronary intervention. Coronary Artery Disease, 24(7), pp. 589–95. doi: 10.1097/mca.0b013e3283650234 [DOI:10.1097/MCA.0b013e3283650234]
32. Zhang, P., 2015. Study of anxiety/depression in patients with coronary heart disease after percutaneous coronary intervention. Cell Biochemistry and Biophysics, 72(2), pp. 503–7. doi: 10.1007/s12013-014-0495-2 [DOI:10.1007/s12013-014-0495-2]

Add your comments about this article : Your username or Email:
Write the security code in the box

Send email to the article author

Designed & Developed by : Yektaweb