THE PREVALENCE OF MAJOR DEPRESSION IN THE PATIENTS WITH CORONARY HEART DISEASE
Abstract:
During the last 15 years, numerous studies were conducted for detecting the prevalence of depression in the patients with coronary artery disease. The reported rate of depression vary a lot from study to study because of the differences between patients’ demographic characteristics, such as gender, age or the type of coronary artery disease, as well as because of the method used to assess depression. Also, the patients with silent ischemia, heart failure, ischemic cardiomiopathy or arrhythmias because of coronary artery disease were not included in the analysis, as well as the patients from the control group (formed usually by healthy subjects), who were not screened for silent ischemia. Aim: the aim of the study was to determine the prevalence and the severity of depression in the patients with ischemic heart disease and to check if there are some differences of the depression rate between the forms of ischemic cardiopathy. Method: the study was conducted on 231 patients with ischemic heart disease recently diagnosed. Depression was screened using the PHQ questionnaire with 2 items. This questionnaire was applied at the inclusion into the study and at intervals of 1 month. The presence of depression was confirmed by the psychiatrist. A comparison between the prevalence of depression was done by the forms of ischemic cardiopathy and by gender. Results: at the end of the study, depression was diagnosed in 33,8% of the patients (n=81). This was more frequently encountered in the patients with myocardial infarction (43,1%) and in the patients with ischemic cardiomiopathy (42,9%) and less in the patients with silent ischemia (21,7%) and stable angina (27,1%). Depression was more frequent in women but this appeared earlier in men (8,09± 5,65 month vs 5,59±4,87 month, p=0,03), who also presented more severe depression in comparison with women
full text article in Romanian (.RO) |
full text article in English (.EN) |