
Research view
Title: | Psychiatric morbidity and lifestyle of patients with coronary artery disease in Nile delta |
Author: | Maha Borham, Mohamed El-Atrouny, Mohamed Abo El-Hoda,El-Sayed Saleh, Nevin Zaki, Gamal Gomaa |
Abstract: |
Objectives
This study aimed to (i) estimate the clinical variables in anxious and depressive patients with
coronary artery disease (CAD), (ii) correlate the severity of anxiety and depression with the
severity of CAD measured by coronary arteriography, and (iii) predict the psychopathology
leading to the severity of CAD.
Study design
psychiatric interview and (b) psychometric assessment such as scale to assess the personality
type D, Anxiety–Depression Inventory, and Life Event Scale. (ii) The second part of the interview
was concerned with CAD description. The following were performed to assess the cardiac
problem such as history of the cardiac complaint, clinical examination, coronary angiography,
and assessment of health-related risk markers such as diabetes mellitus and hypertension.
Results
This study was conducted on 264 patients of both sexes; 67.4% were male patients and
32.6% were female patients, with age ranging from 30 to 70 years. Hypertension was more
P < 0.001),
such as exercise, smoking, adherence to medication, and regular doctor visits were higher
P < 0.001).
In addition, personality type D, anxiety disorders, depression, and stressful life events were
more in coronary artery affected patients (P < 0.001). There was positive correlation between
the severity of CAD and age (r = 0.182, P < 0.01), total score of Dl4, social inhibition of Dl4,
negative affectivity of Dl4, the severity of depression and anxiety, social introversion, and life
events (P < 0.001). Stepwise linear regression indicated that the severity of coronary arteries
family history of mood disorder, and age.
Conclusion
More than risk factor, for example, anxiety and depression, smoking, personality type D,
severity of social introversion, stressful life events, lifestyle such as exercise, adherence to
medication, and regular doctor visits when ill are positively correlated with the severity of CAD.
and continue to monitor these symptoms on a regular basis.
Keywords:
anxiety, artery disease, coronoray, depression, type D personaity
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Journal: | Egyptian Journal of Psychiatry 2014, 34 |
Text: | |
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