
Research view
Title: | Assessment of mental health and quality of life in patients with a coronary artery bypass graft |
Author: | Samia Abd El Rahman, Mohamed Ezzat Amin and Ahmed El Dayan |
Abstract: |
Objectives
To assess mental state (depression, anxiety, and cognition) and quality of life
(QOL) in patients with a coronary artery bypass graft (CABG).
Participants and methods
Three groups were included: one case group (30 individuals who had CABG) and two
control groups (60 individuals divided into two subgroups): control group 1 included
30 patients who had coronary artery disease (CAD) and control group 2 included 30
healthy individuals. Patients diagnosed with CAD, patients who had undergone a
CABG surgery, and patients who had undergone a successful operation without
postsurgical complications were included after a period of 2 months following surgery.
Patients with medical conditions that might affect cognition, patients in acute medical
distress, and patients with previous psychiatric illness were excluded. All groups were
assessed using the following tools: the Mental State Examination, the Hospital Anxiety
and Depression Scale (HADS), the Medical Outcomes Survey Short Form 36-item
questionnaire (MOS SF-36), and the Present State Examination (PSE) for the
Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM IV).
Results
There was a nonsignificant difference in age, marital status, sex, and education
between patients and the two control groups. Patients with CADs had more severe
depression and anxiety than the other two groups, with a significant difference in the
depressive scale of the HADS. There was a nonsignificant difference between all
groups in the PSE or DSM IV diagnoses. Patients with CADs showed the worst QOL
in all groups, with a significant difference in all items of MOS SF-36, except for
physical functioning and role emotional functioning.
Conclusion
Patients with CADs experience more depression and anxiety than normal individuals.
The CABG operation has a beneficial effect in decreasing depression and anxiety and
improving QOL in patients with CADs.
Keywords:
coronary artery bypass graft, coronary artery diseases, depression, quality of life
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Journal: | Egyptian Journal of Psychiatry 2013, 34:69–75 |
Text: | |
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