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Anxiety and Depression in Patients with Coronary Artery Disease

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dc.contributor.authorSARI, İBRAHİM
dc.contributor.authorsSunbul, Murat; Zincir, Selma Bozkurt; Durmus, Erdal; Sunbul, Esra Aydin; Cengiz, Fatma Fariha; Kivrak, Tarik; Samadov, Fuad; Sari, Ibrahim
dc.date.accessioned2022-03-12T18:10:03Z
dc.date.available2022-03-12T18:10:03Z
dc.date.issued2013
dc.description.abstractObjective: Previous prospective studies have reported depression as an independent risk factor for myocardial infarction and cardiovascular mortality. Anxiety disorders are also known to be associated with coronary artery disease (CAD. Psychological factors may also affect the course and outcome of CAD through behavioral mechanisms such as smoking, decreased physical activity, poor diet, and reduced compliance to treatment. The aim of this study was to explore the anxiety and depression levels and to determine the atherosclerotic risk factors in patients admitted for elective coronary angiography due to suspected CAD. Methods: The study population consisted of 116 patients, who were consecutively admitted for elective coronary angiography. Findings were classified into two major groups: normal or abnormal coronary angiography. Abnormal coronary angiography was suggested in patients with atherosclerotic disease (equal to or greater than 50% stenosis) and/or slow blood flow in coronary arteries. Anxiety and depression symptom severities were assessed by self-reported scales, including the Beck Depression Inventory, Beck Anxiety Inventory and Spielberger's State-Trait Anxiety Inventory. Results: Sixty-three patients (44 male, mean age: 52.2 +/- 11.1 years) had abnormal coronary angiography while fifty-three patients (40 male, mean age: 54.5 +/- 10.5 years) had normal findings. Sociodemographic characteristics and atherosclerotic risk factors were similar for both groups. Patients with abnormal coronary angiography had significantly higher depression and anxiety scores compared to patients with normal coronary angiography. In logistic regression analyses, only a Beck Anxiety Inventory score over 15 (odds ratio: 13.2, CI: 3.8-46.4) and State-Trait Anxiety Inventory score over 42 (odds ratio: 4.9, CI: 1.7-14.2) were independent predictors of coronary artery disease. Conclusions: We have demonstrated a significant relationship between depression and anxiety scores and coronary artery disease while cardiovascular risk factors were similar for both groups.
dc.identifier.doi10.5455/bcp.20130421014758
dc.identifier.issn1017-7833
dc.identifier.urihttps://hdl.handle.net/11424/231351
dc.identifier.wosWOS:000339983000008
dc.language.isoeng
dc.publisherKURE ILETISIM GRUBU A S
dc.relation.ispartofKLINIK PSIKOFARMAKOLOJI BULTENI-BULLETIN OF CLINICAL PSYCHOPHARMACOLOGY
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectcoronary artery disease
dc.subjectanxiety
dc.subjectdepression
dc.subjectMYOCARDIAL-INFARCTION
dc.subjectHEART-DISEASE
dc.subjectMORTALITY RISK
dc.subjectSYMPTOMS
dc.subjectASSOCIATION
dc.subjectMECHANISMS
dc.subjectISCHEMIA
dc.subjectSTRESS
dc.subjectTRIAL
dc.subjectMEN
dc.titleAnxiety and Depression in Patients with Coronary Artery Disease
dc.typearticle
dspace.entity.typePublication
local.avesis.ida93685e7-0b7c-4a30-b25e-d18870f6ba2a
local.import.packageSS17
local.indexed.atWOS
local.indexed.atSCOPUS
local.journal.numberofpages8
oaire.citation.endPage352
oaire.citation.issue4
oaire.citation.startPage345
oaire.citation.titleKLINIK PSIKOFARMAKOLOJI BULTENI-BULLETIN OF CLINICAL PSYCHOPHARMACOLOGY
oaire.citation.volume23
relation.isAuthorOfPublication26c97c3b-389c-4a43-9329-8693aa3c3333
relation.isAuthorOfPublication.latestForDiscovery26c97c3b-389c-4a43-9329-8693aa3c3333

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