Prevalence of Depression and Clinical Anxiety in Patients with Cardiovascular Disease
DOI:
https://doi.org/10.12974/2313-1047.2017.04.02.2Keywords:
Psychocardiology, Health Psychology, Cardiovascular Disease, Negative emotions, Psychopathology, Depression, Anxiety.Abstract
Depression and Clinical Anxiety predict a worse prognosis for Cardiovascular Disease (CVD). Recent studies warn of high rates of clinical depression and anxiety in patients with CVD. The reported percentages range over a wide range. In order to provide new data on the prevalence of Depression and Clinical Anxiety in CVD, the psychological state of 70 Argentine adults attending a Cardiovascular Rehabilitation Program was surveyed. Two psychological scales were administered: the Beck Anxiety Inventory and the Beck Depression Inventory II. It was observed a 17.1% of participants with probable Major Depressive Disorder and a 27.1% with probable Clinical Anxiety. The results of the current study are in accordance with the percentages reported by previous studies. A significant number of patients presented comorbidity between Clinical Depression and Anxiety. No differences were found by gender. It is recommended that health professionals take into consideration the high prevalence of Clinical Depression and Anxiety in patients with CVD.
References
American Psychiatric Association. Diagnostic and statistic manual of mental disorders: DSM IV-TR (4th edition). Barcelona: MASSON 2002.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing 2013.
Beck AT and Steer RA. Manual for the Beck Anxiety Inventory. San Antonio, TX: The Psychological Corporation 1993.
Beck AT and Steer RA. Manual for the Beck Anxiety Inventory (Spanish adaption of Sanz J.). Madrid: Pearson Education 2011.
Beck AT, Steer RA and Brown GK. Manual for the Beck Depression Inventory–II. San Antonio, TX: Psychological Corporation 1996.
Cano-Vindel A and Miguel-Tobal JJ. Emociones y salud. Estrés y ansiedad 2001; 7(2-3): 111-121.
Easton K, Coventry P, Lovell K, Carter L and Deaton Ch. Prevalence and measurement of anxiety in samples of patients with heart failure. J Cardiovasc Nurs 2016; 31(4): 367-379. https://doi.org/10.1097/JCN.0000000000000265
Frasure-Smith N and Lespérance F. Recent evidence linking coronary heart disease and depression. Can J Psychiatry 2006; 51: 730-737. doi: 10.1177 / 070674370605101202
Frasure-Smith N and Lespérance F. Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Arch Gen Psychiatry 2008; 65: 62- 71. doi: 10.1001 / archgenpsychiatry.2007.4.
Frasure-Smith N, Lesperance F and Talajic M. Depression and 18-month prognosis after myocardial infarction. Circulation 1995; 91(4): 999-1005. https://doi.org/10.1161/01.CIR.91.4.999
Global Burden of Disease Study. Mortality and causes of death collaborators (2015). Global, regional, and national age–sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013; 385: 117-71.
Kessler RC. Epidemiology of women and depression. J Affect Disord 2003; 74: 5-13. https://doi.org/10.1016/S0165-0327(02)00426-3
Kuehner C. Gender differences in unipolar depression: an update of epidemiological findings and possible explanations. Acta Psychiatr Scand 2003; 108(3): 163-74. https://doi.org/10.1034/j.1600-0447.2003.00204.x
Lane D, Carroll D, Ring C, Beevers D and Lip G. The prevalence and persistence of depression and anxiety following myocardial infarction. Br J Health Psychol 2002; 7(1): 11-21. https://doi.org/10.1348/135910702169321
Lesperance MD, Frasure-Smith N, Talajic M and Bourassa MG. Five-year risk of cardiac mortality in relation to initial severity and one-year changes in depression symptoms after myocardial infarction. Circulation 2002; 105: 1049-1053. https://doi.org/10.1161/hc0902.104707
Li C, Ford E, Mokdad A, Balluz L, Brown D, et al. Clustering of cardiovascular disease risk factors and health-related quality of life among US adults. Value in Health 2008; 11(4): 689-699. https://doi.org/10.1111/j.1524-4733.2007.00307.x
Martens EJ, de Jonge P, Na B, Cohen BE, Lett H, et al. Scared to death? Generalized anxiety disorder and cardiovascular events in patients with stable coronary heart disease: The Heart and Soul Study. Arch Gen Psychiatry 2010; 67: 750-758. https://doi.org/10.1001/archgenpsychiatry.2010.74
Moser D. The Rust of life: Impact of anxiety on cardiac patients. Am J Crit Care 2007; 16(4): 361-369.
Parker GB, Owen CA, Brotchie HL and Hyett MP. The impact of differing anxiety disorders on outcome following an acute coronary syndrome: time to start worrying? Depress Anxiety 2010; 27(3): 302-309. https://doi.org/10.1002/da.20602
Pigott TA. Anxiety disorders in women. Psychiatr Clin North Am 2003; 26(3): 621-72. https://doi.org/10.1016/S0193-953X(03)00040-6
Piqueras-Rodriguez JA, Ramos-Linares V, Martinez- Gonzalez AE and Oblitas-Guadalupe LA. Emociones negativas y su impacto en la salud mental y física. Suma Psicológica 2009; 16(2): 85-112.
Roest AM, Martens EJ, de Jonge P and Denollet J. Anxiety and risk ofincident coronary heart disease: a meta-analysis. J Am Coll Cardiol 2010; 56(1): 38-46. https://doi.org/10.1016/j.jacc.2010.03.034
Roest AM, Martens EJ, Denollet J and de Jonge P. Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: A meta-analysis. Psychosom Med 2010; 72: 563-569. https://doi.org/10.1097/PSY.0b013e3181dbff97
Roest AM, Zuidersma M and de Jonge P. Myocardial infarction and generalized anxiety disorder: 10-year followup. Br J Psychiatry 2012; 200(4): 324-329. https://doi.org/10.1192/bjp.bp.111.103549
Rudisch B and Nemeroff ChB. Epidemiology of comorbid coronary artery diseases and depression. Biological Psychiatry 2003; 54(3): 227-40. https://doi.org/10.1016/S0006-3223(03)00587-0
Rugulies R. Depression as a predictor for coronary heart disease. A review and meta-nalysis.Am J Prev Med 2002; 23(1): 51-61. https://doi.org/10.1016/S0749-3797(02)00439-7
Rutledge T, Reis VA, Linke SE, Greenberg BH and Mills PJ. Depression in heart failure a meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. J Am Coll Cardiol 2006; 48: 1527-1537. https://doi.org/10.1016/j.jacc.2006.06.055
Sanz J. Recomendaciones para la utilización de la adaptación espa-ola del Inventario de Ansiedad de Beck (BAI) en la práctica clínica. CLÍNICA Y SALUD 2014; 25(1): 39-48. https://doi.org/10.1016/S1130-5274(14)70025-8
Sanz J, Gutiérrez S, Gesteira C and García-Vera MP. Criterios y baremos para interpretar el "Inventario de depresión de Beck II" (BDI II). BEHAVIORAL PSYCHOLOGY/PSICOLOGÍA CONDUCTUAL 2014; 22(1): 37-59.
Sanz J, Navarro ME and Vázquez C. Adaptación espa-ola del Inventario para la Depresión de Beck-II (BDI-II): 1. Propiedades psicométricas en estudiantes universitarios. Análisis y notificación de conducta 2003; 29: 239-288.
Sanz J, Perdigón A and Vázquez C. Adaptación espa-ola del Inventario para la Depression de Beck-II (BDI-II): 2. Propiedades psicométricas en población general. Clínica y Salud 2003; 14: 249-280.
Shanmugasegaram S, Russell KL, Kovacs AH, Stewart DE and Gracia SL. Gender and sex differences in prevalence of major depression in coronary artery disease patients: A meta-analysis. Maturitas 2012; 73(4): 305-11. https://doi.org/10.1016/j.maturitas.2012.09.005
Thombs BD, Bass EB, Ford DE, Stewart KJ, Tsilidis KK, et al. Prevalence of Depression in survivors of Acute Myocardial Infarction. J Gen Int Med 2006; 21(1): 30-38. https://doi.org/10.1111/j.1525-1497.2005.00269.x
Tully PJ and Penninx BW. Depression and anxiety among coronary heart disease patients: Can affect dimensions and theory inform diagnostic disorder-based screening? J Clin Psychol 2012; 68(4): 448-61. doi: 10.1002 / jclp.21828