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J Coll Physicians Surg Pak. 2004 Oct;14(10):615-8.

Symptoms of depression and anxiety in post-myocardial infarction patients.

Author information

  • 1Department of Psychiatry, Punjab Institute of Mental Health, Lahore. msakhtar65@hotmail.com

Abstract

OBJECTIVE:

To assess the frequency of symptoms of depression and/or anxiety following acute myocardial infarction (AMI) and to analyse their association with demographic variables.

DESIGN:

A cross-sectional analytical, non-interventional hospital based study.

PLACE AND DURATION OF STUDY:

The study was carried out at Punjab Institute of Cardiology (PIC), Lahore, from January 2000 to January 2001.

PATIENTS AND METHODS:

A total number of 100 inpatients suffering from AMI were studied. After a careful selection of the subjects the Urdu version of Hospital Anxiety and Depression Scale (HADS) was administered to each patient during the period of 5-7 days following AMI to assess symptoms of depression and anxiety. A semi-structured clinical interview was also conducted which included demographic information, psychiatric history and other variables. Results were analyzed by using Statistical Package for Social Sciences (SPSS version 8.0).

RESULTS:

Out of 100 subjects, 80 (80%) were males and 20 (20%) were females. Their ages ranged from 30-60 years (mean age, 50.92+/-8.53). Overall, symptoms of anxiety and/or depression were found in 50 (50%) patients. More specifically, symptoms of depression were found in 14%, anxiety symptoms in 18% and mixed symptoms (anxiety and depression) in 18% of the patients. Results revealed that patients above 45 years of age (i.e. 46-60 years) were more likely to experience symptoms of depression and/ or anxiety following AMI. A significant association was also found between female sex (p <0.02), lower socioeconomic status (p <0.05) and symptoms of depression and/ or anxiety in these patients. However, no significant association was found in relation to educational status, marital status and origin (urban/rural).

CONCLUSION:

The high proportion of patients with AMI found to be suffering from symptoms of depression and/ or anxiety one week after AMI highlights the essential need to assess these symptoms in all such patients during the post-MI period as they merit appropriate treatment along with the other complications of AMI.

PMID:
15456553
[PubMed - indexed for MEDLINE]
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