Anxiety and depression in heart failure patients: A prospective, cross-sectional study
- Author:
Nadia M. Muljadi
1
;
Francesca Rose G. De Leon
2
;
Marcellus Francis Ramirez
1
;
Encarnita Raya-Ampil
2
Author Information
- Publication Type:Journal Article
- Keywords: Cross-sectional; Hospital anxiety and depression scale; HADS
- MeSH: Anxiety; Depression; Heart Failure; Heart Diseases
- From: Philippine Journal of Internal Medicine 2018;56(1):1-14
- CountryPhilippines
- Language:English
-
Abstract:
Introduction:Anxiety and depression are the two most common mental disorders among medically ill patients with prevalence of 10%-50%. Anxiety and depression are prevalent in patient with heart disease and are associated with high morbidity and mortality. This study aims to determine the prevalence of anxiety and depression and its correlation with clinical profile in heart failure patients using the Hospital Anxiety and Depression Scale Filipino Version (HADS-P).
Methods:A prospective cross-sectional study was conducted. HADS-P questionnaire was administered to heart failure patients admitted at the University of Santo Tomas Hospital from December 2013 to November 2014. After securing consent from the attending physicians and patients, the HADS-P questionnaires were then administered to the patients at the end of hospitalization by the investigator/s. The recommended cut-off score for HADS-P is score of 11. Chi-square and Independent T-tests were used in this study.
Results:144 heart failure patients were enrolled in this study. The prevalence of depression and anxiety among heart failure patients is 13.2% and 25.7%, respectively. Having prior coronary angiography, coronary angioplasty, EF < 40%, and multiple co-morbidity diseases/s are significant factors for depression. While among patients with anxiety, the significant factor is the length of hospital stay.
Conclusion:This study shows that depression and anxiety are common among heart failure patients. Heart failure patients should be screened for depression and anxiety especially among those having above mentioned clinical profile. The HADS-P questionnaire is an easily applied screening method. A formal psychiatric referral can be taken and should be a part of the comprehensive management among heart failure patients with depression and anxiety. - Full text:FINAL_2017-028_Anxiety.pdf
