Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh
BACKGROUND: The coexistence of coronary artery disease (CAD) and depression is a growing concern, as both conditions lead to disability. Although depression is more prevalent in CAD patients than in the general population and has been associated with adverse cardiac outcomes, the underlying mechanis...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-01-01
|
| Series: | Indian Journal of Community and Family Medicine |
| Subjects: | |
| Online Access: | http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2024;volume=31;issue=1;spage=57;epage=62;aulast=Alsuwaidan |
| _version_ | 1797300000875610112 |
|---|---|
| author | Salem D Alsuwaidan Moaz A Bakhaider Abdulrahman A Alsenaidy Mohammed A Alshehri Fahad N Alzaid Lina O Aldakhil Fatima Z Albrahim |
| author_facet | Salem D Alsuwaidan Moaz A Bakhaider Abdulrahman A Alsenaidy Mohammed A Alshehri Fahad N Alzaid Lina O Aldakhil Fatima Z Albrahim |
| author_sort | Salem D Alsuwaidan |
| collection | DOAJ |
| description | BACKGROUND: The coexistence of coronary artery disease (CAD) and depression is a growing concern, as both conditions lead to disability. Although depression is more prevalent in CAD patients than in the general population and has been associated with adverse cardiac outcomes, the underlying mechanisms linking depression and CAD are not yet fully understood. This study aims to assess the prevalence of depression in postmyocardial infarction (MI) patients as baseline data in Saudi Arabia.
MATERIALS AND METHODS: A cross-sectional study was conducted at King Saud Medical City, Riyadh. The study population included male and female patients who had survived MI from January 2022 to June 2022. A sample size of 323 patients was initially planned, but only 249 patients could be included on account of exclusions. The patients underwent screening for depression using Patient Health Questionnaire-2 (PHQ-2), and those who were positive on screening were further assessed using the PHQ-9 according to DSM-5 criteria. Sociodemographic data, comorbidities, and previous cardiac interventions were collected from medical records.
RESULTS: The mean age of the study participants was 57.15 years, and majority (76.6%) were males. The prevalence of previously diagnosed depression was 9.2%, and 5.2% of patients reported using antidepressant medication. According to the PHQ-9 scores, 33.33% had depression, 9% had moderate depression, and 2.4% had severe depression. There were significant associations between the severity of depression and previous CAD (P < 0.05), previous coronary artery bypass graft surgery (P < 0.05), and heart failure (P < 0.05).
CONCLUSION: This study reveals a high prevalence of depression in post-MI patients at King Saud Medical City. The findings highlight the need for comprehensive management of depression in this population to improve outcomes. Further research into the underlying mechanisms linking depression and CAD to develop effective interventions is required. |
| first_indexed | 2024-03-07T22:58:52Z |
| format | Article |
| id | doaj.art-1b1d9df46fd344798996e5f5b37680a4 |
| institution | Directory Open Access Journal |
| issn | 2395-2113 |
| language | English |
| last_indexed | 2024-03-07T22:58:52Z |
| publishDate | 2024-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Community and Family Medicine |
| spelling | doaj.art-1b1d9df46fd344798996e5f5b37680a42024-02-22T15:10:04ZengWolters Kluwer Medknow PublicationsIndian Journal of Community and Family Medicine2395-21132024-01-01311576210.4103/jfcm.jfcm_166_23Prevalence of depression in postmyocardial infarction patients in a tertiary care center in RiyadhSalem D AlsuwaidanMoaz A BakhaiderAbdulrahman A AlsenaidyMohammed A AlshehriFahad N AlzaidLina O AldakhilFatima Z AlbrahimBACKGROUND: The coexistence of coronary artery disease (CAD) and depression is a growing concern, as both conditions lead to disability. Although depression is more prevalent in CAD patients than in the general population and has been associated with adverse cardiac outcomes, the underlying mechanisms linking depression and CAD are not yet fully understood. This study aims to assess the prevalence of depression in postmyocardial infarction (MI) patients as baseline data in Saudi Arabia. MATERIALS AND METHODS: A cross-sectional study was conducted at King Saud Medical City, Riyadh. The study population included male and female patients who had survived MI from January 2022 to June 2022. A sample size of 323 patients was initially planned, but only 249 patients could be included on account of exclusions. The patients underwent screening for depression using Patient Health Questionnaire-2 (PHQ-2), and those who were positive on screening were further assessed using the PHQ-9 according to DSM-5 criteria. Sociodemographic data, comorbidities, and previous cardiac interventions were collected from medical records. RESULTS: The mean age of the study participants was 57.15 years, and majority (76.6%) were males. The prevalence of previously diagnosed depression was 9.2%, and 5.2% of patients reported using antidepressant medication. According to the PHQ-9 scores, 33.33% had depression, 9% had moderate depression, and 2.4% had severe depression. There were significant associations between the severity of depression and previous CAD (P < 0.05), previous coronary artery bypass graft surgery (P < 0.05), and heart failure (P < 0.05). CONCLUSION: This study reveals a high prevalence of depression in post-MI patients at King Saud Medical City. The findings highlight the need for comprehensive management of depression in this population to improve outcomes. Further research into the underlying mechanisms linking depression and CAD to develop effective interventions is required.http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2024;volume=31;issue=1;spage=57;epage=62;aulast=Alsuwaidandepressionmyocardial infarctionsaudi arabia |
| spellingShingle | Salem D Alsuwaidan Moaz A Bakhaider Abdulrahman A Alsenaidy Mohammed A Alshehri Fahad N Alzaid Lina O Aldakhil Fatima Z Albrahim Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh Indian Journal of Community and Family Medicine depression myocardial infarction saudi arabia |
| title | Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh |
| title_full | Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh |
| title_fullStr | Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh |
| title_full_unstemmed | Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh |
| title_short | Prevalence of depression in postmyocardial infarction patients in a tertiary care center in Riyadh |
| title_sort | prevalence of depression in postmyocardial infarction patients in a tertiary care center in riyadh |
| topic | depression myocardial infarction saudi arabia |
| url | http://www.jfcmonline.com/article.asp?issn=2230-8229;year=2024;volume=31;issue=1;spage=57;epage=62;aulast=Alsuwaidan |
| work_keys_str_mv | AT salemdalsuwaidan prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT moazabakhaider prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT abdulrahmanaalsenaidy prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT mohammedaalshehri prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT fahadnalzaid prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT linaoaldakhil prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh AT fatimazalbrahim prevalenceofdepressioninpostmyocardialinfarctionpatientsinatertiarycarecenterinriyadh |