Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study
Patients with coronary artery disease (CAD) are more likely to experience depression and anxiety, which, in turn, are risk factors for CAD. The Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were applied for mood evaluation during hospitalization and again 3 months after discharge...
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MDPI AG
2020-12-01
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Online Access: | https://www.mdpi.com/2227-9032/8/4/568 |
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author | Changbae Lee Sang Cheol Lee Yeon Seob Shin Sangwoo Park Ki Bum Won Soe Hee Ann Eun Jae Ko |
author_facet | Changbae Lee Sang Cheol Lee Yeon Seob Shin Sangwoo Park Ki Bum Won Soe Hee Ann Eun Jae Ko |
author_sort | Changbae Lee |
collection | DOAJ |
description | Patients with coronary artery disease (CAD) are more likely to experience depression and anxiety, which, in turn, are risk factors for CAD. The Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were applied for mood evaluation during hospitalization and again 3 months after discharge in 118 patients with CAD, and cardiopulmonary exercise tests were conducted in the outpatient department. Of the patients diagnosed with CAD, 40 (33.9%) had depressive moods, and 51 (43.2%) had anxious moods. A family history of CAD, low Korean activity scale index (KASI), and use of beta-blockers were independent factors causing depressive mood, while lower left ventricular ejection fraction (LVEF) and low KASI score were independent factors causing anxious mood. A considerable number of patients (35.7% with depressive mood and 25.0% with anxious mood) still had emotional problems after 3 months of discharge. The change values of BDI were associated with lower LVEF and longer hospital stay, while those of BAI was associated with a longer hospital stay. Since some patients had depressive and anxious moods after three months of discharge, evaluating and treating them are essential. |
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format | Article |
id | doaj.art-268611e8648c4549b2927e02b9e6f18e |
institution | Directory Open Access Journal |
issn | 2227-9032 |
language | English |
last_indexed | 2024-03-10T14:00:49Z |
publishDate | 2020-12-01 |
publisher | MDPI AG |
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spelling | doaj.art-268611e8648c4549b2927e02b9e6f18e2023-11-21T01:06:39ZengMDPI AGHealthcare2227-90322020-12-018456810.3390/healthcare8040568Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective StudyChangbae Lee0Sang Cheol Lee1Yeon Seob Shin2Sangwoo Park3Ki Bum Won4Soe Hee Ann5Eun Jae Ko6Department of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Physical Medicine and Rehabilitation, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Cardiology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Cardiology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Cardiology, Ulsan University Hospital, College of Medicine, University of Ulsan, Ulsan 44033, KoreaDepartment of Rehabilitation Medicine, Asan Medical Center, College of Medicine, University of Ulsan, Seoul 05505, KoreaPatients with coronary artery disease (CAD) are more likely to experience depression and anxiety, which, in turn, are risk factors for CAD. The Beck depression inventory (BDI) and Beck anxiety inventory (BAI) were applied for mood evaluation during hospitalization and again 3 months after discharge in 118 patients with CAD, and cardiopulmonary exercise tests were conducted in the outpatient department. Of the patients diagnosed with CAD, 40 (33.9%) had depressive moods, and 51 (43.2%) had anxious moods. A family history of CAD, low Korean activity scale index (KASI), and use of beta-blockers were independent factors causing depressive mood, while lower left ventricular ejection fraction (LVEF) and low KASI score were independent factors causing anxious mood. A considerable number of patients (35.7% with depressive mood and 25.0% with anxious mood) still had emotional problems after 3 months of discharge. The change values of BDI were associated with lower LVEF and longer hospital stay, while those of BAI was associated with a longer hospital stay. Since some patients had depressive and anxious moods after three months of discharge, evaluating and treating them are essential.https://www.mdpi.com/2227-9032/8/4/568depressionanxietycoronary artery diseasecardiopulmonary exercise test |
spellingShingle | Changbae Lee Sang Cheol Lee Yeon Seob Shin Sangwoo Park Ki Bum Won Soe Hee Ann Eun Jae Ko Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study Healthcare depression anxiety coronary artery disease cardiopulmonary exercise test |
title | Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study |
title_full | Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study |
title_fullStr | Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study |
title_full_unstemmed | Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study |
title_short | Severity, Progress, and Related Factors of Mood Disorders in Patients with Coronary Artery Disease: A Retrospective Study |
title_sort | severity progress and related factors of mood disorders in patients with coronary artery disease a retrospective study |
topic | depression anxiety coronary artery disease cardiopulmonary exercise test |
url | https://www.mdpi.com/2227-9032/8/4/568 |
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