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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Main Authors: Changbae Lee, Sang Cheol Lee, Yeon Seob Shin, Sangwoo Park, Ki Bum Won, Soe Hee Ann, Eun Jae Ko
Format: Article
Language:English
Published: MDPI AG 2020-12-01
Series:Healthcare
Subjects:
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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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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