Impact of depression on quality of life of patients having history of recent myocardial infarction

Background: Major depressive disorder is very common in patients having history of myocardial infarction (MI). Quality of life (QOL) is seen to be poorer in persons having post MI depression than who are non depressed. Aims: To compare QOL between depressed and non depressed patients with history o...

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Main Authors: Hemanta Dutta, Soumitra Ghosh, DJ Dutta
Format: Article
Language:English
Published: Academy Publisher 2015-01-01
Series:Open Journal of Psychiatry and Allied Sciences
Subjects:
Online Access:http://dysphrenia.hpage.co.in/ojpas-2015-6-44-49-fulltext_598885.html
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author Hemanta Dutta
Soumitra Ghosh
DJ Dutta
author_facet Hemanta Dutta
Soumitra Ghosh
DJ Dutta
author_sort Hemanta Dutta
collection DOAJ
description Background: Major depressive disorder is very common in patients having history of myocardial infarction (MI). Quality of life (QOL) is seen to be poorer in persons having post MI depression than who are non depressed. Aims: To compare QOL between depressed and non depressed patients with history of recent MI. Settings and design: The study was conducted on patients of acute MI (n=50) attending cardiology outpatient department of Assam Medical College Hospital, Dibrugarh, Assam, India at four to six weeks after the index event. Methods: Screening and diagnosis of depression were done by Primary Care Evaluation of Mental Disorder (PRIME-MD) and the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), respectively. Severity of depression was assessed by Beck Depression Inventory (BDI). QOL was assessed twice, four to six and six to eight weeks after the index event by the World Health Organization QOL (WHOQOL) scale. Comparisons of QOL between depressed and non depressed patients were done by standard statistical procedures. Results: The results showed that there was significant variation in QOL (p<0.0001) in non depression and depression groups. More deterioration was seen in psychological domain than other domains of QOL scale in subsequent visit. Conclusion: The non depressed MI patients scored higher in all domains of QOL than the depressed group. Routine screening of depressive symptoms should be mandatory in post MI patient to provide a holistic approach to the patient.
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spelling doaj.art-746b71b61dcb4855b44b5c20f29dd3012022-12-21T19:03:53ZengAcademy PublisherOpen Journal of Psychiatry and Allied Sciences2394-20532394-20612015-01-01614449Impact of depression on quality of life of patients having history of recent myocardial infarctionHemanta DuttaSoumitra GhoshDJ DuttaBackground: Major depressive disorder is very common in patients having history of myocardial infarction (MI). Quality of life (QOL) is seen to be poorer in persons having post MI depression than who are non depressed. Aims: To compare QOL between depressed and non depressed patients with history of recent MI. Settings and design: The study was conducted on patients of acute MI (n=50) attending cardiology outpatient department of Assam Medical College Hospital, Dibrugarh, Assam, India at four to six weeks after the index event. Methods: Screening and diagnosis of depression were done by Primary Care Evaluation of Mental Disorder (PRIME-MD) and the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), respectively. Severity of depression was assessed by Beck Depression Inventory (BDI). QOL was assessed twice, four to six and six to eight weeks after the index event by the World Health Organization QOL (WHOQOL) scale. Comparisons of QOL between depressed and non depressed patients were done by standard statistical procedures. Results: The results showed that there was significant variation in QOL (p<0.0001) in non depression and depression groups. More deterioration was seen in psychological domain than other domains of QOL scale in subsequent visit. Conclusion: The non depressed MI patients scored higher in all domains of QOL than the depressed group. Routine screening of depressive symptoms should be mandatory in post MI patient to provide a holistic approach to the patient.http://dysphrenia.hpage.co.in/ojpas-2015-6-44-49-fulltext_598885.htmlCoronary Artery DiseaseBeck Depression InventoryScreening
spellingShingle Hemanta Dutta
Soumitra Ghosh
DJ Dutta
Impact of depression on quality of life of patients having history of recent myocardial infarction
Open Journal of Psychiatry and Allied Sciences
Coronary Artery Disease
Beck Depression Inventory
Screening
title Impact of depression on quality of life of patients having history of recent myocardial infarction
title_full Impact of depression on quality of life of patients having history of recent myocardial infarction
title_fullStr Impact of depression on quality of life of patients having history of recent myocardial infarction
title_full_unstemmed Impact of depression on quality of life of patients having history of recent myocardial infarction
title_short Impact of depression on quality of life of patients having history of recent myocardial infarction
title_sort impact of depression on quality of life of patients having history of recent myocardial infarction
topic Coronary Artery Disease
Beck Depression Inventory
Screening
url http://dysphrenia.hpage.co.in/ojpas-2015-6-44-49-fulltext_598885.html
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