Observational Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Psychiatry. Nov 19, 2023; 13(11): 919-928
Published online Nov 19, 2023. doi: 10.5498/wjp.v13.i11.919
Relationship between primary caregivers’ social support function, anxiety, and depression after interventional therapy for acute myocardial infarction patients
Jun Bao, Xiao-Yan Wang, Chong-Hao Chen, Li-Ting Zou
Jun Bao, Xiao-Yan Wang, Chong-Hao Chen, Department of Cardiovascular Medicine, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Li-Ting Zou, Department of Emergency, Affiliated Hospital of Jiangnan University, Wuxi 214000, Jiangsu Province, China
Author contributions: Bao J designed the research and wrote the paper; Zou LT supervised the report; Wang XY contributed to the analysis; and Chen CH provided clinical advice.
Institutional review board statement: The study procedures were approved by the Ethics Committee of the Affiliated Hospital of Jiangnan University (approval No. WXSY-YXLL-AF/SC-02/01.0).
Informed consent statement: All participants provided written and informed consent.
Data sharing statement: Raw data for this study can be obtained from the corresponding author.
STROBE statement: The authors have read the STROBE Statement checklist of items, and the manuscript was prepared and revised according to this checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Li-Ting Zou, MBBS, Associate Professor, Department of Emergency, Affiliated Hospital of Jiangnan University, No. 1000 Hefeng Road, Wuxi 214000, Jiangsu Province, China. carthise2@163.com
Received: September 5, 2023
Peer-review started: September 5, 2023
First decision: September 14, 2023
Revised: September 20, 2023
Accepted: October 11, 2023
Article in press: October 11, 2023
Published online: November 19, 2023
Abstract
BACKGROUND

An acute myocardial infarction (AMI) is often treated with direct coronary intervention and requires home-based rehabilitation. Caregivers of patients with AMI need adequate social support to maintain high-quality care; however, their social support function is low, and relevant indicators for intervention must be identified.

AIM

To analyze the correlation between social support for primary caregivers, their anxiety, and depression, when caring for patients with AMI after interventional therapy.

METHODS

Using convenience sampling, we selected 300 primary caregivers of patients with AMI who had undergone interventional therapy. The Social Support Rating Scale (SSRS), Self-Rating Anxiety Scale (SAS), and Self-Rating Depression Scale (SDS) were used to assess the primary caregivers. A Pearson’s correlation analysis was used to analyze the correlations between the SSRS, SAS, and SDS, and a multiple logistic regression analysis was used to analyze the factors influencing the low social support function of primary caregivers. The receiver operating characteristic curve and area under the curve (AUC) were used to evaluate the pre-dictive ability of the SAS and SDS for low social support function in primary caregivers.

RESULTS

Considering the norm among Chinese people, AMI caregivers’ objective support, subjective support, support utilization, and SSRS scores were lower, while their SAS and SDS scores were higher. The SSRS scores of female caregivers were higher than those of the male caregivers (t = 2.123, P = 0.035). The Pearson correlation analysis showed that objective support, subjective support, support utilization, and SSRS total scores were significantly correlated with both SAS (r = -0.414, -0.460, -0.416, -0.535) and SDS scores (r = -0.463, -0.379, -0.349, -0.472). Among the 300 AMI caregivers, 56 cases (18.67%) had a low level of support function (SSRS ≤ 22 points). Logistic regression model analysis showed that SAS and SDS were independent risk factors for low social support function of AMI caregivers, regardless of adjustment for other variables (P < 0.05). SAS and SDS predicted that the AUC of AMI caregivers with low support function was 0.84, sensitivity was 67.9 and 71.4, and specificity was 84.0 and 70.9, respectively.

CONCLUSION

The social support function of the primary caregiver of patients with AMI after interventional therapy was lower and negatively correlated with anxiety and depression in the primary caregiver.

Keywords: Acute myocardial infarction, Primary caregivers, Social support function, Anxiety, Depression, Relationship

Core Tip: High levels of social support help caregivers implement care. Intervention in the social support function of the primary caregiver is beneficial for the postoperative recovery of patients with acute myocardial infarction (AMI) after interventional therapy. To find a new intervention direction, we proposed a relationship between the social support function of primary caregivers of patients with AMI, and anxiety and depression; this is a breakthrough in improving the social support function of primary caregivers.