Xu Y, Ma HX, Liu SS, Gong Q. Correlation among anxiety and depression, fear of disease progression, and social support in coronary heart disease. World J Psychiatry 2024; 14(11): 1708-1717 [DOI: 10.5498/wjp.v14.i11.1708]
Corresponding Author of This Article
Qian Gong, Associate Chief Physician, Department of Cardiovascular Surgery, Gaoxin Campus, The First Affiliated Hospital of Anhui Medical University, No. 120 Wanshui Road, Shushan District, Hefei 230022, Anhui Province, China. xzdxgwk20@126.com
Research Domain of This Article
Psychiatry
Article-Type of This Article
Observational Study
Open-Access Policy of This Article
This article is an open-access article which 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: http://creativecommons.org/licenses/by-nc/4.0/
World J Psychiatry. Nov 19, 2024; 14(11): 1708-1717 Published online Nov 19, 2024. doi: 10.5498/wjp.v14.i11.1708
Correlation among anxiety and depression, fear of disease progression, and social support in coronary heart disease
Yan Xu, Han-Xiang Ma, Shan-Shui Liu, Qian Gong
Yan Xu, Qian Gong, Department of Cardiovascular Surgery, Gaoxin Campus, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Han-Xiang Ma, Cardiovascular Surgery Third Ward, Gaoxin Campus, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, Anhui Province, China
Shan-Shui Liu, Department of Psychiatry, The Fourth People’s Hospital of Hefei (Anhui Mental Health Center), Hefei 230022, Anhui Province, China
Author contributions: Xu Y and Gong Q designed this research and wrote the manuscript; Ma HX organized and analyzed the data; Liu SS provided technical guidance. All authors have approved the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the First Affiliated Hospital of Anhui Medical University, No. PJ2024-04-75.
Informed consent statement: All study participants or their legal guardians provided written informed consent before study enrollment.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: Data supporting the findings of this study are available from the corresponding author upon request.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
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 NonCommercial (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: Qian Gong, Associate Chief Physician, Department of Cardiovascular Surgery, Gaoxin Campus, The First Affiliated Hospital of Anhui Medical University, No. 120 Wanshui Road, Shushan District, Hefei 230022, Anhui Province, China. xzdxgwk20@126.com
Received: August 26, 2024 Revised: September 23, 2024 Accepted: October 24, 2024 Published online: November 19, 2024 Processing time: 72 Days and 23.4 Hours
Abstract
BACKGROUND
The mental well-being of individuals with coronary heart disease (CHD) during the intensive care unit (ICU) transition period is a multifaceted and significant concern. In this phase, the individuals might encounter psychological challenges like anxiety and depression, which can impede their recuperation and potentially have lasting effects on their health.
AIM
To investigate the correlation among psychological factors in CHD patients in the ICU transition period.
METHODS
A questionnaire survey was conducted with 119 patients admitted to the ICU after coronary artery bypass grafting between March and December 2023. Variations in Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD), Fear of Progression Questionnaire-Short Form (Fop-Q-SF), and Social Support Rating Scale (SSRS) were collected and analyzed among diverse populations. We used Pearson’s correlation analysis to examine the correlation. Multiple linear regression analysis was used to explore whether these indicators influenced depression and anxiety in the patients.
RESULTS
The total scores for anxiety, depression, fear of disease progression, and social support were (7.50 ± 1.41) points, (8.38 ± 1.62) points, (35.19 ± 8.14) points, and (36.34 ± 7.08) points, respectively (P < 0.05). Multivariate regression analysis showed that both the level of disease progression and social support affected the level of postoperative depression and anxiety in patients.
CONCLUSION
The anxiety and depression levels were positively related to each dimension of phobia disease progression and negatively related to each dimension of social support among patients with CHD.
Core Tip: Patients with coronary heart disease may experience negative emotions, such as anxiety and depression, which affect disease progression. This study found a correlation between anxiety and depression, fear of disease progression, and social support level and confirmed it through a multiple linear regression model. By probing the factors that affect patients’ negative emotions, this study provides a reference for medical staff to formulate reasonable intervention measures.
