Article

Anxiety and depression are related to coronary heart disease, and
psychological support is recommended in cardiac rehabilitation. The aims
of this study were: to compare the prevalence of anxiety and depression with
respect to cardiac rehabilitation participation among patients who have been
treated with percutaneous coronary intervention; to examine prevalence of anxiety
and depression among percutaneous coronary intervention patients compared to the
general population; and to identify predictors of symptomatic anxiety and
depression among percutaneous coronary intervention patients. Methods We included
9013 patients undergoing first-time percutaneous coronary intervention. Anxiety
and depression were assessed using the Hospital Anxiety and Depression Scale in a
representative sample of 775 patients at baseline and after three years of
follow-up, and in the entire cohort at three-year follow-up. Results Cardiac
rehabilitation participants had more anxiety and depression than cardiac
rehabilitation non-participants at baseline, and both groups had a more anxiety
than the general population. The levels of anxiety and depression fell
significantly during three years of follow-up, but the changes did not differ
between cardiac rehabilitation participants and cardiac rehabilitation
non-participants. Three years after percutaneous coronary intervention the
prevalence of anxiety was 32% ( p < 0.001), higher among cardiac rehabilitation
participants compared to cardiac rehabilitation non-participants. Female gender
and younger age were associated with anxiety, whereas older age, lower levels of
education and cardiovascular morbidity were associated with depression.
Conclusion The levels of anxiety and depression were prevalent among percutaneous
coronary intervention patients and the levels were not affected by cardiac
rehabilitation participation. Anxiety is prevalent among female and younger
patients, whereas depression is related to older age and cardiovascular co-morbidity.

Langue : ANGLAIS