Prevalência de transtornos psiquiátricos e ansiedade relacionada à saúde em coronariopatas participantes de um programa de exercício supervisionado

Abstract

Background: Psychological factors such as stress and depression have already been established as risk factors for cardiovascular disease. More recently, the impact of anxiety has been addressed. Objective: To identify psychiatric disorders and assess health-and cardiac-related anxiety in coronary artery disease patients attending a supervised exercise program. Methods: Forty-two male cardiac patients were interviewed using the Mini International Neuropsychiatric Interview (MINI) version 5.0 and instructed to complete the Anxiety Sensitivity Index, the Agoraphobic Cognitions Questionnaire, the Body Sensations Scale, and the Cardiac Anxiety Questionnaire. Results: Thirty-eight percent of the participants presented with one or more psychiatric disorders (PDs) but only 19% presented with multiple PDs. Psychiatric disorders were associated with higher health-and cardiac-related anxiety scores (p < 0.05). No relationship was found between these anxiety scores and the severity of cardiovascular disease (p > 0.05). Discussion: Health-related anxiety seems to be more strongly associated with the presence of psychiatric comorbidities in cardiac patients than with the severity of cardiovascular disease. Screening of all cardiac patients for past and present psychiatric symptoms should be implemented. Interventional strategies, including exercise and counseling, warrant further research.

Depressive symptoms in patients with coronary artery disease

“…The practice of physical activity has been identified as a variable that can positively affect the decrease in prevalence of panic and depression among patients with coronary artery disease. 14 Hypertension was also the most prevalent comorbidity presented by patients undergoing CABG in other studies. [11][12][13] The average BDI was 13.0, higher than the cutoff point for classifying the absence of depression and, at the same time, in the range established for classifying dysphoria.…”

Assessment of cardiorespiratory fitness using submaximal protocol in older adults with mood disorder and Parkinson's disease

“…These data indicate the suitability of the method to cardiorespiratory evaluation in MDD and PD patients, since they are at greater risk for cardiac events 3,6 . In addition, psychiatric disorders are prevalent in cardiac patients who participate in a supervised exercise program, even without functional impairment and multiple comorbidities 26 .…”

Perfil de humor e fatores associados em participantes de um programa de reabilitação cardiopulmonar e metabólica

“…As desordens psiquiátricas nesse grupo de pacientes vêm sendo estudadas há muito tempo 6 , pois possuem importante prevalência e levam ao aumento do consumo de medicamentos 10 . As desordens do humor têm importante influência na evolução das doenças cardiovasculares.…”

“…Nesse sentido, é importante que haja atenção especial para as alterações de humor de pacientes cardíacos, inclusive com acompanhamento psicológico ou psiquiátrico 20 . Os transtornos psiquiátricos têm elevada prevalência em pacientes cardiopatas que frequentam programas de reabilitação 10 , bem como naqueles com síndrome metabólica 5 . Segundo Sardinha et al 10 , a prática de exercícios físicos pode ter efeito regulador do humor, o qual pode ser explicado pelos efeitos da prática regular de exercícios físicos sobre o sistema serotoninérgico 9 .…”

“…Os transtornos psiquiátricos têm elevada prevalência em pacientes cardiopatas que frequentam programas de reabilitação 10 , bem como naqueles com síndrome metabólica 5 . Segundo Sardinha et al 10 , a prática de exercícios físicos pode ter efeito regulador do humor, o qual pode ser explicado pelos efeitos da prática regular de exercícios físicos sobre o sistema serotoninérgico 9 . Tendo em vista que os participantes da pesquisa são pacientes de um programa de reabilitação embasado especialmente na prática de exercícios físicos, é possível que os bons resultados apresentados nos estados de humor sejam em parte advindos dessa prática, embora não seja possível confirmar essa hipótese por causa da caracterís-tica transversal da pesquisa.…”