Anxiety and depression in cardiac surgery: sex and age range differences

Rodrigues, Hélen Francine; Furuya, Rejane Kiyomi; Dantas, Rosana Aparecida Spadoti; Dessotte, Carina Aparecida Marosti

doi:10.5935/1414-8145.20160072

Cited by 19 publications

(31 citation statements)

References 20 publications

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“…Patients admitted to the cardiac surgery ward also showed a higher risk of presenting anxiety symptoms (i.e., 1.4 times higher) compared to the other patients. This result is in line with previous studies showing a high prevalence of anxiety symptoms in the preoperative phase of cardiac surgery [ 17 , 18 , 19 , 20 ] mainly caused by the fear and uncertainty related to the surgical procedure [ 19 ]. Even if these results can be easily explained by the presence of a certain diagnosis (i.e., heart failure) or condition (i.e., pre-operative status) such data may be very useful to predict the hospital wards or services that need psychological support and interventions.…”

Section: Discussionsupporting

confidence: 92%

Section: Depressive and Anxiety Symptoms Prevalence In The Hospital Wsupporting

confidence: 92%

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Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology

Gorini

Giuliani

Raggio

et al. 2020

IJERPH

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Despite the fact that American Heart Association (AHA) recommended a systematic screening for depression in cardiovascular inpatients, poor attention has been given to this issue. Furthermore, no specific guidelines exist for anxiety screening in cardiovascular inpatients. Thus, the aims of this study were to verify the feasibility of a depressive and anxiety symptoms screening protocol in an Italian hospital specializing in cardiovascular diseases and to evaluate both anxiety and depressive symptoms prevalence. A group of 2009 consecutive inpatients completed the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7). The rates of depressive and anxiety symptoms were almost 9% and 16% respectively. Men were less likely than women to experience both depressive and anxiety symptoms. Patients who were admitted to the heart failure unit reported higher risk of experiencing both symptoms compared to patients in other wards. Similarly, patients admitted to the cardiac surgery unit showed a higher risk of experiencing anxiety symptoms compared to other patients. The proposed screening procedure showed a good feasibility and acceptance. This study highlighted the importance of implementing a short screening procedure in hospitals dealing with cardiovascular inpatients to identify those individuals who require specific attention and interventions.

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Section: Discussionsupporting

confidence: 92%

Section: Depressive and Anxiety Symptoms Prevalence In The Hospital Wsupporting

confidence: 92%

Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology

Gorini

Giuliani

Raggio

et al. 2020

IJERPH

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“…For the characterization of the participants, an instrument was elaborated based on the literature review and in an earlier study ( 9 ) , containing sociodemographic data (birth, hospitalization and interview dates, sex, marital status, schooling, professional status and monthly family income) and clinical data (presence of associated pathologies, left ventricular ejection fraction, smoking, use of psychotropic drugs before the surgery and rescheduling of surgery). The age was calculated by subtracting the date of the interview from the date of birth, since the preoperative admission time was calculated by subtracting the date of the surgery from the admission date.…”

Section: Methodsmentioning

confidence: 99%

“…Among the many stressors experienced by patients submitted to CABG, scientific evidence was found regarding the presence of anxiety and depression symptoms ( 9 ) . The presence of these symptoms in the preoperative period can trigger a physiological response involving the endocrine and autonomic systems, thus influencing PO outcomes, increased risk of unwanted outcomes, as well as the length of hospital stay ( 10 ) .…”

Section: Introductionmentioning

confidence: 99%

Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries

Rodrigues¹,

Furuya

Dantas

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective to investigate the associations of preoperative anxiety and depression symptoms with postoperative complications and with sociodemographic and clinical characteristics of patients submitted to the first coronary artery bypass graft.Method observational, analytical and longitudinal study. A consecutive non-probabilistic sample consisted of patients submitted to coronary artery bypass graft. To evaluate the symptoms, the Hospital Anxiety and Depression Scale was used. tracheal intubation for more than 48 hours, hemodynamic instability, sensorineural deficit, agitation, hyperglycemia, infection, nausea, vomiting, pain and death were classified as complications. The Mann-Whitney and Spearman Correlation tests were used, with a significance level of 0.05.Results a total of 75 patients participated. The group that presented hemodynamic instability in the postoperative period had a greater median for the anxiety symptoms (p = 0.012), as well as the women (p = 0.028). The median of the depression symptoms was higher in the group presenting nausea (p = 0.002), agitation (p <0.001), tracheal intubation for more than 48 hours (p = 0.018) and sensorineural deficit (p = 0.016).Conclusion there was association of the symptoms of preoperative anxiety with hemodynamic instability in the postoperative period and with the female gender, as well as association of depression symptoms with the following complications: nausea, agitation, time of intubation in the postoperative period and sensorineural deficit.

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“…Anxiety, depression, and fear are the factors arising from the most studied preoperative experience to date, having been described as negatively affecting from psychological adaptation and coping with the surgical procedure to physiological parameters, including impacting surgical recovery (1)(2) .…”

Section: Introductionmentioning

confidence: 99%

Protocolo de Reiki para ansiedade, depressão e bem-estar pré-operatórios: ensaio clínico controlado não randomizado

Santos

Gomes

Bezerra

et al. 2020

Rev. esc. enferm. USP

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RESUMO Objetivo Avaliar a efetividade do Reiki na redução da ansiedade, da depressão e na melhoria do bem-estar pré-operatório na cirurgia cardíaca. Método Ensaio clínico controlado não randomizado, com dois braços, realizado em um hospital de referência em cardiologia com pacientes no pré-operatório de cirurgia cardíaca, com até cinco dias para a cirurgia, entre maio e novembro de 2018. O grupo intervenção (n=31) foi submetido a um protocolo de Reiki e o grupo controle (n=59) recebeu apenas o cuidado convencional. Resultados Foram avaliados 124 pacientes. A média de ansiedade e depressão não obteve uma diferença significativa entre os grupos. O bem-estar espiritual, nas suas dimensões religiosa e existencial, tiveram uma melhora significativa. Conclusão A ansiedade e a depressão foram menores no grupo intervenção, sem diferença estatisticamente significativa. Houve melhor resultado na avaliação do bem-estar no grupo intervenção. A religiosidade pode interferir em alguns casos na aceitação de práticas holísticas e integrativas. Registro Brasileiro de Ensaios Clínicos: RBR-4cxw37

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Anxiety and depression in cardiac surgery: sex and age range differences

Cited by 19 publications

References 20 publications

Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology

Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology

Association of preoperative anxiety and depression symptoms with postoperative complications of cardiac surgeries

Protocolo de Reiki para ansiedade, depressão e bem-estar pré-operatórios: ensaio clínico controlado não randomizado

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