Anxiety and Depression in Patients with Permanent Atrial Fibrillation: Prevalence and Associated Factors

Polikandrioti, Maria; Κoutelekos, Ioannis; Vasilopoulos, Georgios; Gerogianni, Georgia; Gourni, Maritsa; Zyga, Sofia; Panoutsopoulos, Georgios I.

doi:10.1155/2018/7408129

Cited by 52 publications

(67 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Investigators have documented that 29%–60% of participants studied reported scores consistent with anxiety, 33 – 35 and 20%–56% reported scores consistent with depression. 33 , 34 , 36 The percentages of patients in our sample reporting scores for anxiety (11%) and depression (4%) considered abnormal (score of 11–21) on the HADS were much lower than the studies noted earlier. Yet both anxiety and depression were associated with activation levels, with lower activation levels reporting more symptoms of anxiety and depression.…”

Section: Discussioncontrasting

confidence: 73%

Patient activation for self-management is associated with health status in patients with atrial fibrillation

McCabe¹,

Stuart-Mullen²,

McLeod³

et al. 2018

PPA

View full text Add to dashboard Cite

BackgroundHigher levels of patient activation for self-managing health are associated with positive clinical and health care utilization outcomes. Identifying a patient’s activation level can guide clinicians to tailor interventions to improve their health. Effective self-management of atrial fibrillation (AF) requires patient activation to participate in treatment decisions, prevent complications, and manage risk factors. Yet, little is known about activation in patients with AF. The purpose of this descriptive study was to identify patient activation levels and factors associated with activation in patients with AF.MethodsPatients (N=123), 66% male, with a mean (SD) age of 59.9 (11.3) years seeking treatment for AF at an arrhythmia clinic completed the Patient Activation Measure (PAM), Atrial Fibrillation Severity Scale, Knowledge about Atrial Fibrillation test, Hospital Anxiety Depression Scale, Godin Leisure-Time Exercise Questionnaire, and Patient Assessment of Chronic Illness Care. Sociodemographic and clinical data were obtained from medical records. PAM scores were categorized into Levels 1–4. Associations among patient-reported outcomes, sociodemographic, and clinical variables were analyzed using Fisher’s exact tests and Kruskal–Wallis procedures.ResultsThe PAM scores of nearly half (45.5%) of the patients were at Level 3, while the scores of 38% were at Level 4. Male sex (P=0.02), higher education (P=0.004), being employed (P=0.005), lower body mass index (P=0.03), tobacco abstinence (P=0.02), less AF symptom burden (P=0.006), less depression (P≤0.0001) and anxiety (P=0.006), greater knowledge of AF (P=0.01), and higher levels of physical activity (P=0.02) were associated with higher activation levels.ConclusionHigher levels of patient activation in those with AF were associated with a more positive health status and educational attainment. Additional research to describe activation in patients with AF is warranted to identify patients at risk for low activation and to tailor interventions to activation level.

show abstract

Section: Discussioncontrasting

confidence: 73%

Patient activation for self-management is associated with health status in patients with atrial fibrillation

McCabe¹,

Stuart-Mullen²,

McLeod³

et al. 2018

PPA

View full text Add to dashboard Cite

show abstract

“…The results are consistent with the findings of other studies [Kazitani et al [22], Polikandrioti et al [14] and Orujlu et al [23]], which mainly assessed the quality of nursing care in the teaching hospitals from the patients 'perception. However, the current study finding is not in agreement with the results of studies of Shujaat et al [15] and Moradian et al [16] that showed increased hospital anxiety and depression in the patients hospitalized in cardiac wards.…”

Section: Discussionsupporting

confidence: 92%

“…The results of the present study also showed that hospital anxiety and depression were significantly higher in female elderly patients than male elderly patients. As mental health disorders have been demonstrated to be risk factors for CHD [26], the finding is consistent with the results of Polikandrioti et al [14] study of Shujaat et al [15] and Orujlu et al [23] in patients with coronary artery disease. In this study, hospital anxiety and depression were at a low level in the subjects.…”

Section: Discussionsupporting

confidence: 90%

“…Hospitals are expected to participate in a range of quality improvement activities that influence patients' health outcomes and satisfaction. The patients with CHD develop complications that exacerbate patients' psychological wellbeing such as hospital anxiety and depression as one of the adverse consequences of hospitalization [14]. Indeed, anxiety and depression are some of the most common complications of heart disease, especially in elderly patients admitted to cardiac care, which is a life-threatening factor [15].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Does Nursing Care Quality integrated with Clinical Governance relate to Hospital Anxiety and Depression among Elderly Patients with Coronary Heart Diseases?

Bastani

Afshar

Valipour

2020

Preprint

View full text Add to dashboard Cite

Background : A coronary heart disease (CHD) is one of the causes of frequent elderly hospitalizations that are associated with psychological complications such as "hospital anxiety and depression". Furthermore, there needs to be a paradigm shift beyond routine programs toward innovative approaches such as clinical governance (CG) to improve the quality of care. This study aimed to investigate the association between Nursing Care Quality integrated with CG to Hospital Anxiety and Depression among Elderly Patients. Methods : In this descriptive correlational study, 250 elderly patients with CHD admitted to a large teaching hospital in Tehran, Iran as “Aging Friendly Hospital” selected by consecutive sampling method. The data collection instruments included the Quality Patient Care Scale (QUALPAC) and The Hospital Anxiety and Depression Scale (HADS). Data were collected by face to face interviews. Data were analyzed using descriptive and inferential statistics such as independent t-test, ANOVA and correlation coefficients in SPSS v.16 software . Results : Overall, 91.6 % of the subjects perceived the quality of nursing care integrated with CG desirable. The mean score of HADS in the subscales of anxiety and depression were (1.52 ± 1.14 and 2.18 ± 1.51) respectively which indicates hospital anxiety and depression were less than the average level. There was a negative significant correlation between the subjects’ hospital anxiety and quality nursing care (P< 0.01). Conclusion : The findings showed there is an association between perceived quality of nursing care and hospital anxiety among elderly patients. It is recommended that Managers of healthcare services should take into account CG seriously to paradigm shift beyond routinely care program toward innovative approaches of health policy.

show abstract

“…Because patients with heart failure have high mortality and attenuation rates, the study of depression characteristics in this population is a critical area of research in seeking to improve the quantity and quality of life. 27,28 Depression increases in patients with heart failure, with age, gender and race affecting in ways similar to those observed in the general population. Psychosocial factors, a lack of social support and low socioeconomic status, many of factors which are independent of depression, have also been implicated in the development and progression of heart failure and should be taken into account when assessing the impact of depression on the disease.…”

Section: Discussionmentioning

confidence: 66%

Prevalence of depression in patients with cardiac insufficiency and correlation with determinants

et al. 2019

Self Cite

View full text Add to dashboard Cite

Background: Depression is one of the major causes of morbidity and loss of productivity in the world. Regardless of age, ethnicity and gender, it is known that its impact increases after major stressful events. Other major causes are chronic diseases, such as heart failure. The condition shows greater frequency and prevalence today, because of the aging population, the growth of population dispersion and other risk factors like hypertension and diabetes as well as the increase in the life expectancy of sufferers, due to current therapeutic interventions. Thus, depression has become chronic and the challenge of fighting inevitably incurs psychosocial effects.Aim:This research paper (systematic review) aims to investigate the prevalence of depression in patients with heart failure in association with determinants.Method & Material: This is a systematic review. In particular, a literature search was conducted in the electronic databases ProQuest, PubMed, EBSCO and Google Scholar, using the key-words: heart failure, prevalence and depression.Results: A total of ten surveys met the selection criteria. According to the results on the prevalence of depression, a moderate to high prevalence among patients with heart failure is presented, as well as an increased risk of mortality and clinical manifestations. Depression increases in patients with heart failure, as age, gender and race affect it similarly compared to what has been observed in the general population. The NYHA class II and III in advanced age and people with a prior history of myocardial infarction show a strong positive correlation with depression, too.Conclusions: Mental health problems affect the entire sphere of activities of a patient. Management is feasible and guaranteed only in a controlled living environment. Nurses, having the privilege of close contact with patients, can promptly diagnose depression symptoms and intervene as members of an interdisciplinary team. In Cyprus, no other research studies exist concerning the assessment of the prevalence of depression in patients with heart failure.

show abstract

Anxiety and Depression in Patients with Permanent Atrial Fibrillation: Prevalence and Associated Factors

Cited by 52 publications

References 27 publications

Patient activation for self-management is associated with health status in patients with atrial fibrillation

Patient activation for self-management is associated with health status in patients with atrial fibrillation

Does Nursing Care Quality integrated with Clinical Governance relate to Hospital Anxiety and Depression among Elderly Patients with Coronary Heart Diseases?

Prevalence of depression in patients with cardiac insufficiency and correlation with determinants

Contact Info

Product

Resources

About