Anxiety and depression in patients with pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: Results from a Chinese survey

Zhou, Xia; Shi, Hui; Yang, Yuanhua; Zhang, Zuoqing; Zhai, Zhenguo; Wang, Chen

doi:10.3892/etm.2020.8566

Cited by 19 publications

(37 citation statements)

References 27 publications

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“…Compared to the given control group, this prevalence is significantly higher. However, previous studies found anxiety disorders in PH patients in a range of 13 to 45.5% in non-pandemic situations [ 27 , 28 , 29 ]. Accordingly, the level of anxiety seems to be not significantly higher during the COVID-19 pandemic.…”

Section: Discussionmentioning

confidence: 95%

Physical Activity and Mental Health of Patients with Pulmonary Hypertension during the COVID-19 Pandemic

Dobler

Krüger

Strahler

et al. 2020

JCM

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The aim of the study was to analyze the effect of personal restrictions on physical activity, mental health, stress experience, resilience, and sleep quality in patients with pulmonary hypertension (PH) during the “lockdown” period of the COVID-19 pandemic. In total, 112 PH patients and 52 age-matched healthy control subjects completed a questionnaire on the topics of physical activity, mental health, resilience, and sleep quality. PH patients had significantly lower physical activity, mental health, and sleep quality compared to age-matched healthy controls. Physical activity positively correlated with mental health and sleep quality in the PH group. Mental wellbeing and life satisfaction could be predicted by total physical activity, sleep, stress level, and resilience. PH patients appeared as an especially vulnerable group, demanding interventions to promote an active lifestyle and protect mental health in these patients. This could be helpful in counseling on how to carry out physical activity while maintaining infection control.

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Section: Discussionmentioning

confidence: 95%

Physical Activity and Mental Health of Patients with Pulmonary Hypertension during the COVID-19 Pandemic

Dobler

Krüger

Strahler

et al. 2020

JCM

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“…Hence, it is not surprising that some patients may develop an adjustment disorder, which may evolve into other psychiatric conditions during the course of their illness. Symptoms of depression and anxiety have been reported in up to 50% of patients with PAH (4)(5)(6)(7)(8)(9)(10)(11)(12). It is likely that such symptoms have a profound effect on the quality of life (QoL) in the affected patients.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Mental Disorders and Impact on Quality of Life in Patients With Pulmonary Arterial Hypertension

et al. 2021

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Objective: Mental health may affect the quality of life (QoL) in patients with pulmonary arterial hypertension (PAH). However, mental disorders have not been systematically assessed in these patients. We examined the prevalence of mental disorders using structured interviews and determined their impact on QoL in patients with PAH.Methods: This study included 217 patients with PAH from two German referral centers. Psychiatric disorders were assessed using the structured clinical interview for DSM-V. QoL was assessed using the WHO Quality of Life questionnaire (short form). The diagnostic value of the Hospital Anxiety and Depression Scale was evaluated by receiver operating characteristic curve analysis.Results: More than one third of the patients had psychological disorders with current or past adjustment disorder (38.2%), current major depressive disorder (23.0%), and panic disorder (15.2%) being the most prevalent mental illnesses. About half of the patients with a history of adjustment disorder developed at least one other mental illness. The presence of mental disorders had a profound impact on QoL. The Hospital Anxiety and Depression Scale ruled out panic disorder and depression disorder with negative predictive values of almost 90%.Conclusion: Mental disorders, in particular adjustment disorder, major depression, and panic disorder, are common in patients with PAH and contribute to impaired QoL in these patients. The Hospital Anxiety and Depression Scale may be used as a screening tool for the most common mental health disorders. Future studies need to address interventional strategies targeting mental disorders in patients with PAH.

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“…This may be related to the fact that many PAH patients struggle to have a positive outlook, as there is a high rate of anxiety and depression in PAH patients. 29,30 Patient interviews suggested that term "worsening" had a strong negative connotation. Patients also wanted to hear providers focus on "reducing symptoms" as opposed to making them "feel normal", which is expected, given that symptoms are associated with reduction in quality of life and increased burden in patients.…”

Section: Discussionmentioning

confidence: 99%

Improving communication between healthcare providers and pulmonary arterial hypertension patients: a survey of patient preferences

Brewer

Bartlett

Harris³

et al. 2021

Pulm. circ.

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Effective communication within the patient–provider relationship is a key aspect of shared decision-making and associated with several positive patient outcomes. Although previous studies suggest that patients’ and providers’ conceptualization of what constitutes effective communication differ, there is no available literature discussing patient preferences for communication. The objective of this study was to determine the words and phrases pulmonary arterial hypertension patients prefer to hear when discussing their disease with their physician. A total of 227 pulmonary arterial hypertension patients completed a survey that included a 20-item questionnaire specifically designed to assess patient preference for words and phrases when discussing their disease and treatment; statistically significant differences were observed across all items of the questionnaire. Patients preferred their physician ask them how they have “been feeling” (63%) rather than how they have “been doing”. In addition, 96% of patients indicated that they wanted to hear that this is “… the best medicine for you” rather than this is “the best medicine”. Considerably more patients (60%) indicated they want their physician to say, “We want you to have fewer symptoms” rather than “We want you to feel more normal.” They also indicated they wanted the “most effective” medicine (82%) rather than the “most aggressive” medicine (7%). The results of this study suggest that pulmonary arterial hypertension patients have strong preferences for the language their providers use when discussing their disease and treatment options. Given the role that effective communication has on important health outcomes, pulmonary arterial hypertension providers need to consider these findings when communicating with patients.

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Anxiety and depression in patients with pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: Results from a Chinese survey

Cited by 19 publications

References 27 publications

Physical Activity and Mental Health of Patients with Pulmonary Hypertension during the COVID-19 Pandemic

Physical Activity and Mental Health of Patients with Pulmonary Hypertension during the COVID-19 Pandemic

Prevalence of Mental Disorders and Impact on Quality of Life in Patients With Pulmonary Arterial Hypertension

Improving communication between healthcare providers and pulmonary arterial hypertension patients: a survey of patient preferences

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