Association between socioeconomic factors and depression among cardiovascular patients living in rich resourced Middle Eastern country

Donnelly, Tam Truong; Suwaidi, Jassim Mohd Al; Al‐Qahtani, Awad; Asaad, Nidal; Fung, Tak; Singh, Rajvir; Qader, Najlaa Abdul

doi:10.1016/j.ijcard.2015.11.053

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…We anticipate that socioeconomic factors and financial stress might be a risk factor for depression among younger working age group. 11 In line with Ossola et al's 22 study which partly confirms the risk of depression in the late life of the general population, our data also indicated that for both mild mood disturbance and clinical depression, more females tended to be 60 years and older as compared to the male patients.…”

Section: Discussionsupporting

confidence: 92%

“…All statistical tests were two-sided with significance established at an α of 0.05 levels. 11 Owing to ordinal nature of depression which is measured by BDI-II (1=normal, 2=mild mood disturbance, 3=clinical depression), ordinal logistic regression analysis was performed. The test of parallel regression assumption for ordinal logistic regression was satisfied (χ 2 (46)=29.28, p=0.974), which indicates that it is valid to use ordinal logistic regression in our analysis.…”

Section: Methodsmentioning

confidence: 99%

“…Almost twice as many female (30%, n=312) than male (16%, n=688) patients reported a BDI-II score of ≥11, indicating symptoms of mild mood disturbance (11)(12)(13)(14)(15)(16) and clinical depression (≥17). Reliability analysis was performed on BDI-II-21 items, and this yielded a Cronbach's α of 0.81.…”

Section: Selected Demographic Characteristics Of Participantsmentioning

confidence: 99%

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Mood disturbance and depression in Arab women following hospitalisation from acute cardiac conditions: a cross-sectional study from Qatar

et al. 2016

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ObjectivesDepression is associated with increased morbidity and mortality rates among cardiovascular patients. Depressed patients have three times higher risk of death than those who are not. We sought to determine the presence of depressive symptoms, and whether gender and age are associated with depression among Arab patients hospitalised with cardiac conditions in a Middle Eastern country.SettingUsing a non-probability convenient sampling technique, a cross-sectional survey was conducted with 1000 Arab patients ≥20 years who were admitted to cardiology units between 2013 and 2014 at the Heart Hospital in Qatar. Patients were interviewed 3 days after admission following the cardiac event. Surveys included demographic and clinical characteristics, and the Arabic version of the Beck Depression Inventory Second Edition (BDI-II). Depression was assessed by BDI-II clinical classification scale.Results15% of the patients had mild mood disturbance and 5% had symptoms of clinical depression. Twice as many females than males suffered from mild mood disturbance and clinical depression symptoms, the majority of females were in the age group 50 years and above, whereas males were in the age group 40–49 years. χ2 Tests and multivariate logistic regression analyses indicated that gender and age were statistically significantly related to depression (p<0.001 for all).ConclusionsOlder Arab women are more likely to develop mood disturbance and depression after being hospitalised with acute cardiac condition. Gender and age differences approach, and routine screening for depression should be conducted with all cardiovascular patients, especially for females in the older age groups. Mental health counselling should be available for all cardiovascular patients who exhibit depressive symptoms.

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Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Selected Demographic Characteristics Of Participantsmentioning

confidence: 99%

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Mood disturbance and depression in Arab women following hospitalisation from acute cardiac conditions: a cross-sectional study from Qatar

et al. 2016

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Arab Men and Women’s Conceptualization of Mental Health and Depression: A Qualitative Study from the Middle East

Donnelly

Suwaidi

Al‐Qahtani

et al. 2018

J Immigrant Minority Health

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Cardiovascular diseases are the leading cause of death worldwide. Among cardiovascular patients, depression is associated with an increased morbidity and mortality. Understanding how depression is conceptualized from cardiovascular patients' perspective can help with prevention, early detection, and treatment for depression. This might reduce cardiovascular morbidity and mortality, and save health care costs. To the best of our knowledge, there is no study in the Gulf region exploring depression among Arab cardiovascular patients. The purpose of this exploratory ethnographic qualitative research is to investigate how Arab male and female patients with cardiovascular disease conceptualize mental health and depression. Two theoretical frameworks guided this research: (1) The Ecological Perspective, and (2) Kleinman's Explanatory Model of Health and Illness. Using maximum variation purposive sampling, thirty (30) male and twenty-five (25) female, self-identified, Arab cardiovascular patients were recruited as research participants. Individual in-depth interviews were conducted using a semi-structured questionnaire. Thematic analysis was performed to generate themes. Nvivo 10, a qualitative data analysis software, was used to organize the narrative data. The participants in this study placed great emphasis on the manifestations of mental illness and their impact on both themselves and their families. Four major themes were identified from their narratives: psychological and physical disturbances; unfavorable personal characteristics; work issues and financial constraints; lack of family and social support. The knowledge generated in this study might help increase awareness, prevention of and treatment for depression among cardiovascular patients in Qatar. The findings from this study can also be used to inform a multi-disciplinary and multi-sectoral intervention approach that is contextualized to meet the mental health care needs of Arab cardiovascular patients, thus reducing cardiovascular diseases morbidity and mortality in Qatar and the Gulf region.

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Importance of neurobiological mechanisms in depression

Durmaz

Küçük

2016

International Journal of Cardiology

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Association between socioeconomic factors and depression among cardiovascular patients living in rich resourced Middle Eastern country

Cited by 3 publications

References 12 publications

Mood disturbance and depression in Arab women following hospitalisation from acute cardiac conditions: a cross-sectional study from Qatar

Mood disturbance and depression in Arab women following hospitalisation from acute cardiac conditions: a cross-sectional study from Qatar

Arab Men and Women’s Conceptualization of Mental Health and Depression: A Qualitative Study from the Middle East

Importance of neurobiological mechanisms in depression

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