Mental health status and quality of life in elderly patients with coronary heart disease

Abstract

Background Coronary heart disease (CHD) is the leading cause of morbidity and mortality among elderly individuals. Patients with CHD are at high risk for mental health disorders, and psychological issues may affect the quality of life (QoL) of these patients. Nevertheless, there is little evidence regarding the psychological issues and QoL of patients with CHD among the elderly population. This study aimed to investigate the relationship between comorbidities and mental status as well as QoL among elderly patients with CHD. Methods Overall, 216 patients were included in this cross-sectional, observational, single-center study. The demographics and clinical manifestations of the patients were collected from electronic medical records. All patients were interviewed using the Chinese version of Symptom Checklist 90 (SCL-90) to assess the mental health status and the World Health Organization Quality of Life-BREF questionnaire (WHOQOL-BREF) to assess the QoL. Results In total, 96 men and 120 women, with a mean age of 71.69 ± 8.30 years, were included. When controlling for the patients’ sex, marital status and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid type 2 diabetes mellitus had the significant influence on average positive factors (Coef., 5.809; 95% CI [2.467–9.152] p = 0.001); when controlling for the patients’ sex, marital status and type 2 diabetes mellitus, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid stroke had the significant influence on average positive factors (Coef., 8.680; 95% CI [4.826–12.534]; p < 0.001); when controlling for the patients’ sex, marital status, type 2 diabetes mellitus and stroke, multiple stepwise linear regression analyses suggested that for CHD patients, comorbid primary hypertension had the significant influence on phobic anxiety (Coef., 0.178; 95% CI [0.010–0.347]; p = 0.038). Conclusions For elderly CHD patients, comorbid type 2 diabetes mellitus and stroke were at risk for psychological problems and lower QoL. Our findings may guide patients and clinicians to make better decisions and achieve better outcomes.

Is there any correlation between Magnesium status and depression in elderly people? A descriptive-analytical study among Tehran-nursing home residents

“…Chronic complications like heart disease may severely impact on quality of life that may prone elderly subjects to getting depression. In accordance with our findings, Tang et al showed that heart disease was a significant risk factor for mental health disorders in elderly patients [32]. Al et al also showed a positive correlation between depression and heart disease [33].…”

Mental health status and quality of life in patients with end-stage renal disease undergoing maintenance hemodialysis

“…Chinese version SCL-90 comprises 10 psychiatric factors, namely depression, anxiety, somatization, phobic, paranoid, obsessive compulsive, interpersonal sensitivity, hostility, psychoticism, and other factors such as sleep and diet (20). Each item was scored using a 5-point scale (0=none, 1=slight, 2=mild, 3=moderate, 4=severe) (21). This scale suggested the score of a positive item was more than 2, which may indicate potential mental health issues (20).…”

Quality of life after myocardial re-vascularisation in patients with acute coronary syndrome during the coronavirus disease 2019 pandemic: a prospective observational study

“…Третий фактор -психическое здоровье и эмоциональное благополучие. У больных возможна скрытая депрессия, которой не всегда уделяют должное внимание [16]. Для пациентов, перенесших ОКС, в отдаленном периоде после реваскуляризации миокарда наиболее важен уровень качества жизни, так как они хотят сохранить функциональную независимость, иметь возможность социального общения, осуществлять активную физическую деятельность и самостоятельно удовлетворять личностные потребности [17].…”

“…M. Tang и соавт. установили взаимосвязь инсульта в анамнезе у пожилых пациентов с ИБС со снижением уровня качества жизни, но по психологическому компоненту здоровья [16]. В нашем исследовании наличие работы до реваскуляризации миокарда у больных, перенесших ОКС, ассоциировано с ростом физического благополучия, что, вероятно, обусловлено исходно лучшими резервно-адаптационными возможностями данных пациентов.…”