Relationship of Spiritual-Wellbeing With Anxiety and Depression in Patients With Cardiac Heart Disease

Abstract

Background: Anxiety and depression are problems faced by patients with chronic diseases such as patients with Coronary Heart Disease (CHD). Both of these can also worsen the condition of CHD patients, thus needs to be prevented and handled. It is stated that spirituality can enhance constructive coping skills in patients with chronic diseases. But how it relates to anxiety and depression in patients with CHD in Indonesia was still unknown.Objective: The study purpose was to identify the relationship of spiritual wellbeing with the incidence of anxiety and depression in CHD patients.Methods: The research used descriptive correlative quantitative with cross sectional approach. The instruments used to measure the variabels were Zung Self-rating Anxiety Scale, Beck Depression Inventory II, and Spirituality Index of Well-Being scale. Data were taken on 100 respondents within 3 months in outpatient cardiac unit with the consecutive sampling technique and analyzed by spearman correlation test.Results: The results showed mean of the anxiety; depression; and spiritual well-being respectively were 47.66; 43; and 60. Based on spearman test, spiritual wellbeing correlated with anxiety significantly p= 0.000(r=-0.371) and so was depression p= 0.000 (r=-0.571).Conclusions: There was a significant relationship between spiritual well-being with anxiety and depression with a negative correlation direction. The higher the spiritual well-being will be the lower the level of anxiety and depression. Thus nurses need to strengthen the spiritual aspects of CHD patients to prevent psychosocial problems.

Coronary Heart Disease Patients' Learning Needs

“…According to previous study that physical limitations made up by 42% of CHD patients, frequent angina and low patients satisfaction in medication respectively accounted for 56% and 58% (Nuraeni, Mirwanti, Anna, & Prawesti, 2016). Other study showed the low spiritual well-being of a fifth CHD patients (15%) (Nuraeni, Mirwanti, & Anna, 2018). Furthermore anxiety and depression in outpatient CHD patients was high, and generally, their quality of life as much as 58% was also low (Nuraeni et al, 2016).…”

Longitudinal association of spirituality with depressive symptom trajectories among older adults in mainland China

“…26 The GDS contains 30 items that are answered using a "yes/no" format. The total score ranges from 0 to 30, the individuals are categorized into three groups using the cut-off point: normal (0-9); mild depressives (10)(11)(12)(13)(14)(15)(16)(17)(18)(19); severe depressives (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30). The GDS has good reliability and validity in Chinese older adults.…”

“…14 And it was associated with a reduced incidence risk of depressive symptoms among older adults with heart failure and/or chronic pulmonary disease. 15 In addition, individuals with high level of spirituality also have a significantly increased rate of depression remission over time among the patients with depression. 16 Despite the growing evidence of a link between spirituality and depressive symptoms in older adults under a diversity culture.…”

Illness cognition and depression among patients with coronary heart disease

“…These factors were social support, anxiety, spiritual wellbeing, marital status, physical limitations, frequency of angina, and factors related to treatment history. These studies indicated that depression was associated with low spiritual wellbeing (Nur'aeni et al, 2019), anxiety (Nuraeni et al, 2018), and low social support (Chaerunnisa et al, 2017). Another aspect to be explored concerning depressive symptoms is patients' belief of illness or illness perception or illness cognition.…”