Somatic symptoms and their association with anxiety and depression in Chinese patients with cardiac neurosis

Abstract

ObjectiveWe sought to investigate somatic symptoms detected by the Somatic Self-rating Scale and to evaluate whether they were associated with the psychological symptoms of anxiety and depression in patients with cardiac neurosis.MethodsA total of 180 patients with cardiac neurosis at the Third Xiangya Hospital, Changsha, China, were surveyed from January 2017 to July 2018. Participants completed a general information questionnaire, the Somatic Self-rating Scale, the Patient Health Questionnaire-9 and the Generalized Anxiety Disorder Scale-7.ResultsThe mean (±standard deviation) somatic symptom score in patients with cardiac neurosis was 40.83 ± 7.12. The most severe symptoms were cardiovascular symptoms, fatigue and muscle soreness. A total of 90 patients (46.4%) had anxiety and 80 (50.0%) had depression. Multiple stepwise regression analysis showed that somatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression.ConclusionSomatic symptoms in patients with cardiac neurosis were associated with both anxiety and depression. Therefore, it is important to provide effective emotional interventions to promote patient rehabilitation.

Changes in Multimorbidity and Polypharmacy Patterns in Young and Adult Population over a 4-Year Period: A 2011–2015 Comparison Using Real-World Data

“…Cardiometabolic factor appears similar for men and women with the addition of gout in men. This is in line with other studies, reporting that a prevalence rate of 1–2% for adults, underlining that it represents the most common inflammatory arthritis in men [ 36 , 37 ]. Another difference between sex was that this pattern in men included consequences of metabolic syndrome such as cardiovascular disease, ischemic heart disease, and cardiac arrhythmia, which is possibly due to increased cardiovascular risk in men, together with an increased incidence of ischemic heart and cerebrovascular diseases [ 38 ].…”

Meta-Analysis on the Efficacy of Traditional Chinese Medicine Decoction in the Treatment of Cardiac Neurosis Complicated with Depression and Anxiety

“…Friedman [20] believes that the hypothalamus may be the site of CN, and the lesions in this area can cause anxiety and affect the functional regulation of many other systems. Due to the lack of laboratory evidence, CN is generally diagnosed in patients with symptoms, few signs, and no organic heart disease [21]. In recent years, the incidence rate of CN has been increasing.…”

“…Among them, 8 TCMs were used 4 times or more, which were Angelica sinensis (6, 4.8%), Poria cocos (6, 4.8%), Polygala tenuifolia (6, 4.8%), Wild jujube kernel (6, 4.8%), Bupleurum (6, 4.8%), White peony (5, 4.0%), Chuanxiong (4, 3.2%), Gan song (4, 3.2%), and 23 TCMs were used once, as shown in Table 3. Among them, the most frequently used drugs were tonic drugs, 29 times in total, accounting for 23.2% of the total frequency, followed by tranquilizing drugs (21,16.8%), antipyretic drugs (14, 11.2%), and surface relieving (12, 9.6%), as shown in Table 4.…”

Effects of Somatic, Depression Symptoms, and Sedentary Time on Sleep Quality in Middle-Aged Women with Risk Factors for Cardiovascular Disease

“…Somatic symptoms, such as sweating and hot flashes, which commonly occur in menopause as a result of hormonal changes in middle adulthood, deteriorate sleep quality and decrease sleep duration [7][8][9]. Deterioration of sleep quality and duration further increases the risk for developing cardiometabolic risk factors [10], including obesity, hypertension, type 2 DM, and the risk for coronary artery disease [11].…”