ASSOCIATED FACTORS OF PSYCHO-SOCIAL WITH SYMPTOMS OF ANXIETY AND/OR DEPRESSION AMONG PATIENTS SUBSEQUENT TO ACUTE MYCARDIAL INFARCTION
| Main Author: | Dr. Ayesha Nawaz, Dr Muhammad Hasnain Mujahid, Dr Muhammad Usman |
|---|---|
| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1341921 |
Daftar Isi:
- Objective: The research objective is to study associated factors of symptoms of anxiety/depression subsequent to Acute Myocardial Infarction. Methodology: A hospital-based study of non-interventional, cross-sectional analysis performed at Allied Hospital, Faisalabad (October, 2016 to September, 2017). A subject size of 100 patients of thirty to sixty years (with no physical complications) who were diagnosed with AMI using the criteria of WHO were selected for study. Hospital Anxiety and Depression Scale (Urdu version) administered patients for five to seven days after AMI. Also, a clinical interview (semi-structured) was conducted to record demographic information, risk factors related to AMI like psycho-social factors, and psychiatric assessment. Computer software SPSS (Statistical Package for Social Sciences) was used for result analysis. Results: Eighty (80.0%) among a total of hundred subjects were males and twenty (20.0%) females with thirty to sixty-year age range (50.9 ± 8.5). Patients with symptoms of anxiety and/or depression were 50% (50) with depression in fourteen, anxiety in eighteen and anxiety/depression mixed in eighteen percent. Symptoms of anxiety and/or depression had a great association following AMI and ‘type A’ behaviour traits (p less than 0.0010), lack of relationship confiding (p less than 0.0020), job stress (p less than 0.010), and history of AMI in family (p less than .00070). However, symptoms of anxiety and/or depression after AMI had no significant association with history of AMI. Conclusions: The results highlight a serious requirement of assessment for finding symptoms of anxiety and/or depression succeeding AMI as well as factors leading to these specially among patients having ‘type A’ behaviour traits, stress related job, having history of AMI in family, and having lack of relationships commitment. Key Words: Acute Myocardial Infarction (AMI), Post Myocardial Infarction (PMI), Hospital Anxiety and Depression Scale (HADS), Psychosocial factors (PF), Anxiety, Depression, Symptoms.