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Year : 2014  |  Volume : 35  |  Issue : 2  |  Page : 80-88

Psychiatric morbidity and lifestyle of patients with coronary artery disease in Nile delta

1 Fellow at Student, Mansoura University, Mansoura, Egypt
2 Professor of Psychiatry, Mansoura University, Mansoura, Egypt
3 Lecturer of Psychiatry, Mansoura University, Mansoura, Egypt
4 Professor of Cardiology, Mansoura University, Mansoura, Egypt

Correspondence Address:
MD El-Sayed Saleh
Faculty of Medicine, Mansoura University, Mansoura
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-1105.134193

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Objectives This study aimed to (i) estimate the clinical variables in anxious and depressive patients with coronary artery disease (CAD), (ii) correlate the severity of anxiety and depression with the severity of CAD measured by coronary arteriography, and (iii) predict the psychopathology leading to the severity of CAD. Study design A total of 264 patients satisfied the inclusion and exclusion criteria and were enrolled in the study. This study consisted of two parts. (i) The first part included: (a) semistructured clinical psychiatric interview and (b) psychometric assessment such as scale to assess the personality type D, Anxiety-Depression Inventory, and Life Event Scale. (ii) The second part of the interview was concerned with CAD description. The following were performed to assess the cardiac problem such as history of the cardiac complaint, clinical examination, coronary angiography, and assessment of health-related risk markers such as diabetes mellitus and hypertension. Results This study was conducted on 264 patients of both sexes; 67.4% were male patients and 32.6% were female patients, with age ranging from 30 to 70 years. Hypertension was more in coronary artery affected patients, with highly significant statistical difference (P < 0.001), whereas diabetes mellitus occurred with no significant difference. Health-related risk markers such as exercise, smoking, adherence to medication, and regular doctor visits were higher in coronary artery affected patients, with high statistically significant difference (P < 0.001). In addition, personality type D, anxiety disorders, depression, and stressful life events were more in coronary artery affected patients (P < 0.001). There was positive correlation between the severity of CAD and age (r = 0.182, P < 0.01), total score of Dl4, social inhibition of Dl4, negative affectivity of Dl4, the severity of depression and anxiety, social introversion, and life events (P < 0.001). Stepwise linear regression indicated that the severity of coronary arteries affection could be significantly predicted by adherence to medication, social introversion, sex, family history of mood disorder, and age. Conclusion More than risk factor, for example, anxiety and depression, smoking, personality type D, severity of social introversion, stressful life events, lifestyle such as exercise, adherence to medication, and regular doctor visits when ill are positively correlated with the severity of CAD. These findings suggest that clinicians should assess patients for both anxiety and depression and continue to monitor these symptoms on a regular basis.

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