The Relationship between Anxiety and Depression with Cardiovascular Disease after Open Heart Surgery

Malekpour Golsefidi, Z; Nasrollahi, B; Darandegan, K

The Relationship between Anxiety and Depression with Cardiovascular Disease after Open Heart Surgery

Document Type : Original Article

Authors

Z Malekpour Golsefidi ¹

B Nasrollahi ²

K Darandegan ³

¹ Master's student in Clinical Psychology, Islamic Azad University, Iranian Research Sciences Branch

² Assistant Professor of Psychology, Islamic Azad University, Science and Research Branch, Tehran, Iran

³ General Surgeon, Ganjovian Hospital, Dezful

Abstract

Introduction & Objective: Cardiovascular diseases are the main cause of death and disability in the world and Major psychological problems that typically affect people's Sufferers lives Include stress, anxiety, concern of the future and depression. One of the factors that affect mental health disease and how to cope with the disease. One of the factors that affect on patients mental health and how to cope with the disease, is the Perceptions of the disease and its consequences. Materials & Methods: A number of 194 cardiovascular patients attending Subspecialty heart clinics in Tehran hospitals during the period from July 2016 to March 2017 and had a history of open heart surgery were selected by convenience sampling. To Gathering the Data was used from the personal information and demographic questionnaires and illness Perception Questionnaire and stress, anxiety and depression Questionnaire (DASS-21). Data were analyzed using software SPSS 23 and Speraman correlation. Results: The correlation coefficient between illness perception and depression among the heart patients is r = 0.27 and the correlation coefficient between the illness perception and anxiety in heart patients is r = 0.42. So whit the %99 confidence the null hypothesis is rejected and it is concluded that the perception of cardiovascular disease and depression and anxiety there is a significant positive relationship (P < 0.01). Conclusions: If the perception of patients with cardiovascular disease accompanied with Bias, it causes that they show more anxiety and depression but if their conception of illness Based on the reliable information by the doctor and truly understand the disease and its complications, their depression and anxiety is reduced.

Keywords

Open Heart Surgery

Anxiety

Depression

1. Ismaili S. Zia Bakhsh Tabari Sh. Vaez-Zadeh N, Mohamad Poor Tahamtan R. Review the quality of life of patients after surgery Heart 2006 the city of Sari. Volume 17. December and Persian date 2007; 61 pp. 171-2.

2. Parsamehr M, Afshani A, Nikoo F. Relationship between Anxiety and Depression with Quality of Life after Coronary Artery Bypass Graft. Journal of Mazandaran University of Medical Sciences. 2015, vol 24 issue 122.

3. Gåfvels C, Wändell PE. Coping strategies in men and women with type 2 diabetes in Swedish primary care. Diabetes research and clinical practice. 2006 Mar 31; 71(3): 280-9.

4. Huffman JC, Celano CM, Beach SR, Motiwala SR, Januzzi JL. Depression and cardiac disease: epidemiology, mechanisms, and diagnosis. Cardiovascular psychiatry and neurology. 2013 Apr 7; 2013.

5. Faraji N, Pashaeypoor S, Negarandeh R. The effect of pre-discharge education and telephone follow-up on illness perception and lifestyle in patients with myocardial infarction. Scientific Journal of Hamadan Nursing & Midwifery Faculty. 2015; 23 (3): d82-91.

6. Cohen BE, Edmondson D, Kronish IM. State of the art review: depression, stress, anxiety, and cardiovascular disease. American journal of hypertension. 2015 Nov 1; 28(11): 1295-302.

7. Bagherian R, Maroofi M, Fatolah Gol M, Saneie S.2011. Coping strategies among post myocardial infarction patients with anxiety symptoms. J Babol Univ Med Sci; 2011. 12 (3): 50-7.

8. Broadbent, E., Donkin, L., & Stroh, J. C. (2011). Illness and treatment perceptions are associated with adherence to medications, diet, and exercise in diabetic patients.2011. Diabetes care, 34(2), 338-340.

9. Sajjadinezhad M S, Asgari K, Molavi H, Adibi P. Comparing the Effectiveness of Cognitive-Behavioral Stress Management, Optimism Training and Medical Therapy on Somatic Symptoms, Perceived Stress, Illness Perception and Quality of Life in Patients with Ulcerative Colitis. Arak University of Medical Sciences Journal. 2016; 18 (10): 40-54.

10. Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the Beck Depression and Anxiety Inventories. Behaviour research and therapy. 1995 Mar 31; 33(3): 335-43.

11. Sahebi A, Asghari MJ, Salari RS. Validation of depression anxiety and stress scale (DASS-21) for an Iranian population. Iranian Psychologists. 2005; 4(1): 299-313.

12. O Husain M, Dearman SP, Caudhry IB, Rizvi N, Waheed W. The relationship between anxiety, depression and illness perception in tuberculosis patients in Pakistan. Clinical practice and Epidemiology in Mental health. 2008 Feb, 4:4.

13. Suls J, Bunde J. Anger, Anxiety and Depression as Risk factors for Cardiovascular Disease: The Problems and Implications overlapping affective dispositions. Psychological Bulletin. 2005 Mar, 131 (2), 260-300.

14. Cheng C, Chan A, Hui W, Lam S. Coping Strategies, Illness perception, anxiety and depression of patients with idiopathic constipation: a
population-based study. Alimentary Pharmacology and Therapeutics. 2003. 18 (3), 319-326.

15. Sharpe L, Sensky T, Allard S. The course of depression in recent onset rheumatoid arthritis: the predictive role of disability, illness perceptions, pain and coping. Journal of Psychosomatic Research. 2001. 51 (6), 713-719.