2019, Number 4
<< Back Next >>
CorSalud 2019; 11 (4)
Depression and anxiety and their relationship with the anthropometric profile of patients in cardiac rehabilitation phases I and II
Pereira-Rodríguez JE, Velásquez-Badillo X, Peñaranda-Florez DG, Pereira-Rodríguez R, Quintero-Gómez JC, Durán-Sánchez R, Solorzano A
Language: Spanish
References: 26
Page: 287-295
PDF size: 373.06 Kb.
ABSTRACT
Introduction: Depression is a mental state disorder that affects a good number of people around the world and that, along with anxiety, is a wide-reaching problem that can strike patients after undergoing heart surgery.
Objective: To determine the levels of depression and anxiety, and their relationship with overweight and obesity, in patients attending cardiac rehabilitation phases I and II.
Method: Fifty patients receiving cardiac rehabilitation (25 in phase I and 25 in phase II) were selected. The Hospital Anxiety and Depression Scale (HADS) was used to screen anxiety and depression disorders. In addition, the anthropometry of the participants was examined and Kolmogorov-Smirnov and Shapiro-Wilk normality tests were performed. Mean, standard deviation and Pearson correlation coefficient with a significant degree of p<0.050 were also applied.
Results: The 50 participants (66% men) had an average age of 63.86±10.99, with postoperative diagnosis of coronary-artery bypass grafting (44%), coronary angioplasty (40%), atherosclerotic disease (4%), aortic valve replacement (4%), atrial septal defect closure (4%), implanted pacemaker (2%) and physical deconditioning (2%). Depression was found at 36% and anxiety at 30%.
Conclusions: There is a high prevalence of depression and anxiety in cardiac rehabilitation programs; its frequency is higher in phase I compared to phase II. Moreover, we found that there is a slight-mild correlation between anxiety versus normal weight and obesity, as well as depression versus overweight.
REFERENCES
World Health Organization. Depression [Inter-net]. 2018 [citado 13 May 2019]. Disponible en: https://www.who.int/news-room/fact-sheets/detail/depression
NIH: National Institute of Mental Health. Health Topics: Depression [Internet]. 2019 [citado 14 May 2019]. Disponible en: https://www.nimh.nih.gov/health/topics/depression/index.shtml
ADAA: Anxiety and Depression Association of America. Depression [Internet]. 2018 [citado 15 May 2019]. Disponible en: https://adaa.org/understanding-anxiety/depression
NIH: National Institute of Mental Health. Statistics: Major Depression [Internet]. 2019 [citado 15 May 2019]. Disponible en: https://www.nimh.nih.gov/health/statistics/major-depression.shtml
Organización Mundial de la Salud. Temas de Sa-lud: Obesidad [Internet]. 2019 [citado 15 May 2019]. Disponible en: https://www.who.int/topics/obesity/es/
American College of Cardiology/American Heart Association Task Force on Practice Guidelines, Obesity Expert Panel, 2013. Executive summary: Guidelines (2013) for the management of over-weight and obesity in adults: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the Obesity Society published by the Obesity Society and American College of Cardiology/ American Heart Association Task Force on Prac-tice Guidelines. Based on a systematic review from the The Obesity Expert Panel, 2013. Obesity (Silver Spring). 2014;22(Supl 2):S5-39.
Parodi CA. Ansiedad, depresión y trastorno de la imagen corporal en pacientes que consultan en la Unidad de Obesidad del Hospital de Clínicas. Mem Inst Investig Cienc Salud. 2015;13(3):63-73.
Gómez-Restrepo C, Bohórquez A, Tamayo Martí-nez N, Rondón M, Bautista N, Rengifo H, et al. Trastornos depresivos y de ansiedad y factores asociados en la población de adolescentes co-lombianos, Encuesta Nacional de Salud Mental 2015. Rev Colomb Psiquiat. 2016;45(S1):50-7.
Salazar Blandón DA, Castillo León T, Pastor Du-rango MP, Tejada-Tayabas LM, Palos Lucio AG. Ansiedad, depresión y actividad física asociados a sobrepeso/obesidad en estudiantes de dos uni-versidades mexicanas. Hacia Promoc Salud. 2016; 21(2):99-113.
Ruíz Acacio EA, Rojas Russell ME, Serrano Alva-rado K, López Cervantes M. Relación entre el so-brepeso u obesidad y la calidad de vida relacio-nada con la salud: el rol mediador y moderador de la ansiedad y la depresión. Psicol Salud. 2017; 27(2):189-98.
Bedford A, de Pauw K, Grant E. The structure of the hospital anxiety and depression scale (HAD): An appraisal with normal, psychiatric and medi-cal patient subjects. Pers Individ Differ. 1997; 23(3):473-8.
Pompa Guajardo EG, Meza Peña C. Ansiedad, estrés y obesidad en una muestra de adolescen-tes de México. Univ Psychol [Internet]. 2017 [ci-tado 17 May 2019];16(3). Disponible en: http://dx.doi.org/10.11144/Javeriana.upsy16-3.aeom
Berg SK, Rasmussen TB, Thrysoee L, Thorup CB, Borregaard B, Christensen AV, et al. Mental health is a risk factor for poor outcomes in cardi-ac patients: Findings from the National DenHeart Survey. J Psychosom Res. 2018;112:66-72.
Pourafkari L, Ghaffaria S, Tajlila A, Shahamfarc J, Hedayatic S, Nader ND. The impact of cardiac re-habilitation program on anxiety and depression levels after coronary artery bypass graft surgery. Cor et Vasa [Internet]. 2016 [citado 19 May 2019]; 58(4):e384-e390. Disponible en: http://dx.doi.org/10.1016/j.crvasa.2016.01.001
Hare DL, Toukhsati SR, Johansson P, Jaarsma T. Depression and cardiovascular disease: a clinical review. Eur Heart J. 2014;35(21):1365-72.
Rutledge T, Redwine LS, Linke SE, Mills PJ. A meta-analysis of mental health treatments and cardiac rehabilitation for improving clinical out-comes and depression among patients with coro-nary heart disease. Psychosom Med. 2013;75(4): 335-49.
Sandesara PB, Lambert CT, Gordon NF, Fletcher GF, Franklin BA, Wenger NK, et al. Cardiac reha-bilitation and risk reduction: time to “rebrand and reinvigorate”. J Am Coll Cardiol. 2015;65(4):389-95.
Cebeci F, Çelik SS. Effects of discharge teaching and counselling on anxiety and depression level of CABG patients. Turkish J Thorac Cardiovasc Surg. 2011;19(2):170-6.
Abbasi SH, Mohammadinejad P, Shahmansouri N, Salehiomran A, Beglar AA, Zeinoddini A, et al. Simvastatin versus atorvastatin for improving mild to moderate depression in post-coronary ar-tery bypass graft patients: A double-blind, place-bo-controlled, randomized trial. J Affect Disord. 2015;183:149-55.
Heran BS, Chen JM, Ebrahim S, Moxham T, Oldridge N, Rees K, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Coch-rane Database Syst Rev [Internet]. 2011 [citado 24 May 2019];7:CD001800. Disponible en: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD001800.pub2/epdf/full
Szczepanska-Gieracha J, Morka J, Kowalska J, Kustrzycki W, Rymaszewska J. The role of de-pressive and anxiety symptoms in the evaluation of cardiac rehabilitation efficacy after coronary artery bypass grafting surgery. Eur J Cardiothorac Surg [Internet]. 2012 [citado 24 May 2019];42(5): e108-14. Disponible en: https://doi.org/10.1093/ejcts/ezs463
Kerling A, Tegtbur U, Gützlaff E, Kück M, Borchert L, Ates Z, et al. Effects of adjunctive exercise on physiological and psychological parameters in depression: a randomized pilot trial. J Affect Dis-ord. 2015;177:1-6.
Caccamo F, Saltini S, Marogna C, Sava V, Carlon R, Vignaga F, et al. The positive impact of a four-week Cardiac Rehabilitation program on depres-sion levels of cardiological patients. Cor et Vasa [Internet]. 2018 [citado 26 May 2019];60(6):e582-8. Disponible en: https://doi.org/10.1016/j.crvasa.2017.12.003
Jiang W, Kuchibhatla M, Cuffe MS, Christopher EJ, Alexander JD, Clary GL, et al. Prognostic val-ue of anxiety and depression in patients with chronic heart failure. Circulation. 2004;110(22): 3452-6.
Herring MP, Puetz TW, O'Connor PJ, Dishman RK. Effect of exercise training on depressive symptoms among patients with a chronic illness: a systematic review and meta-analysis of random-ized controlled trials. Arch Intern Med. 2012; 172(2):101-11.
Farris SG, Bond DS, Wu WC, Stabile LM, Abrantes AM. Anxiety sensitivity and fear of exercise in pa-tients attending cardiac Rehabilitation. Ment Health Phys Act. 2018;15:22-6.