Abstract
Background:Coronary artery disease is the most common cardiovascular disease in the world. Depression is a common mental disorder in patients with coronary artery disease, accounting for 15 - 50%.
Objectives: 1) To investigate the prevalence of patients with coronary artery disease with depressive symptoms using the BDI-II scale; 2) To analyze the factors related to depression in patients with coronary artery disease.
Subjects and Methods: This cross-sectional descriptive study included 111 inpatient with coronary artery disease at Cardiology Department of Hue Central Hospital and Cardiology Department of Hue University of Medicine and Pharmacy Hospital. Evaluation of depression in the subjects according to the BDI-II scale.
Results: The prevalence of patients with coronary artery disease presenting with depression according to the BDI-II scale (from 14 points or more) was 27.9%. Factors associated with depression in patients with coronary artery disease were: gender, education level, living situation, income, ability to pay; ability to walk, work; smoking cigarettes, using alcohol and exercise.
Conclusion: Depression accounted for a high rate in patients with coronary artery disease. Demographic factors, coronary artery disease factors, and health behavioral factors were all associated with depression.
| Published | 2025-09-30 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | Vol. 15 No. 5 (2025) | |
| Section | Original Articles | |
| DOI | 10.34071/jmp.2025.5.15 | |
| Keywords | trầm cảm, bệnh động mạch vành, hành vi sức khoẻ depression, coronary artery disease, health behavior |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Hue Journal of Medicine and Pharmacy
Institute for Health Metrics and Evaluation (IHME). GBD Result Tool. Seattle, WA: IHME, University of Washington. 2015.
Bộ Y tế. Thực hành chẩn đoán và điều trị bệnh động mạch vành. 2020. tr.11-16.
Song X, Song J, Shao M, Gao X, Ji F, Tian H, et al. Depression predicts the risk of adverse events after percutaneous coronary intervention: A meta-analysis. J Affect Disord. 2020; 266:158-164.
May HT, Horne BD, Knight S, Knowlton KU, Bair TL, Lappé DL, et al. The association of depression at any time to the risk of death following coronary artery disease diagnosis. Eur Heart J Qual Care Clin Outcomes. 2017; 3(4):296-302.
Ren Y, Yang H, Browning C, Thomas S, Liu M. Prevalence of depression in coronary heart disease in China: a systematic review and meta-analysis. Chin Med J (Engl). 2014; 127(16):2991-2998.
Kim JM, Stewart R, Kang HJ, Kim SY, Kim JW, Lee HJ, et al. Long-term cardiac outcomes of depression screening, diagnosis and treatment in patients with acute coronary syndrome: the DEPACS study. Psychol Med. 2020; 1-11.
Beck AT, Steer RA and Brown GK. Beck Depression Inventory Manual. The Psychological Corporation. San Antonio, TX; 1996.
Nieuwsma JA, Williams JW Jr, Namdari N, Washam JB, Raitz G, Blumenthal JA, et al. Diagnostic accuracy of screening tests and treatment for post–acute coronary syndrome depression: a systematic review. Annals of Internal Medicine. 2017; 167(10):725-735.
Phạm Quốc Dũng. Nghiên cứu tỷ lệ trầm cảm ở bệnh nhân bệnh mạch vành đến khám tại Bệnh viện quận Thủ Đức, thành phố Hồ Chí Minh năm 2016-2017 [Luận án chuyên khoa cấp II]. Trường Đại học Y - Dược, Đại học Huế; 2017.
Ansari I, Fallahi F, Ghanem A, Babakhani E, Hashemi Z, Mohamadian E, et al. The Relation between Depression and Ischemic Heart Disease among Middle Aged People: a Case Control Study. Journal of Basic and Clinical Pathophysiology. 2019; 7(1):15-20.
Thombs BD, Bass EB, Ford DE, Stewart KJ, Tsilidis KK, Patel U, et al. Prevalence of depression in survivors of acute myocardial infarction. J Gen Intern Med. 2016; 21(1):30-38.
Moryś JM, Bellwon J, Adamczyk K, Gruchała M. Depression and anxiety in patients with coronary artery disease, measured by means of self-report measures and clinician-rated instrument. Kardiol Pol. 2016; 74(1):53-60.
Al-Zaru IM, Alhalaiqa F, Dalky HF, Arramadan KA, Batiha AM. Depression in Nonhospitalized Jordanian Patients with Coronary Artery Disease. J Nurs Res. 2020; 28(1), e66.
Sin NL, Kumar AD, Gehi AK, Whooley MA. Direction of Association Between Depressive Symptoms and Lifestyle Behaviors in Patients with Coronary Heart Disease: The Heart and Soul Study. Ann Behav Med. 2016; 50(4):523-532.
Yuan MZ, Fang Q, Liu GW, Zhou M, Wu JM, Pu CY. Risk Factors for Post-Acute Coronary Syndrome Depression: A Meta-analysis of Observational Studies. J Cardiovasc Nurs. 2019; 34(1):60-70.
Gu G, Zhou Y, Zhang Y, Cui W. Increased prevalence of anxiety and depression symptoms in patients with coronary artery disease before and after percutaneous coronary intervention Treatment. BMC Psychiatry. 2016; 16:259-267.
Walters P, Barley EA, Mann A, Phillips R, Tylee A. Depression in primary care patients with coronary heart disease: baseline findings from the UPBEAT UK study. PLoS One. 2014; 9(6), e98342.
Hayek SS, Ko YA, Awad M, Del Mar Soto A, Ahmed H, Patel K, et al. Depression and chest pain in patients with coronary artery disease. Int J Cardiol. 2017; 230:420-426.
Ekici B, Ercan EA, Cehreli S, Töre HF. The effect of emotional status and health-related quality of life on the severity of coronary artery disease. Kardiol Pol. 2014; 72(7):617-623.
Feng C, Ji T, Liu Y, Chen D, Dai J, Ni X, et al. Role of depression in secondary prevention of Chinese coronary heart disease patients receiving percutaneous coronary intervention. PLoS One. 2017; 2(12), e0187016.
Ben Halima G, Cherif W, Ben Aoun M, Cherif F, Gueddiche F, Ben Slima H, et al. Incidence and risk factors of depression after a first coronary acute syndrome: A prospective study among 110 patients. Annales de Cardiologie et D’angeiologie. 2020; 69(3):125-132.
Prugger C, Wellmann J, Heidrich J, De Bacquer D, De Smedt D, De Backer G, et al. Regular exercise behaviour and intention and symptoms of anxiety and depression in coronary heart disease patients across Europe: Results from the EUROASPIRE III survey. Eur J Prev Cardiol. 2017; 24(1):84-91.