[Study on risk factors of depressive and/or anxiety symptoms in patients with coronary heart disease in general hospitals of urban China].

OBJECTIVE

To explore the risk factors of depressive and/or anxiety symptoms in patients with coronary heart disease (CHD) in the general hospital of main cities in China.

METHODS

A hospital-based cross-sectional study was conducted in four main cities in China in 2004. 359 CHD patients were recruited continually during six months from the outpatient and inpatient department of 7 tertiary hospitals. Face-to-face interview was used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening. Multinomial Logistic Model was adopted in data analysis.

RESULTS

Among 359 CHD patients, 82 (22.8%) obtained a HAD score of 9 and above. Non-ambulatory patients had a statistically higher risk of depressive symptoms (OR = 17.996, 95 % CI:3.872 - 83.636); subjects younger than 65 years old, or having an education year equal or less than 9 year, or having a self-assessment of CHD deterioration had increased risk of anxiety symptoms with the ORs at 3.151 (95% CI: 1.151-8.629), 3.154(95% CI: 1.094-9.092) and 4.229 (95% CI: 1.396-12.809) respectively. Hospitalized (OR = 4.887, 95% CI: 1.711-13.960) and non-ambulatory (OR = 6.583, 95% CI: 2.776-15.612) CHD patients were more liable to suffer both depressive and anxiety symptoms.

CONCLUSION

It was noticeable to health care providers both in somatic disease care and mental health care that non-ambulatory status, younger than 65 years old, lower education level, felt deterioration of CHD and hospitalization were possible risk factors for depressive and/or anxiety symptoms in patients with CHD in general hospitals in urban China.