Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University; National Clinical Research Center for Cardiovascular Diseases, Beijing, China.
Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University; National Clinical Research Center for Cardiovascular Diseases, Beijing, China; Heart Health Research Centre, Beijing, China; The George Institute for Global Health, Faculty of Medicine, University of New South Wales, Sydney, NSW, Australia.
J Affect Disord. 2021 May 1;286:241-247. doi: 10.1016/j.jad.2021.02.006. Epub 2021 Mar 10.
Few data have reported the prevalence of depressive and anxiety symptoms in patients with cardiovascular disease (CVD) in China. Our study aimed to estimate the prevalence and related risk factors of these mental health symptoms.
A total of 47841 participants from seven regions of China were enrolled by a two-stage, stratified, community-based, clustering sampling strategy between 2014 and 2016. Data of sociodemographic status and medical history were collected through a standard questionnaire. The Center for Epidemiologic Studies Depression Scale and Zung's self-rating anxiety scale were used to screen depressive and anxiety symptoms.
Among 47588 individuals who completed the self-report questionnaires, the weighted prevalence of depressive symptom was 2.9% and that of anxiety symptom was 1.5%. In females with heart failure (HF) and stroke, prevalence of either depressive and anxiety symptoms were 15.1% and 13.8%, respectively; while 9.4% and 8.4% for the male counterparts. Among patients with ≥ any 3 specific CVDs, the prevalence of having either depressive or anxiety symptoms were 13.1% and 6.8% for females and males, respectively. Younger age, female, unmarried, lower income, and disease history of atrial fibrillation, HF and stroke tend to link with higher risks of mental health symptoms.
Cross-sectional study.
A high proportion of patients with CVD had depressive and anxiety symptoms. Screening for mental health symptoms is more important in higher-risk populations who are at younger age, being female, unmarried, with low income, and with diagnoses of atrial fibrillation, HF, and stroke.
中国鲜有数据报告心血管疾病（CVD）患者的抑郁和焦虑症状发生率。本研究旨在评估这些心理健康症状的流行情况及相关危险因素。
我们采用两阶段、分层、社区为基础、聚类抽样策略，于 2014 年至 2016 年期间在中国 7 个地区招募了 47841 名参与者。通过标准问卷收集社会人口统计学状况和病史数据。采用流行病学研究中心抑郁量表和 Zung 自评焦虑量表筛查抑郁和焦虑症状。
在完成自我报告问卷的 47588 名个体中，加权抑郁症状发生率为 2.9%，焦虑症状发生率为 1.5%。在心力衰竭（HF）和脑卒中的女性患者中，抑郁和焦虑症状的发生率分别为 15.1%和 13.8%；而男性患者中的发生率分别为 9.4%和 8.4%。在患有≥3 种特定 CVD 的患者中，女性和男性分别有 13.1%和 6.8%出现抑郁或焦虑症状。年龄较小、女性、未婚、收入较低以及心房颤动、HF 和脑卒中病史与心理健康症状的发生风险较高相关。
横断面研究。
CVD 患者中存在较高比例的抑郁和焦虑症状。在年龄较小、女性、未婚、收入较低以及患有心房颤动、HF 和脑卒中的高风险人群中，筛查心理健康症状更为重要。
