[Evaluation of Anxiety and Depression Levels in Patients With Myocardial Infarction]

Turk Kardiyol Dern Ars. 2009 Dec;37(8):557-62.
[Article in Turkish]


Objectives: Patients with myocardial infarction (MI) may experience anxiety and depression. This study was designed to determine anxiety and depression levels in patients with MI.

Study design: The study included 506 patients (199 women, 307 men; mean age 55.7+/-6.9 years) who were admitted to the cardiology department for MI. Data were collected using a questionnaire to identify patient characteristics and the Hospital Anxiety and Depression Scale (HADS). The HADS has been validated as a sensitive screening tool for anxiety and depression in MI patients in the Turkish population.

Results: Clinically severe anxiety was found in all the patients (100%). Depression scores showed a clinically normal level in 45 patients (8.9%), borderline level in 289 patients (57.1%), and severe level in 172 patients (34%). The mean HADS score was 11.4+/-2.9, being 12.2+/-4.1 and 10.6+/-4.1 for anxiety and depression, respectively. Among patient characteristics, age was significantly associated with both anxiety and depression subscales (p<0.001), and education level (p<0.05), total family income (p<0.01), health insurance (p<0.05), and the number of myocardial infarctions (p<0.05) were significantly associated with the depression subscale. In regression analysis, age (beta=-0.128), education level (beta=0.082), and working status (beta=-0.79) independently affected both anxiety and depression, and total family income (beta=-0.128) and health insurance (beta=-0.086) significantly affected depression.

Conclusion: Our data suggest that planning nursing interventions to decrease anxiety and depression levels and implementation of cardiac rehabilitation programs are of particular importance in patients with MI.

Publication types

  • English Abstract

MeSH terms

  • Anxiety / classification
  • Anxiety / epidemiology*
  • Demography
  • Depression / classification
  • Depression / epidemiology*
  • Educational Status
  • Female
  • Humans
  • Income
  • Insurance, Health
  • Male
  • Middle Aged
  • Myocardial Infarction / psychology*
  • Turkey