Psychological symptoms and quality of life in cardiac patients: A study in the north of Iran

Document Type : Research Paper

Authors

1 Assistant professor of psychiatry, Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran.

2 General practitioner, M.D., Golestan Research Center of Psychiatry (GRCP), Golestan University of Medical Sciences, Gorgan, Iran.

3 East Northants Community Mental Health team, Northamptonshire Healthcare NHS Foundation Trust, Isebrook Hospital, Wellingborough, United Kingdom.

4 Health Management and Social Development Research Center, Department of Biostatistics and Epidemiology, Golestan University of Medical Sciences, Gorgan, Iran.

5 Specialty doctor in psychiatry, Erdington and Kingstanding CMHT, Birmingham and Solihull Mental Health NHS Foundation Trust, Birmingham, United Kingdom. Hon.Research Fellow, Leicestershire Partnership NHS Trust, Leicester, United Kingdom. Assistant professor of psychiatry, Clinical Research Development Unit (CRDU), Agh ghala Hospital, Golestan University of Medical Sciences, Gorgan, Iran.

10.22038/JFMH.2024.80966.3156

Abstract

Introduction: Considering the effect of psychological conditions on physical diseases, this study aimed to assess the relationship between psychological symptoms and quality of life in patients with CardioVascular Diseases (CVDs).
 
Materials and Methods: The statistical community of this cross-sectional study included all patients with CVDs referred to the cardiology clinic of Shahid Sayyad Shirazi Hospital in Gorgan City, north part of Iran, in 2021. Of them, 181 patients were selected through convenient sampling. They fulfilled the General Health Questionnaire-28 (GHQ-28) and World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). We analyzed the data through SPSS-16, descriptive statistics, Shapiro-Wilk test, Spearman correlation, Pearson correlation, independent t, Kruskal-Wallis test, and Mann-Whitney test.
 
Results: In this study, we assessed 181 patients (78 males and 103 females) with CVDs. Most patients had good or fair general health and quality of life. The quality of life and its dimensions have indirect and significant relationships with GHQ score, and its subscales included somatic symptoms, anxiety, and depression (P= 0.001), an exceptionally social dysfunction subscale. Also, comparing mental health scores and quality of life between two genders and different age groups indicated no significant differences (P> 0.05).
 
Conclusion: We revealed that there are significant and indirect relationships between quality of life and psychological health in cardiovascular patients.

Keywords

References

  1. Timmis A, Vardas P, Townsend N, Torbica A, Katus H, De Smedt D, et al. European Society of Cardiology: Cardiovascular disease statistics 2021. Eur Heart J 2022; 43(8): 716-99.
  2. Do NT, Bellingham K, Newton PN, Caillet C. The quality of medical products for cardiovascular diseases: A gap in global cardiac care. BMJ Glob Health 2021; 6(9): e006523.
  3. Sarrafzadegan N, Mohammmadifard N. Cardiovascular disease in Iran in the last 40 years: prevalence, mortality, morbidity, challenges and strategies for cardiovascular prevention. Arch Iran Med 2019; 22(4): 204-10.
  4. Borhani-Haghighi A, Safari R, Heydari ST, Soleimani F, Sharifian M, Kashkuli SY, et al. Hospital mortality associated with stroke in southern Iran. Iran J Med Sci 2013; 38(4): 314.
  5. Alzahrani A, Alqahtani A, Saleh A, Aloqalaa M, Abdulmajeed A, Nadhrah A, et al. Quality of life of cardiac outpatients with and without psychiatric disorders: A cross-sectional study. Egypt J Neurol Psychiatr Neurosurg 2022; 58(1): 10.
  6. Moradi M, Daneshi F, Behzadmehr R, Rafiemanesh H, Bouya S, Raeisi M. Quality of life of chronic heart failure patients: A systematic review and meta-analysis. Heart Fail Rev 2020; 25: 993-1006.
  7. Phyo AZZ, Gonzalez-Chica DA, Stocks NP, Woods RL, Tran T, Reid CM, et al. Trajectories of physical health-related quality of life and the risk of incident cardiovascular disease events and all-cause mortality in older people. Am Heart J Plus 2022; 13: 100117.
  8. Jarab AS, Hamam HW, Al-Qerem WA, Heshmeh SRA, Mukattash TL, Alefishat EA. Health-related quality of life and its associated factors among outpatients with heart failure: A cross-sectional study. Health Qual Life Outcomes 2023; 21(1): 73.
  9. Johansson I, Joseph P, Balasubramanian K, McMurray JJ, Lund LH, Ezekowitz JA, et al. Health-related quality of life and mortality in heart failure: The global congestive heart failure study of 23 000 patients from 40 countries. Circulation 2021; 143(22): 2129-42.
  10. Lum HD, Carey EP, Fairclough D, Plomondon ME, Hutt E, Rumsfeld JS, et al. Burdensome physical and depressive symptoms predict heart failure-specific health status over one year. J Pain Symptom Manage 2016; 51(6): 963-70.
  11. Bahall M, Legall G, Khan K. Quality of life among patients with cardiac disease: The impact of comorbid depression. Health Qual Life Outcomes 2020; 18: 1-10.
  12. Dougherty CM, Burr RL, Kudenchuk PJ, Glenny RW. Aerobic exercise effects on quality of life and psychological distress after an implantable cardioverter defibrillator. J Cardiopulm Rehabil Prev 2020; 40(2): 94-101.
  13. Zhou L, Ma X, Wang W. Inflammation and coronary heart disease risk in patients with depression in China mainland: A cross-sectional study. Neuropsychiatr Dis Treat 2020; 16: 81-86.
  14. Miller JL, Thylén I, Elayi SC, Etaee F, Fleming S, Czarapata MM, et al. Multi-morbidity burden, psychological distress, and quality of life in implantable cardioverter defibrillator recipients: Results from a nationwide study. J Psychosom Res 2019; 120: 39-45.
  15. Jarmoszewicz K, Topolski M, Hajduk A, Banaszkiewicz D, Nowicka-Sauer K. Prevalence and predictors of suicidal ideation in patients following cardiac surgery. World J Surg 2022; 46(8): 1997-2004.
  16. Sawyer KN, Camp-Rogers TR, Kotini-Shah P, Del Rios M, Gossip MR, Moitra VK, et al. Sudden cardiac arrest survivorship: A scientific statement from the American Heart Association. Circulation 2020; 141(12): e654-e85.
  17. Heidari Sabet F, Mirza-Hosseini H, Monirpour N. [Health promoting behavior model based on spiritual health, social support and mental capital in people with cardiovascular disease]. Iranian journal of cardiovascular nursing 2020; 9(1): 24-35. (Persian)
  18. Levine GN, Cohen BE, Commodore-Mensah Y, Fleury J, Huffman JC, Khalid U, et al. Psychological health, well-being, and the mind-heart-body connection: A scientific statement from the American Heart Association. Circulation 2021; 143(10): e763-e83.
  19. Nasiry Zarrin Ghabaee D, Saber Moghadam Ranjbar M, Bagheri Nesami M, Haresabadi M. [Relationship between mental health and quality of life in patients with heart failure]. Journal of rehabilitation research in nursing 2015; 1(4): 21-30. (Persian)
  20. Goldberg D. The detection of psychiatric illness by questionnaire. Oxford: Oxford University; 1972.
  21. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9(1): 139-45.
  22. Werneke U, Goldberg DP, Yalcin I, Üstün B. The stability of the factor structure of the General Health Questionnaire. Psychol Med 2000; 30(4): 823-9.
  23. Seidi M, Pegah A. Reliability and validity of the Kurdish version of General Health Questionnaire (K-GHQ). Journal of Garmian University 2019; 6(Special issue): 955-61.
  24. World Health Organization. WHOQOL-BREF: Introduction, administration, scoring and generic version of the assessment: Field trial version, December 1996. [cited 2012]. Available from: https:// www. who. int/ publications /i/item/WHOQOL-BREF
  25. Mohsenzadeh Y, Sarokhani D, Hemmati F, Sarokhani M, Baghban AA, Sayehmiri K. Quality of life in heart patients in Iran: A systematic review and meta-analysis method. Der Pharma Chemica 2016; 8(18): 27-34.
  26. Aburuz ME. Anxiety and depression predicted quality of life among patients with heart failure. J Multidiscipl Healthc 2018; 11: 367-73.
Journal of Fundamentals of Mental Health
Volume 27, Issue 1
January and February 2025
Pages 43-48

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