Pakistan Journal of Medical Sciences

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ISSN 1681-715X

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ORIGINAL ARTICLE

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Volume 24

April - June 2008 (Part-I)

Number  2


 

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Psychosocial factors associated with symptoms
of depression and anxiety following
Acute Myocardial Infarction

Muhammad Saleem Akhtar1, Saad Bashir Malik2, Masha Asad Khan3

ABSTRACT

Objective: To study factors associated with symptoms of depression and/or anxiety following acute myocardial infarction (AMI)

Methodology: This Cross-sectional analytical, non-interventional, hospital based study was carried out at Punjab Institute of Cardiology (P.I.C) and Services Hospital, Lahore. One hundred consecutive inpatients with AMI diagnosed using WHO criteria, with the age range of 30-60 years (who were without physical complications) were included in the study. The Urdu version of Hospital Anxiety and Depression Scale (HADS) was administered to each patient during the period of 5-7 days following AMI. A semi structured clinical interview was also conducted which included demographic information, psychiatric assessment and risk factors related to AMI especially psychosocial factors. Results were analyzed using Statistical Package for Social Sciences (SPSS).

Results: Out of 100 subjects, 80 (80%) were males and 20 (20%) were females. The age range was between 30-60 years (50.928.53). Over all, symptoms of depression and/or anxiety were found in 50 (50%) patients. More particularly, symptoms of depression were found in 14%, symptoms of anxiety in 18%, and mixed symptoms (depression and anxiety) in 18% of the patients. A significant association was found between symptoms of depression and/or anxiety following AMI and family history of AMI (p <.007), type A behavior traits (p <.001), job stress (p <.01) and lack of confiding relationships (p <.002). However, no significant association was found between symptoms of depression and/or anxiety following AMI and past history of AMI.

Conclusions: The findings highlight the critical need to assess symptoms of depression and/or anxiety following AMI along with the factors leading to these. This would be particularly important in patients who have a family history of MI, job related stress, lack of confiding relationships and type A behavior traits.

KEY WORDS: Depression, Anxiety, Symptoms, Psychosocial factors, Post Myocardial Infarction.

Pak J Med Sci    April - June 2008 (Part-I)    Vol. 24 No. 2    192-197


1. Dr. Muhammad Saleem Akhtar, DPM, MCPS, FCPS.
Assistant Professor, Department of Psychiatry,
2. Prof. Dr. Sad Bashir Malik, DPM, FRC Psych.
Head of Department of Psychiatry,
1-2: Allama Iqbal Medical College,
Lahore.
3. Ms. Masha Asad Khan, Mphil, MSc.
Lecturer, Psychology,
Kinnaird College for Women,
Lahore Pakistan.

Correspondence:

Dr. Muhammad Saleem Akhtar,
The Parklane Clinic, 31-L/A, Gulberg II, Lahore.
E-mail: msakhtar65@hotmail.com 

* Received for publication: November 28, 2007
* Revision Received: February 21, 2008
* Revision Accepted: February 22, 2008



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