title: Relationships between coronary angiography, mood, anxiety and insomnia.
abstract: The purpose of this study was to investigate and compare the anxiety, depression and insomnia levels in the pre- and post-coronary angiography in patients undergoing elective coronary angiography due to suspected coronary artery disease. This prospective cross-sectional study consisted of 120 patients consecutively underwent coronary angiogram (CAG) between January and August 2014 in Departments of Cardiology. The mean age was 57.49 (SD±9.73), and 58.3% of the sample were women. The Hospital Anxiety and Depression Scale, Profile of Mood States Scale, Spielberger's State-Trait Anxiety Inventory, and Insomnia Severity Index were used. Patients were subsumed under 2 groups as normal and critical according to the presence or the absence of visually severe stenosis in at least one coronary artery. Subjects with significant stenosis had greater mean scores on depression-dejection and anger-hostility sub-scales of the POMS in the post-angiography than pre-angiography scores. We found that older age and having a physical illness significantly contributed to the risk of having significant stenosis in coronary vasculature. Subjects with severe coronary artery stenosis scored higher on depression-dejection and anger-hostility sub-scales at the post-angiography time period relative to pre-angiography scores. Trait and state anxiety levels were found to be moderate higher in both groups.
authors.affiliation: Yuzuncu Yil University Medicine Faculty, Department of Psychiatry, Van, Turkey. Electronic address: pguzelozdemir@yahoo.com.
authors.forename: Pınar Guzel
authors.initials: PG
authors.lastname: Ozdemir
authors.affiliation: Selcuk University, Medicine Faculty, Department of Psychiatry, (SUSAB, Neuroscience Research Unit), Konya, Turkey. Electronic address: dryavuzselvi@yahoo.com.
authors.forename: Yavuz
authors.initials: Y
authors.lastname: Selvi
authors.affiliation: Yuzuncu Yil University, School of Science and Arts, Department of Psychology, Van, Turkey. Electronic address: boysan.murat@gmail.com.
authors.forename: Murat
authors.initials: M
authors.lastname: Boysan
authors.affiliation: Van Education and Research Hospital, Department of Cardiology, Turkey. Electronic address: dragit56@hotmail.com.
authors.forename: Mahmut
authors.initials: M
authors.lastname: Ozdemir
authors.affiliation: Yuzuncu Yil University, Medicine Faculty, Department of Cardiology, Van, Turkey.
authors.forename: Serkan
authors.initials: S
authors.lastname: Akdağ
authors.affiliation: Yuzuncu Yil University, Medicine Faculty, Department of Cardiology, Van, Turkey. Electronic address: fatihozturk2488@gmail.com.
authors.forename: Fatih
authors.initials: F
authors.lastname: Ozturk
mesh_terms: D000328:Adult; D000339:Affect; D000368:Aged; D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D017023:Coronary Angiography / Q000523:psychology*; D023921:Coronary Stenosis / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D011569:Psychiatric Status Rating Scales; D007319:Sleep Initiation and Maintenance Disorders / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*
keywords: Anxiety; Coronary artery stenosis; Depression; Insomnia