Symptoms of depression and anxiety after cardiac arrest.
OBJECTIVE
The aim of the study was to assess the incidence of depression and anxiety symptoms in patients after cardiac arrest (SCA) in relation to patients with a history of myocardial infarction without SCA and in healthy individuals. The analysis of the impact of selected socio-demographic and clinical parameters and duration of SCA on the presence and severity of depression and anxiety symptoms in different groups was also performed.


METHODS
The study involved 30 patients after SCA and 31 patients with a history of myocardial infarction without SCA. The control group consisted of 30 healthy subjects. To assess the mental state, a specially developed questionnaire was used, while the presence and severity of the symptoms were assessed using the Hamilton Depression Rating Scale (HDRS) and the Hamilton Anxiety Rating Scale (HAM-A).


RESULTS
Statistically, a significantly higher average level of depression and a higher incidence of anxiety was demonstrated in patients after a sudden cardiac arrest (study group) and after myocardial infarction (reference group) compared with the control group. There were no statistically significant differences in the incidence of anxiety between the study and reference groups. No impact of the duration of cardiac arrest on the incidence of depression and anxiety symptoms in the study group was observed.


CONCLUSIONS
In the group of people with a history of cardiac arrest, the most common mental disorder is depression. Anxiety and depression are significantly more frequent in patients with a history of SCA than in healthy individuals. There were no differences in the incidence and severity of depression symptoms in patients after SCA compared to patients after myocardial infarction without SCA. The described socio-demographic parameters and clinical characteristics had no impact on the symptoms of depression and anxiety in the investigated groups.
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia Chair and Clinical Department of Psychiatry in Tarnowskie Góry.
Magdalena
M
Piegza
"Feniks" Mental Health Centre in Katowice.
Magdalena
M
Jaszke
Psychiatric Department of the Multidisciplinary Hospital in Tarnowskie Góry.
Piotr
P
Ścisło
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia Chair and Clinical Department of Psychiatry in Tarnowskie Góry.
Robert
R
Pudlo
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia Chair and Clinical Department of Psychiatry in Tarnowskie Góry.
Karina
K
Badura-Brzoza
III Katedra i Oddział Kliniczny Kardiologii, ŚCCS w Zabrzu.
Jacek
J
Piegza
School of Medicine with the Division of Dentistry in Zabrze, Medical University of Silesia Chair and Clinical Department of Psychiatry in Tarnowskie Góry.
Piotr Wacław
PW
Gorczyca
Psychiatric Department of the Multidisciplinary Hospital in Tarnowskie Góry.
Robert T
RT
Hese
D001007:Anxiety / Q000175:diagnosis / Q000453:epidemiology*; D015984:Causality; D015897:Comorbidity; D003863:Depression / Q000175:diagnosis / Q000453:epidemiology*; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006323:Heart Arrest / Q000453:epidemiology*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology* / Q000601:surgery; D011044:Poland; D011569:Psychiatric Status Rating Scales; D029424:Pulmonary Disease, Chronic Obstructive / Q000453:epidemiology; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires
depression, anxiety, cardiac arrest