Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology
Alessandra Gorini,
Mattia Giuliani,
Luca Raggio,
Simone Barbieri and
Elena Tremoli
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Alessandra Gorini: Department of Oncology and Hemato-Oncology, University of Milan, Via Festa del Perdono, 7, 20122 Milan, Italy
Mattia Giuliani: IRCCS Centro Cardiologico Monzino, Via Carlo Parea, 4, 20138 Milan, Italy
Luca Raggio: Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, 20141 Milan, Italy
Simone Barbieri: IRCCS Centro Cardiologico Monzino, Via Carlo Parea, 4, 20138 Milan, Italy
Elena Tremoli: IRCCS Centro Cardiologico Monzino, Via Carlo Parea, 4, 20138 Milan, Italy
IJERPH, 2020, vol. 17, issue 14, 1-9
Abstract:
Despite the fact that American Heart Association (AHA) recommended a systematic screening for depression in cardiovascular inpatients, poor attention has been given to this issue. Furthermore, no specific guidelines exist for anxiety screening in cardiovascular inpatients. Thus, the aims of this study were to verify the feasibility of a depressive and anxiety symptoms screening protocol in an Italian hospital specializing in cardiovascular diseases and to evaluate both anxiety and depressive symptoms prevalence. A group of 2009 consecutive inpatients completed the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7). The rates of depressive and anxiety symptoms were almost 9% and 16% respectively. Men were less likely than women to experience both depressive and anxiety symptoms. Patients who were admitted to the heart failure unit reported higher risk of experiencing both symptoms compared to patients in other wards. Similarly, patients admitted to the cardiac surgery unit showed a higher risk of experiencing anxiety symptoms compared to other patients. The proposed screening procedure showed a good feasibility and acceptance. This study highlighted the importance of implementing a short screening procedure in hospitals dealing with cardiovascular inpatients to identify those individuals who require specific attention and interventions.
Keywords: cardiovascular diseases (CVD); depressive symptoms; anxiety symptoms; health psychology; screening; PHQ-9; GAD-7 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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Persistent link: https://EconPapers.repec.org/RePEc:gam:jijerp:v:17:y:2020:i:14:p:5007-:d:383450
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