Objective: To explore the risk factors of depressive and/or anxiety symptoms in patients with coronary heart disease (CHD) in the general hospital of main cities in China.
Methods: A hospital-based cross-sectional study was conducted in four main cities in China in 2004. 359 CHD patients were recruited continually during six months from the outpatient and inpatient department of 7 tertiary hospitals. Face-to-face interview was used in data collection together with the self-completed HAD scale for depressive and/or anxiety symptom screening. Multinomial Logistic Model was adopted in data analysis.
Results: Among 359 CHD patients, 82 (22.8%) obtained a HAD score of 9 and above. Non-ambulatory patients had a statistically higher risk of depressive symptoms (OR = 17.996, 95 % CI:3.872 - 83.636); subjects younger than 65 years old, or having an education year equal or less than 9 year, or having a self-assessment of CHD deterioration had increased risk of anxiety symptoms with the ORs at 3.151 (95% CI: 1.151-8.629), 3.154(95% CI: 1.094-9.092) and 4.229 (95% CI: 1.396-12.809) respectively. Hospitalized (OR = 4.887, 95% CI: 1.711-13.960) and non-ambulatory (OR = 6.583, 95% CI: 2.776-15.612) CHD patients were more liable to suffer both depressive and anxiety symptoms.
Conclusion: It was noticeable to health care providers both in somatic disease care and mental health care that non-ambulatory status, younger than 65 years old, lower education level, felt deterioration of CHD and hospitalization were possible risk factors for depressive and/or anxiety symptoms in patients with CHD in general hospitals in urban China.
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