Full Article: PDF
Scientific Object Identifier: http://s-o-i.org/1.1/TAS-09-137-1
DOI: https://dx.doi.org/10.15863/TAS.2024.09.137.1
Language: Russian
Citation: Gurbanov, N.M. (2024). Analysis of social and psychosocial characteristics of patients with CHD with concording anxiety-depressive disorders. ISJ Theoretical & Applied Science, 09 (137), 1-7. Soi: http://s-o-i.org/1.1/TAS-09-137-1 Doi: https://dx.doi.org/10.15863/TAS.2024.09.137.1 |
Pages: 1-7
Published: 30.09.2024
Abstract: Target. To assess the significance of psychosocial factors, anxiety and depressive disorders in predicting the characteristics of comorbid conditions in patients with coronary heart disease (CHD). Material and methods. The study included 144 patients aged 43 to 75 years and above who applied to the Central district hospitals of the Guba, Khachmaz and Gusar regions of the Azerbaijan Republic in connection with cardiovascular diseases, of which 92 patients with coronary artery disease, with identified anxiety and depressive disorders. The patient selection procedure included analysis of primary medical documentation data (medical history, outpatient medical record), filling out a thematic card with a detailed description of anamnestic and clinical indicators characterizing the somatic and mental state, as well as the socio-psychological status of patients with coronary artery disease. Results. The results obtained indicate a high incidence of cardiovascular risk factors and associated clinical conditions, including metabolic disorders of lipid, carbohydrate and fat metabolism in patients with coronary artery disease with anxiety and depression. Analysis of risk factors for the development and progression of coronary atherosclerosis and cardiovascular complications showed that in patients with coronary artery disease with anxiety and depression, in 65.2% of cases it was associated with arterial hypertension (stage III hypertension), in 34.8% -with overweight and obesity. Heredity was aggravated by cardiovascular diseases in 79.8% of patients. The significantly higher incidence of females among cardiac hospital patients with anxiety and depressive disorders corresponds to the well-established opinion that in the population as a whole, anxiety and depression occur more often in women than in men. When dividing patients in the compared groups by gender and duration of coronary history, statistically significant differences were obtained. Our studies showed that among patients with anxiety and depression, there were statistically significantly fewer married people, while the number of unmarried people, and especially divorced and widowed people, was statistically significantly higher, which is explained by the fact that widowed and single patients are often deprived of social support in family. Conclusion. The study established a high compatibility and interrelation of cardiovascular risk factors, psychosocial factors, anxiety and depressive disorders, which were included in the list of significant predictors for predicting the characteristics of comorbid conditions and progression of coronary artery disease. The results obtained provide guidelines for an interdisciplinary approach to the correction and prevention of combined pathology.
Key words: medical and social characteristics, anxiety, depression, coronary heart disease, psychosocial factors.
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