Article

OBJECTIVE: To assess in coronary heart disease (CHD) patients: (1) differences in
the prevalence of depression and anxiety between samples selected from 22
countries; (2) the association of depression and anxiety with age, education,
diagnostic category, favourable behaviours, use of cardioprotective drugs, and
reaching the secondary prevention treatment targets. Cross-sectional
study. METHODS: The study group consisted of 8580 patients from 22 European
countries examined at least 6 months after hospitalization due to CHD. Depression
and anxiety were assessed using Hospital Anxiety and Depression Scale (HADS).
RESULTS: Prevalence of depression (HADS depression score >/= 8) varied from 8.2%
to 35.7% in men and from 10.3% to 62.5% in women. Prevalence of anxiety (HADS
anxiety score >/= 8) varied from 12.0% to 41.8% in men and from 21.5% to 63.7% in
women. Older age, female sex, low education, and no history of invasive treatment
were associated with more frequent depression and anxiety. Depression and anxiety
were associated with less frequent modification of lifestyle. Depression was
related with body mass index, waist circumference, fasting glucose, and more
frequent self-reported diabetes but not with reaching the treatment targets for
blood pressure and lipids. CONCLUSIONS: High prevalence of depression and anxiety
in CHD patients, and relation with less frequent lifestyle modification, call to
integrate methods of identification and minimizing unfavourable effects of
depression and anxiety into the cardiac rehabilitation and prevention programmes.

Langue : ANGLAIS