1- Department of Clinical Psychology, Shiraz University, Shiraz, Iran 2- Department of Nursing, Shiraz University, Shiraz, Iran 3- Department of Clinical Psychology, Shiraz University, Shiraz, Iran , Mehdis332@gmail.com
Abstract: (1649 Views)
Background & aim:Background & Aim: Cardiovascular diseases are increasingly recognized as psychosomatic conditions, where mental health disorders significantly influence the onset, progression, and prognosis of cardiac pathology. Given the bidirectional relationship between psychological distress and cardiac outcomes, this study aimed to investigate the prevalence of anxiety and depression and their associated risk factors among cardiac patients in Shiraz, Iran. Methods: This cross-sectional study included cardiac patients referred to hospitals in Shiraz. Participants were selected using a convenience sampling method. Data were collected using Beck’s Anxiety Inventory (BAI) and Beck’s Depression Inventory (BDI). Demographic and clinical variables were also recorded. Data were analyzed using SPSS version 24. Descriptive statistics, correlation analysis, and regression models were employed to determine the prevalence and predictors of anxiety and depression. Results: The prevalence of anxiety and depression in the study sample was 78.4% and 61%, respectively. Higher levels of anxiety and depression were observed in patients aged 50–60 years, those with lower educational attainment (below diploma level), individuals with four to six children, and users of neuropsychiatric medications. Notably, anxiety scores were significantly higher among those using psychotropic drugs. Multivariate analysis indicated that age, gender, and smoking status were significant joint predictors of depressive and anxiety symptoms. A strong, positive, and statistically significant correlation was found between anxiety and depression (r=0.54, p<0.01).
Conclusion: A high prevalence of anxiety and depression was observed among cardiac patients, with a significant comorbidity between these two disorders. These findings highlight the critical need for routine screening and integrated psychological interventions in the management of cardiac care to improve patient outcomes.
Payman A, Huorzad A, Sarafraz M, Tajali D. Investigating the Prevalence of Anxiety and Depression in Cardiac Patients Referred to Hospitals in Shiraz. armaghanj 2025; 30 (6) :895-911 URL: http://armaghanj.yums.ac.ir/article-1-3769-en.html