Anxiety and mood (대한불안의학회지)

Korean Academy of Anxiety Disorders (대한불안의학회)
권호 표지

Impact of Depression and Anxiety on Quality of Life in Patients with Chest Pain

우울과 불안이 흉통 환자의 삶의 질에 미치는 영향

  • Shin, Mi Hee (Department of Psychiatry, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Park, Sook Hyun (Department of Psychiatry, Bong Seng Memorial Hospital) ;
  • Lee, Han Cheol (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital) ;
  • Moon, Eunsoo (Department of Psychiatry, Pusan National University School of Medicine, Pusan National University Hospital) ;
  • Lee, Hye-Won (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital) ;
  • Kim, Bo Won (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital)
  • 신미희 (부산대학교 의과대학 정신과학교실) ;
  • 박숙현 (김원묵기념 봉생병원 신경정신과) ;
  • 이한철 (부산대학교병원 순환기내과) ;
  • 문은수 (부산대학교 의과대학 정신과학교실) ;
  • 이혜원 (부산대학교병원 순환기내과) ;
  • 김보원 (부산대학교병원 순환기내과)
  • Received : 2011.07.23
  • Accepted : 2011.09.27
  • Published : 2011.10.30
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Abstract

Objectives : There has been substantial evidence that patients with chest pain have depression and anxiety, and show impaired quality of life (QoL). This study aimed to campare the QoL according to types of chest pain and to examine the impact of depression and anxiety on QoL in patients with chest pain. Methods : Forty-seven patients with chest pain were divided into Cardiac-Typical Chest Pain (CTCP, n=22) and Non-Cardiac-Atypical Chest Pain groups (NCACP, n=25) according to the pain characteristics and cardiovascular disease. Patients were assessed for depression using the Beck Depression Inventory (BDI), for anxiety using the State-Trait Anxiety Inventory (STAI), and QoL was assessed using the Korean version of the SmithKlein Beecham 'Quality of Life' Scale (KvSBQOL). Results : Compared with the CTCP group, the NCACP group reported significantly higher anxiety, and lower QoL. There was no significant difference in QoL between the two groups after adjusting for anxiety. The QoL was associated with depression and trait-anxiety in the CTCP group, and with trait-anxiety in the NCACP group. Conclusion : The findings suggest that there are different effects of depression and anxiety on QoL in individuals with CTCP and NCACP. Understanding about these differences can be important in the treatment of patients with chest pain. A large prospective study is needed to confirm these results.

Keywords

References

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