Analysis of anxiety and depression among cardio-cerebrovascular disease patients in comprehensive hospitals

  Objective   To investigate the prevalence and its determinants of anxiety and depression among cardio-cerebrovascular disease patients of comprehensive hospitals in Chengdu city.

  Methods   3 comprehensive hospitals were selected by convenience sampling method, among which 152 patients with coronary heart disease and 100 patients with stroke were collected continuously.All the subjects were assessed by Hospital Anxiety and Depression Scale(HADS), Hamilton anxiety scale (HAMA)and Hamilton depression scale(HAMD)by psychiatrist.

  Results   5.6% paients were identified as depression, 6.7% as anxiety, 92.9% patients with depression as co-morbid of anxiety, 76.5% patients with anxiety as co-morbid of depression.No depression patient was diagnosed as depression, and received anti-depression treatment in the past, only 11.8% anxiety patients were diagnosed as anxiety and received anti-anxiety treatment in the past.Unemployment, current poor health condition and heavy work fatigue were risk factors for depression and anxiety.

  Conclusion   The rate of the co-morbidity of anxiety and depression is quite high, and also the rate of diagnosis and treatment is pretty low.