TÜRK POPÜLASYONUNDA KALICI ATRİYAL FİBRİLASYON ARTAN DEPRESYON VE ANKSİYETE BOZUKLUĞU İLE İLİŞKİLİDİR
Year 2023,
Volume: 30 Issue: 1, 57 - 62, 14.03.2023
Bayram Ali Uysal
,
Şenol Tayyar
Abstract
Amaç
Bu çalışmanın amacı Türk popülasyonunda Kalıcı Atriyal
Fibrilasyon (AF) ve depresyon/anksiyete bozukluğu
arasındaki ilişkiyi araştırmaktır. AF hastaları ve
ilişkili faktörler yanısıra anksiyete/depresyon üzerine
etkileri sınırlı olduğundan daha fazla verinin keşfedilmeye
ihtiyacı olduğunu düşündük.
Gereç ve Yöntem
Bu çalışmaya kalıcı AF'si olan ardışık 45 hasta ve 45
kontrol grubu (sinüs ritmi) dahil edildi. Tüm katılımcılar
Beck Depresyon Ölçeği (BDÖ) ve Hamilton Anksiyete
Ölçeği'ni (HAÖ) doldurdu. Duygudurum bozuklukları
ve depresyonu değerlendirmek için BDÖ kullanıldı.
Anksiyete düzeyinin şiddetini ve belirti dağılımını
değerlendirmek için HAÖ kullanıldı. BDÖ ve HAÖ iki
grup arasında karşılaştırıldı.
Bulgular
İki çalışma grubu arasında klinik ve demografik özellikler
açısından fark yoktu. Kalıcı AF'li hastalarda ortalama
BDÖ ve HAÖ skorları anlamlı olarak yüksekti
(p< 001).
Sonuç
Çalışmamız, Kalıcı AF'li hastaların kontrol grubuna
göre daha yüksek BDÖ ve HAÖ skorlarına sahip olduğunu
göstermektedir. Bildiğimiz kadarıyla çalışmamız
Türk popülasyonunda kalıcı AF ile depresyon/
anksiyete bozukluğu arasındaki ilişkiyi inceleyen ilk
araştırmadır.
Supporting Institution
yok
References
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SH, et al. ESC Committee for Practice Guidelines (CPG),
Bax JJ. 2012 focused update of the ESC Guidelines for the
management of atrial fibrillation: an update of the 2010 ESC
Guidelines for the management of atrial fibrillation Developed
with the special contribution of the European Heart Rhythm Association.
Eur Heart J. 2012; 33(21): 2719-47.
- 2. Morin DP, Bernard ML, Madias C, Rogers PA, Thihalolipa-van
S, Estes NA., The State of the Art: Atrial Fibrillation Epidemiology,
Prevention, and Treatment. Mayo Clin. Proc. 2016; 91
(12): 1778-810.
- 3. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst
S, et al. Guidelines for the management of atrial fibrillation: the
Task Force for the Management of Atrial Fibrillation of the European
Society of Cardiology (ESC). Eur Heart J. 2010; 31(19):
2369-429.
- 4. Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S. Epidemiology
of atrial fibrillation: European perspective. Clinical Epidemiology.
2014; Jun (16): 213-20.
- 5. Besli F, Basar C, Kecebas M, Turker Y. Improvement of the
myocardial performance index in atrial fibrilation patients treated
with amiodarone after cardioversion. Journal of Interventional
Cardiac Electrophysiology. 2015; 42(2): 107-15.
- 6. Yazıcı MK, Demir B, Tanrıverdi N, Karaağaoğlu E, Yolaç P. Hamilton
anksiyete değerlendirme ölçeği, değerlendiriciler arası
güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi 1998;
9(2): 114-7.
- 7. Snyder S, Strauss E, Burton R, Nuber G, Abernathy T, MA HS,
et al. Cost offset from a psychiatric consultation-liaison intervention
with elderly hip fracture patients. American Journal of
Psychiatry. 1991; 148 (Aug): 1044-9.
- 8. Patel D, Mc Conkey ND, Sohaney R, Mc Neil A, Jedrzejczyk A,
Armaganijan L. A systematic review of depression and anxiety
in patients with atrial fibrillation: the mind-heart link. Cardiovascular
Psychiatry and Neurology. 2013; 2013: 1
- 9. Turker Y, Ongel K, Ozaydin M, Turker Y, Bas FY, Akkaya M.
Mechanical prosthetic valve disease is related with an increase
in depression and anxiety disorder. Med Glas (Zenica). 2015;
12(1): 86-92.
- 10. David BU, Burns MD. Feeling Good: The New Mood Therapy.
NY: Signet Books. Chin, Richard. 1980; 42-3
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medical illness. Journal of psychosomatic research. 2002;
53(4): 859-63.
- 12. Katon W, Schulberg H. Epidemiology of depression in primary
care. General hospital psychiatry. 1992; 14(4): 237-47.
- 13. Jaarsma T, Kastermans M, Dassen T, Philipsen H. Problems
of cardiac patients in early recovery. Journal of Advanced Nursing.
1995; 21(1): 21-7.
- 14. Lown B. Sudden cardiac death: biobehavioral perspective. Circulation.
1987; 76(1 Pt 2): I 186-96.
- 15. Verrier RL. Mechanisms of behaviorally induced arrhythmias.
Circulation. 1987; 76(1 Pt 2): I 48-56.
- 16. Howes CJ, Reid MC, Brandt C, Ruo B, Yerkey MW, Prasad B,
et al. Exercise tolerance and quality of life in elderly patients
with chronic atrial fibrillation. Journal of cardiovascular pharmacology
and therapeutics. 2001; 6(1): 23-9.
- 17. Van den Berg MP, Hassink RJ, Tuinenburg AE, van Sonderen
EF, Lefrandt JD, de Kam PJ, et al. Quality of life in patients with
paroxysmal atrial fibrillation and its predictors: importance of the
autonomic nervous system. Eur Heart J. 2001; 22(3): 247-53.
- 18. Thrall G, Lip GY, Carroll D, Lane D. Depression, anxiety, and
quality of life in patients with atrial fibrillation. Chest. 2007;
132(4): 1259-64.
- 19. Eaker ED, Sullivan LM, Kelly-Hayes M, D’Agostino Sr RB, Benjamin
EJ. Tension and anxiety and the prediction of the 10-year
incidence of coronary heart disease, atrial fibrillation, and total
mortality: the Framingham Offspring Study. Psychosomatic
Medicine. 2005; 67(5): 692-6.
- 20. Sang CH, Chen K, Pang XF, Dong JZ, Du X, Ma H, et al. Depression,
anxiety, and quality of life after catheter ablation in
patients with paroxysmal atrial fibrillation. Clinical Cardiology.
2013; 36(1): 40-5.
- 21. Rudisch B, Nemeroff CB. Epidemiology of comorbid coronary
artery disease and depression. Biological psychiatry. 2003;
54(3): 227-40.
- 22. Koenig HG. Depression in hospitalized older patients with congestive
heart failure. General hospital psychiatry. 1998; 20(1):
29-43.
- 23. Dąbrowski R, Smolis-Bąk E, Kowalik I, Kazimierska B, Wójcicka
M, Szwed H. Quality of life and depression in patients with
different patterns of atrial fibrillation. Kardiologia Polska (Polish
Heart Journal). 2010; 68(10): 1133-9.
PERMANENT ATRIAL FIBRILLATION IS RELATED WITH AN INCREASE IN DEPRESSION AND ANXIETY DISORDER IN TURKISH POPULATION
Year 2023,
Volume: 30 Issue: 1, 57 - 62, 14.03.2023
Bayram Ali Uysal
,
Şenol Tayyar
Abstract
Objective
The aim of this study was to explore the relationship
with Permanent Atrial Fibrillation (AF) and depression/
anxiety disorder in Turkish population. We
thought that more data exploring needs of AF patients
and the associated factors as well as the impact of
anxiety/depression on needs are limited.
Material and Method
Forty-five consecutive patients with permanent AF
and forty-five control group (sinus rhythm) were enrolled
in this study. All participants completed Beck
Depression Scale (BDS) and Hamilton Anxiety Scale
(HAS). BDS was used to evaluate mood disorders
and depression. HAS was used to evaluate severity
of anxiety level and symptom distribution. BDS and
HAS were compared between two groups.
Results
There was no difference between two study group
in terms of clinical and demographic characteristics.
Mean scores of BDS and HAS were significantly
higher in patients with permanent AF (p< 001).
Conclusion
Our study demonstrates that patients with Permanent
AF had higher BDS and HAS scores compared to
control group. In our knowledge our study is the first
research that examining the relationship between
permanent AF and depression/anxiety disorder in
Turkish population.
References
- 1. Camm AJ, Lip GY, De Caterina R, Savelieva I, Atar D, Hohnloser
SH, et al. ESC Committee for Practice Guidelines (CPG),
Bax JJ. 2012 focused update of the ESC Guidelines for the
management of atrial fibrillation: an update of the 2010 ESC
Guidelines for the management of atrial fibrillation Developed
with the special contribution of the European Heart Rhythm Association.
Eur Heart J. 2012; 33(21): 2719-47.
- 2. Morin DP, Bernard ML, Madias C, Rogers PA, Thihalolipa-van
S, Estes NA., The State of the Art: Atrial Fibrillation Epidemiology,
Prevention, and Treatment. Mayo Clin. Proc. 2016; 91
(12): 1778-810.
- 3. Camm AJ, Kirchhof P, Lip GY, Schotten U, Savelieva I, Ernst
S, et al. Guidelines for the management of atrial fibrillation: the
Task Force for the Management of Atrial Fibrillation of the European
Society of Cardiology (ESC). Eur Heart J. 2010; 31(19):
2369-429.
- 4. Zoni-Berisso M, Lercari F, Carazza T, Domenicucci S. Epidemiology
of atrial fibrillation: European perspective. Clinical Epidemiology.
2014; Jun (16): 213-20.
- 5. Besli F, Basar C, Kecebas M, Turker Y. Improvement of the
myocardial performance index in atrial fibrilation patients treated
with amiodarone after cardioversion. Journal of Interventional
Cardiac Electrophysiology. 2015; 42(2): 107-15.
- 6. Yazıcı MK, Demir B, Tanrıverdi N, Karaağaoğlu E, Yolaç P. Hamilton
anksiyete değerlendirme ölçeği, değerlendiriciler arası
güvenirlik ve geçerlik çalışması. Türk Psikiyatri Dergisi 1998;
9(2): 114-7.
- 7. Snyder S, Strauss E, Burton R, Nuber G, Abernathy T, MA HS,
et al. Cost offset from a psychiatric consultation-liaison intervention
with elderly hip fracture patients. American Journal of
Psychiatry. 1991; 148 (Aug): 1044-9.
- 8. Patel D, Mc Conkey ND, Sohaney R, Mc Neil A, Jedrzejczyk A,
Armaganijan L. A systematic review of depression and anxiety
in patients with atrial fibrillation: the mind-heart link. Cardiovascular
Psychiatry and Neurology. 2013; 2013: 1
- 9. Turker Y, Ongel K, Ozaydin M, Turker Y, Bas FY, Akkaya M.
Mechanical prosthetic valve disease is related with an increase
in depression and anxiety disorder. Med Glas (Zenica). 2015;
12(1): 86-92.
- 10. David BU, Burns MD. Feeling Good: The New Mood Therapy.
NY: Signet Books. Chin, Richard. 1980; 42-3
- 11. Katon W, Ciechanowski P. Impact of major depression on chronic
medical illness. Journal of psychosomatic research. 2002;
53(4): 859-63.
- 12. Katon W, Schulberg H. Epidemiology of depression in primary
care. General hospital psychiatry. 1992; 14(4): 237-47.
- 13. Jaarsma T, Kastermans M, Dassen T, Philipsen H. Problems
of cardiac patients in early recovery. Journal of Advanced Nursing.
1995; 21(1): 21-7.
- 14. Lown B. Sudden cardiac death: biobehavioral perspective. Circulation.
1987; 76(1 Pt 2): I 186-96.
- 15. Verrier RL. Mechanisms of behaviorally induced arrhythmias.
Circulation. 1987; 76(1 Pt 2): I 48-56.
- 16. Howes CJ, Reid MC, Brandt C, Ruo B, Yerkey MW, Prasad B,
et al. Exercise tolerance and quality of life in elderly patients
with chronic atrial fibrillation. Journal of cardiovascular pharmacology
and therapeutics. 2001; 6(1): 23-9.
- 17. Van den Berg MP, Hassink RJ, Tuinenburg AE, van Sonderen
EF, Lefrandt JD, de Kam PJ, et al. Quality of life in patients with
paroxysmal atrial fibrillation and its predictors: importance of the
autonomic nervous system. Eur Heart J. 2001; 22(3): 247-53.
- 18. Thrall G, Lip GY, Carroll D, Lane D. Depression, anxiety, and
quality of life in patients with atrial fibrillation. Chest. 2007;
132(4): 1259-64.
- 19. Eaker ED, Sullivan LM, Kelly-Hayes M, D’Agostino Sr RB, Benjamin
EJ. Tension and anxiety and the prediction of the 10-year
incidence of coronary heart disease, atrial fibrillation, and total
mortality: the Framingham Offspring Study. Psychosomatic
Medicine. 2005; 67(5): 692-6.
- 20. Sang CH, Chen K, Pang XF, Dong JZ, Du X, Ma H, et al. Depression,
anxiety, and quality of life after catheter ablation in
patients with paroxysmal atrial fibrillation. Clinical Cardiology.
2013; 36(1): 40-5.
- 21. Rudisch B, Nemeroff CB. Epidemiology of comorbid coronary
artery disease and depression. Biological psychiatry. 2003;
54(3): 227-40.
- 22. Koenig HG. Depression in hospitalized older patients with congestive
heart failure. General hospital psychiatry. 1998; 20(1):
29-43.
- 23. Dąbrowski R, Smolis-Bąk E, Kowalik I, Kazimierska B, Wójcicka
M, Szwed H. Quality of life and depression in patients with
different patterns of atrial fibrillation. Kardiologia Polska (Polish
Heart Journal). 2010; 68(10): 1133-9.