Anxiety-depressive disorders in patients with type 2 diabetes mellitus complicated with acute coronary syndrome
Chazova, T.E.; Voznesenskaia, T.G.; Golitsyna, T.I.
Kardiologiia 47(6): 10-14
2007
ISSN/ISBN: 0022-9040 PMID: 18260868 Document Number: 608660
Psychological status of 140 patients with type 2 diabetes mellitus (DM) and acute coronary syndrome (ACS) was studied on the 12-th day after the moment of admission to the cardioreanimation department and in 6 months after discharge from hospital. Spielberger questionnaire was used for assessment of level of personal and reactive anxiety, Beck scale -- for estimation of level of depression, and Holmes - Ray scale -- for calculation of total number of stressful events. Average level of anxiety in acute period of ACS corresponded to high level of anxiety disorders (reactive anxiety score 47.64 +/- 10.49, personal anxiety score 48.7 +/- 8.77). Level of depressive disorders was in the limits of 3-49 points (median score 15.1 [5.1; 32.9]). Clinically evident depression corresponded to moderate and severe degree in 48.6% (68 of 140) patients. Mean total number of stressful events was 154 +/- 9.8 (median 129 [68.8; 317.8] points). After 6 months of follow up levels of personal and reactive anxiety remained high and were approximately equal to initial (45.63 +/- 11.3 and 40.79 +/- 11.6 points, respectively). Depressive disorders persisted in 57.4% of patients and level of depression corresponded to moderate and severe depressive disorders in 37.7% of cases. High prevalence of anxiety-depressive disorders was revealed in patients with type 2 DM complicated with development of ACS. Anxiety-depressive disorders persist minimally for 6 months after ACS.