Key result
Cardiac outpatients with psychiatric disorders had lower quality of life scores than those without, particularly in the psychological health domain.
Why the study?
The study aimed to measure quality of life in cardiac outpatients with psychiatric disorders compared to those without psychiatric disorders.
Does the presence of psychiatric disorders reduce quality of life in cardiac outpatients?
Cross-Sectional (n=343)
No
Does the presence of psychiatric disorders reduce quality of life in cardiac outpatients?
Cardiac outpatients with comorbid psychiatric disorders experience significantly poorer quality of life across all domains compared to those without psychiatric comorbidities.
Answers are grounded in this paper and cite their sources.
Psychiatric comorbidity may reduce quality of life in cardiac outpatients; leaves open whether screening improves outcomes.
Background The study aims to measure the quality of life (QOL) for cardiac outpatients with psychiatric disorders (CPP) in comparison to cardiac outpatients without psychiatric disorders (CPOP). A semi-structured interview was performed for consecutive cardiac outpatients. Psychiatric diagnoses were confirmed using the mini-international neuropsychiatric interview (MINI). The QOL was measured by the World Health Organization quality of life (WHOQOL-BREF). Results Out of the 343 enrolled patients, 93 (27.1%) patients were found to have psychiatric disorders. The WHO-BREF score of QOL was 4.25 ± 0.85. The CPP were found to have statistically significant lower scores in QOL than CPOP in all the WHOQOL-BREF domains. Particularly, the domain of psychological health showed the highest difference between the two groups (76.9 vs. 87.8, P < 0.001), whereas the environment domain showed the lowest difference between them (80.2 vs. 87.9, P < 0.001). Within each QOL domain, patients with congestive heart failure and psychiatric disorders showed the lowest QOL in both the physical domain (51.4 vs. 71.3, P < 0.02) and the social domain (64.7 vs. 81.9, P < 0.05), while patients with vulvular heart disease and psychiatric disorders showed the lowest QOL in the psychological domain (74.6 vs. 85.7, P < 0.001) and patients with arrhythmias and psychiatric disorders in the environment domain (80 vs. 86.2, P < 0.02). Conclusions The QOL of CPP were found to have poorer QOL than CPOP. The magnitude of difference in QOL was the highest in the psychological health domain and the lowest in the environment domain.
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Alzahrani et al. (2022) conducted a cross-sectional in Cardiac diseases with and without psychiatric disorders (n=343). Psychiatric disorders vs. No psychiatric disorders was evaluated on Psychological health domain score (WHOQOL-BREF) (p=<0.001). Cardiac outpatients with psychiatric disorders had lower quality of life scores than those without, particularly in the psychological health domain.
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