Key result
Among nonhospitalized Jordanian patients with CAD, 50% reported mild to moderate depression and 37% reported severe depression, with female gender and chronic disease identified as predictors.
Why the study?
Patients with CAD often experience depression, which increases mortality risk, but outpatient clinics in Jordan do not routinely screen for it, and predictors of depression in this population need to be identified.
What is the prevalence and what are the predictors of depression in nonhospitalized Jordanian patients with coronary artery disease?
Cross-Sectional (n=174)
What is the prevalence and what are the predictors of depression in nonhospitalized Jordanian patients with coronary artery disease?
A high prevalence of depression was found in Jordanian outpatients with CAD, highlighting the need for routine screening and management in this population.
Depression affects over half of nonhospitalized Jordanian CAD patients with identifiable predictors; leaves open causal links and screening benefits.
BACKGROUND: Patients with coronary artery disease (CAD) are likely to experience depression, which contributes to the burden of disease and is a risk factor for mortality. Patients in outpatient clinics in Jordan are not routinely screened for depression. Significant relationships among patient characteristics must be determined to ascertain the predictors of depression. PURPOSE: The aims of this research were to assess the level of depression symptoms in nonhospitalized patients with CAD; to examine the relationships between depression and relevant sociodemographic, self-reported health history, and patient health perception variables; and to identify possible predictors of depression in Jordan. METHODS: This cross-sectional study recruited a convenience sample (N = 174) of nonhospitalized outpatients who had been diagnosed with CAD. Self-reported demographic, health history, and health perception information (independent variables) were provided by the participants. The depression scores (dependent variable) for the participants were assessed using the Cardiac Depression Scale. Data were analyzed using descriptive statistics, the chi-square test, Pearson's correlations, and multiple linear regressions. RESULTS: Half of the participants reported mild to moderate depression, with 37% reporting severe depression. Predictors of depression included gender (being female), having a concomitant chronic disease, prior surgery, irregular exercise, impaired sexual activity, and self-perceived poor psychological health. CONCLUSIONS/IMPLICATIONS FOR PRACTICE: To improve patient outcomes, clinical personnel should screen patients with CAD for depression and offer a combined pharmaceutical and therapeutic treatment intervention. An easy-to-administer instrument to detect depression may be included in the standard patient checkup routine used in clinics. Several patient characteristics were found to significantly affect depression and health outcomes.
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Ibtisam M. Al-Zaru (2019) conducted a cross-sectional in Coronary Artery Disease (n=174). Patient characteristics (e.g., female gender, chronic disease) was evaluated on Depression scores assessed using the Cardiac Depression Scale. Among nonhospitalized Jordanian patients with CAD, 50% reported mild to moderate depression and 37% reported severe depression, with female gender and chronic disease identified as predictors.
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