STUDY ON PSYCHOSOCIAL STRESSORS AND PSYCHIATRY MORBIDITY IN ACUTE MYOCARDIAL INFARCTION: A QUANTITATIVE STUDY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 52
Abstract
BACKGROUND Numerous biological, environmental, behavioural, and sociocultural variables interact in its aetiology and pathogenesis of Coronary Heart Disease. It can be seen as a disorder of lifestyle and many of its aetiologic agents are potentially modifiable particularly life stressors. AIM We aimed 1. To compare the occurrence of stressful life events among myocardial infarction patients with non-myocardial infarction patients with diabetes mellitus as control group who are with same age and sex. 2. To assess the level of psychiatric morbidity in the post myocardial infarction period. MATERIALS AND METHODS The study was conducted in the intermediate care unit, Department of Cardiology, of tertiary care hospital. Thirty consecutive patients admitted who satisfied the inclusion criteria were included in the study. Thirty randomly selected patients were taken as controls. Both the patients and controls were administered the following tools: Presumptive Stressful Life Events Scale (PSLES), Socio-Economic Status scale (SES), Hospital anxiety and depression scale and ICD 10 criteria for depressive episode. RESULTS The clinical variable, blood pressure, and blood glucose level showed statistically significant level in myocardial infarction group. Alcohol drinking and smoking did not have any statistical significance. Presumptive stressful life events in the past 12 months are statistically significant. CONCLUSION Patients who developed myocardial infarction have more stressful life events in the preceding 12 months. Both depression and anxiety were significantly more in myocardial infarction than the controls. Further research requires samples representing all socioeconomic status to have a clear picture of the association of the biological and socioeconomic risk factors in coronary heart disease.
Authors and Affiliations
Mohamed Ilyas Kamal Batch, Alexander James, Arunkumar
Keywords
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- EP ID EP107220
- DOI 10.14260/jemds/2016/795
- Views 88
- Downloads 0
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