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Impact of Depression and Anxiety on Quality of Life in Patients with Chest Pain  

Shin, Mi Hee (Department of Psychiatry, Pusan National University School of Medicine, Pusan National University Hospital)
Park, Sook Hyun (Department of Psychiatry, Bong Seng Memorial Hospital)
Lee, Han Cheol (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital)
Moon, Eunsoo (Department of Psychiatry, Pusan National University School of Medicine, Pusan National University Hospital)
Lee, Hye-Won (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital)
Kim, Bo Won (Division of Cardiology, Department of Internal Medicine, Pusan National University Hospital)
Publication Information
Anxiety and mood / v.7, no.2, 2011 , pp. 79-84 More about this Journal
Abstract
Objectives : There has been substantial evidence that patients with chest pain have depression and anxiety, and show impaired quality of life (QoL). This study aimed to campare the QoL according to types of chest pain and to examine the impact of depression and anxiety on QoL in patients with chest pain. Methods : Forty-seven patients with chest pain were divided into Cardiac-Typical Chest Pain (CTCP, n=22) and Non-Cardiac-Atypical Chest Pain groups (NCACP, n=25) according to the pain characteristics and cardiovascular disease. Patients were assessed for depression using the Beck Depression Inventory (BDI), for anxiety using the State-Trait Anxiety Inventory (STAI), and QoL was assessed using the Korean version of the SmithKlein Beecham 'Quality of Life' Scale (KvSBQOL). Results : Compared with the CTCP group, the NCACP group reported significantly higher anxiety, and lower QoL. There was no significant difference in QoL between the two groups after adjusting for anxiety. The QoL was associated with depression and trait-anxiety in the CTCP group, and with trait-anxiety in the NCACP group. Conclusion : The findings suggest that there are different effects of depression and anxiety on QoL in individuals with CTCP and NCACP. Understanding about these differences can be important in the treatment of patients with chest pain. A large prospective study is needed to confirm these results.
Keywords
Chest pain; Depression; Anxiety; Quality of life;
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