Influencing factors of anxiety and depression among patients with acute coronary syndrome

Objective To investigate prevalences and influential factors of anxiety and depression in patients with acute coronary syndrome(ACS).Methods We collected 236 patients with ACS that admitted in our hospital from January to November of 2011.All the subjects were assessed with Hospital Anxiety and Depression Scale to evaluate the incidences of anxiety,depression and comorbidity of anxiety and depression.Comparative analysis influencing factors such as age,gender,body mass index,educational level,type of health insurance,other diseases and complications of ACS etc.Results Of all the subjects,79(33.5%) were identifed as anxiety,76(32.2%) as depression.The rate of the comorbidity of anxiety and depression was 22.0%.Multivariate logistic regression analysis showed female,education level,ejection fraction50% were the major influences of anxiety and depression in the patients with ACS(P0.05);Diabetes mellitus and body mass index24 kg/m2 were impact factors on depression visibly(P0.05);The patients who were female,at their own expenses and ejection fraction50% were prone to have comorbidity of anxiety and depression(P0.05).Conclusion There existed high prevalence of anxiety and depression disorders with ACS and more importance should be paid on the phenomenon.