Evaluation of Coronavirus Phobia and Depression in Patients With Cardiovascular Disease

Yıl 2022, Cilt: 17 Sayı: 1, 163 - 171, 21.03.2022

Neslihan Cansel , Yücel Karaca , Fatma Hilal Yağın

https://doi.org/10.17517/ksutfd.994994

Cited By: 1

Öz

Objective: Although there are numerous studies examining the psychological effects of COVID-19 pandemic on the general population, the number of studies on individuals with cardiovascular disease is limited. This study aimed to determine coronavirus phobia and depressive symptoms and their possible associated factors in cardiovascular disease patients during the current pandemic period.
Material and methods: In this cross-sectional study, patients applied to the cardiology outpatient clinic due to a cardiovascular disease between November-December, 2020, and individuals without any cardiovascular diseases were included. Participants answered a questionnaire consisting of sociodemographic variables, Patient Health Questionnaire-9 (PHQ-9) and COVID-19 Phobia Scale (CP19-S).
Results: In total, 372 people participated. The CPS-19 and PHQ-9 total scores of the patient group were higher than the control group. Patients reported that they most afraid of someone in the family might infected with the coronavirus. PHQ-9 total scores of females, CP19-S and PHQ-9 total scores of those with a history of psychiatric illness were high. Psychological, somatic, social subscale scores, CP19-S and PHQ-9 total scores of married patients were lower than singles. High leveled-education increased CP19-S total, psychological and social sub-scores. While the psychological and somatic subscale scores of the smokers were high, their PHQ-9 total scores were low. Those admitted to intensive care due to COVID-19 reflected low economic subscale and CP19-S total scores. Correlation analysis detected a correlation between the CP19-S subscale, total scores and PHQ-9 total scores.
Conclusion: The COVID-19 pandemic has psychologically affected cardiovascular patients. Evaluation of this effect may guide the taking of measures that will contribute to the prognosis and mortality of patients with cardiovascular disease.

Anahtar Kelimeler

cardiovascular disease, depression, COVID-19, phobia, pandemic

Kardiyovasküler Hastalığa Sahip Bireylerde Koronavirüs Fobisi ve Depresyonun Değerlendirilmesi

Öz

Amaç: COVID-19 pandemisinin genel popülasyondaki psikolojik etkilerini inceleyen çok sayıda çalışma olmasına rağmen kardiyovasküler hastalığa sahip bireyler üzerindeki etkilerinin araştırıldığı çalışma sayısı kısıtlıdır. Bu çalışma mevcut pandemi sürecinde kardiyovasküler hastalığı olan bireylerde koronavirüs fobisi ve depresif belirtiler ile bunlarla ilişkili olabilecek faktörleri tespit etmeyi amaçlamıştır.
Gereç ve Yöntemler: Kesitsel nitelikteki bu çalışmaya, Kasım-Aralık 2020 tarihleri arasında kardiyovasküler bir hastalık nedeniyle kardiyoloji polikliniğine başvuran hastalar ile herhangi bir kardiyovasküler hastalığı olmayan bireyler dâhil edildi. Katılımcılar sosyodemografik değişkenler, Hasta sağlığı anketi-9 (PHQ-9) ve Koronavirüs-19 Fobisi Ölçeği (CP19-S)’ne ait sorulardan oluşan bir anketi yanıtladı.
Bulgular: Çalışmada toplam 372 kişi yer aldı. Hasta grubunun CP19-S total ve PHQ-9 total puanları, kontrol grubundan yüksekti. Hastalar en çok aileden birinin korona virüse yakalanma olasılığından korktuğunu ifade etti. Kadın cinsiyette PHQ-9 total, psikiyatrik hastalık öyküsü olanlarda CP19-S ve PHQ-9 total puanlarını yüksekti. Evli hastaların psikolojik, somatik, sosyal alt ölçek puanları ile CP19-S ve PHQ-9 total puanları bekârlardan düşüktü. Eğitim düzeyi yüksekliği CP19-S total, psikolojik ve sosyal alt puanlarını arttırdı. Sigara içenlerin psikolojik ve somatik alt ölçek puanları yüksekken, PHQ-9 total puanları düşüktü. COVID-19 enfeksiyonu nedeniyle yoğun bakıma yatanların, ekonomik alt ve CP19-S total puanları arttırdı. Yapılan korelasyon analizinde CP19-S alt ölçek ve toplam puanları ile PHQ-9 toplam puanları arasında korelasyon vardı.
Sonuç: COVID-19 pandemisi kardiyovasküler hastalığa sahip bireyleri psikolojik olarak etkilemiştir. Oluşan bu etkinin değerlendirilmesi kardiyovasküler hastalığa sahip bireylerin prognozuna ve mortalitesine katkı sağlayacak önlemlerin alınmasına yol gösterici olabilir.

Anahtar Kelimeler

kardiyovasküler hastalık, depresyon, COVID-19, fobi, pandemi

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