The prevalence of depression, stress and anxiety symptoms in patients with chronic heart failure

• DOI: 10.1186/s13033-021-00467-x
• Publication Date: 2021-05-12T07:08:03Z
• Authors: Nqoba Tsabedze; Jamie-Leigh Hayes...; Dineo Mpanya; Vanessa Mogashoa; Eric Klug; Pravin Manga
• Keywords: Depression; Interquartile range; Outpatient clinic

Abstract Background Mental health illnesses are associated with frequent hospitalisation and an increased risk of all-cause mortality. Despite the high prevalence depression in patients chronic heart failure (CHF), there is a paucity data on this subject from low middle-income countries (LMIC). The aim study was to determine depression, anxiety, stress symptoms attending dedicated CHF clinic. Methods A prospective conducted at outpatient clinic tertiary academic centre. participants completed Depression, Anxiety Stress (DASS-21) questionnaire screen for presence severity anxiety symptoms. Furthermore, Minnesota Living Heart Failure Questionnaire (MLHFQ) used evaluate impact health-related quality life (QoL). Descriptive statistics were describe patients' characteristics logistic regression analysis identify predictors depression. Results population comprised 103 patients, predominantly female (62.1%) median age 53 (interquartile range 38–61) years. Symptoms reported by 52.4%, 11.6% reporting suggestive extremely severe diagnosed 53.4% 18.4% patients. Fifty classified as stressed, only 7.7% had stress. More than half (54.4%) New York Association functional class I. mean left ventricular ejection fraction entire cohort 30% (SD = ± 11.1%). In multivariable model, MLHFQ score [odds ratio (OR) 1.04, 95% CI:1.02–1.06, p 0.001] six-minute walk test [OR 0.99, CI: 0.98–0.99, 0.014] identified independent Conclusion Depression found over We recommend that mental screening should be routinely performed CHF. Prospective, adequately powered, multicentre studies LMIC investigating outcomes such QoL, mortality required.