PMID- 36186120
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221004
IS  - 2444-8672 (Electronic)
IS  - 2444-8664 (Print)
IS  - 2444-8664 (Linking)
VI  - 7
IP  - 4
DP  - 2022 Jul-Aug
TI  - Anxiety in heart failure patients and its association with socio-demographic and 
      clinical characteristics: a cross-sectional study.
PG  - e177
LID - 10.1097/j.pbj.0000000000000177 [doi]
LID - e177
AB  - Anxiety is one of the most frequent psychiatric disorders in heart failure (HF) 
      patients. However, it is often neglected in clinical practice and studies about 
      the particular relationship with the New York Heart Association (NYHA) classes 
      for HF are scarce. In this context, this study aims to analyze the presence of 
      anxiety symptoms in HF outpatients and also its association with sociodemographic 
      and clinical characteristics of these patients. METHODS: This cross-sectional 
      study is part of the longitudinal Deus Ex-Machina project 
      (NORTE-01-0145-FEDER-000026). HF patients were recruited at an outpatient clinic 
      at a University Hospital. Patients with inability to communicate, severe 
      visual/hearing impairment, or NYHA class IV were excluded. Sociodemographic data 
      and NYHA class were registered. Anxiety was assessed with the 7-item Generalized 
      Anxiety Disorders Scale (with a score >/=10 clinically relevant anxiety). Patients 
      with and without anxiety were compared regarding socio-demographic and clinical 
      variables. RESULTS: The sample (n = 136) had a median age of 59years (Q(1): 49; 
      Q(3): 68), 66.2% were male and 31.6% presented clinically relevant anxiety. A 
      higher percentage of HF patients with anxiety had psychiatric disorders (58.1% vs 
      26.9%; P = .001), psychotropic medication (62.8% vs 30.1%; P = .001), and 
      depression (60.5% vs 9.7%; P< .001). No significant differences were found 
      regarding the remaining variables, including NYHA classes. CONCLUSIONS: A 
      substantial proportion of HF patients present clinically relevant anxiety, 
      particularly those with psychiatric history, depressive symptoms, or under 
      psychotropic medication. Therefore, integrating routine screening and treatment 
      of this comorbidity in clinical practice is of utmost importance. Further studies 
      are needed to clarify the association of anxiety with HF.
CI  - Copyright (c) 2022 The Authors. Published by Wolters Kluwer Health, Inc. on behalf 
      of PBJ-Associacao Porto Biomedical/Porto Biomedical Society. All rights reserved.
FAU - Costa, Filipa M D
AU  - Costa FMD
AD  - Faculty of Medicine - University of Porto, Porto, Portugal.
FAU - Martins, Sonia P V
AU  - Martins SPV
AD  - Department of Clinical Neurosciences and Menta Health, Faculty of Medicine - 
      University of Porto, Porto, Portugal.
AD  - Center for Health Technology and Services Research (CINTESIS), Faculty of 
      Medicine - University of Porto, Porto, Portugal.
FAU - Moreira, Emilia C T D
AU  - Moreira ECTD
AD  - Center for Health Technology and Services Research (CINTESIS), Faculty of 
      Medicine - University of Porto, Porto, Portugal.
FAU - Cardoso, Jose C M S
AU  - Cardoso JCMS
AD  - Center for Health Technology and Services Research (CINTESIS), Faculty of 
      Medicine - University of Porto, Porto, Portugal.
AD  - Department of Medicine, Faculty of Medicine - University of Porto, Porto, 
      Portugal.
AD  - Department of Cardiology, Centro Hospitalar Universitario S. Joao, Porto, 
      Portugal.
FAU - Fernandes, Lia P N S
AU  - Fernandes LPNS
AD  - Department of Clinical Neurosciences and Menta Health, Faculty of Medicine - 
      University of Porto, Porto, Portugal.
AD  - Center for Health Technology and Services Research (CINTESIS), Faculty of 
      Medicine - University of Porto, Porto, Portugal.
AD  - Psychiatry Service, Centro Hospitalar Universitario S. Joao, Porto, Portugal.
LA  - eng
PT  - Journal Article
DEP - 20220909
PL  - United States
TA  - Porto Biomed J
JT  - Porto biomedical journal
JID - 101707479
PMC - PMC9521754
OTO - NOTNLM
OT  - GAD-7
OT  - New York Heart Association functional classes
OT  - anxiety
OT  - heart failure
OT  - mental health
OT  - psychiatric disorder
EDAT- 2022/10/04 06:00
MHDA- 2022/10/04 06:01
PMCR- 2022/09/09
CRDT- 2022/10/03 04:29
PHST- 2021/06/04 00:00 [received]
PHST- 2021/12/12 00:00 [accepted]
PHST- 2022/10/03 04:29 [entrez]
PHST- 2022/10/04 06:00 [pubmed]
PHST- 2022/10/04 06:01 [medline]
PHST- 2022/09/09 00:00 [pmc-release]
AID - PBJ-D-21-00054 [pii]
AID - 10.1097/j.pbj.0000000000000177 [doi]
PST - epublish
SO  - Porto Biomed J. 2022 Sep 9;7(4):e177. doi: 10.1097/j.pbj.0000000000000177. 
      eCollection 2022 Jul-Aug.