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Article

Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology

1
Department of Oncology and Hemato-Oncology, University of Milan, Via Festa del Perdono, 7, 20122 Milan, Italy
2
IRCCS Centro Cardiologico Monzino, Via Carlo Parea, 4, 20138 Milan, Italy
3
Applied Research Division for Cognitive and Psychological Science, European Institute of Oncology IRCCS, 20141 Milan, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(14), 5007; https://doi.org/10.3390/ijerph17145007
Received: 27 June 2020 / Revised: 8 July 2020 / Accepted: 10 July 2020 / Published: 12 July 2020
(This article belongs to the Special Issue Survey about Psychological Health)
Despite the fact that American Heart Association (AHA) recommended a systematic screening for depression in cardiovascular inpatients, poor attention has been given to this issue. Furthermore, no specific guidelines exist for anxiety screening in cardiovascular inpatients. Thus, the aims of this study were to verify the feasibility of a depressive and anxiety symptoms screening protocol in an Italian hospital specializing in cardiovascular diseases and to evaluate both anxiety and depressive symptoms prevalence. A group of 2009 consecutive inpatients completed the 9-item Patient Health Questionnaire (PHQ-9) and the 7-item Generalized Anxiety Disorder (GAD-7). The rates of depressive and anxiety symptoms were almost 9% and 16% respectively. Men were less likely than women to experience both depressive and anxiety symptoms. Patients who were admitted to the heart failure unit reported higher risk of experiencing both symptoms compared to patients in other wards. Similarly, patients admitted to the cardiac surgery unit showed a higher risk of experiencing anxiety symptoms compared to other patients. The proposed screening procedure showed a good feasibility and acceptance. This study highlighted the importance of implementing a short screening procedure in hospitals dealing with cardiovascular inpatients to identify those individuals who require specific attention and interventions. View Full-Text
Keywords: cardiovascular diseases (CVD); depressive symptoms; anxiety symptoms; health psychology; screening; PHQ-9; GAD-7 cardiovascular diseases (CVD); depressive symptoms; anxiety symptoms; health psychology; screening; PHQ-9; GAD-7
MDPI and ACS Style

Gorini, A.; Giuliani, M.; Raggio, L.; Barbieri, S.; Tremoli, E. Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology. Int. J. Environ. Res. Public Health 2020, 17, 5007. https://doi.org/10.3390/ijerph17145007

AMA Style

Gorini A, Giuliani M, Raggio L, Barbieri S, Tremoli E. Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology. International Journal of Environmental Research and Public Health. 2020; 17(14):5007. https://doi.org/10.3390/ijerph17145007

Chicago/Turabian Style

Gorini, Alessandra, Mattia Giuliani, Luca Raggio, Simone Barbieri, and Elena Tremoli. 2020. "Depressive and Anxiety Symptoms Screening in Cardiac Inpatients: A Virtuous Italian Approach to Psychocardiology" International Journal of Environmental Research and Public Health 17, no. 14: 5007. https://doi.org/10.3390/ijerph17145007

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