Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: The aim of this study was to estimate the prevalence of depression and anxiety among patients in cardiac rehabilitation at Reykjalundur Rehabilitation Center and to study the impact of a 4-5 w...
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Læknafélag Íslands, Læknafélag Reykjavíkur
2008
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Online Access: | http://hdl.handle.net/2336/18154 |
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/18154 2023-05-15T16:52:47+02:00 Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu Prevalence, diagnosis and treatment of depression and anxiety in patients in cardiac rehabilitation Karl Kristjánsson Þórunn Guðmundsdóttir Magnús R. Jónasson 2008-02-13 http://hdl.handle.net/2336/18154 ice is ice Læknafélag Íslands, Læknafélag Reykjavíkur http://www.laeknabladid.is/2007/12/nr/3001 Læknablaðið 2007, 93(12):841-5 0023-7213 18057474 http://hdl.handle.net/2336/18154 Læknablaðið Þunglyndi Kvíði Hjartasjúkdómar LBL12 Anxiety Cardiovascular Diseases Depression Female Humans Iceland Male Predictive Value of Tests Prevalence Program Evaluation Psychiatric Status Rating Scales Questionnaires Rehabilitation Centers Sensitivity and Specificity Article 2008 ftlandspitaliuni 2022-05-29T08:21:04Z Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: The aim of this study was to estimate the prevalence of depression and anxiety among patients in cardiac rehabilitation at Reykjalundur Rehabilitation Center and to study the impact of a 4-5 weeks inpatient cardiac rehabilitation program on these symptoms. Secondly we wished to compare the concordance of our clinical diagnosis with the results of a standardized psychometric scale, Hospital Anxiety and Depression scale, HAD. MATERIALS AND METHODS: Of 224 patients in one year, 200 (89.3%) were included in the study, 151 men and 49 women. The patients were first evaluated by a doctor and a nurse separately at the arrival and a clinical evaluation was made jointly. Shortly after arrival and before departure a HAD questionnaire was to be answered. All new psychiatric treatment was recorded. RESULTS: Prevalence of depression as measured by HAD was reduced from 9.5% to 3.1% and anxiety from 11.6% to 2.5%. The sensitivity of clinical diagnosis of depression as compared to the results of HAD was 73.7% and specificity 87.3%. For anxiety the sensitivity was 86.4% and specificity was 79.2%. The predictive value of a positive clinical diagnosis of depressions was 37.8% and anxiety 33.9%, but predictive value of a negative clinical diagnosis was 96.9% and anxiety 97.9% respectively. CONCLUSION: The prevalence of depression and anxiety is similar or somewhat lower than in other studies on patients with cardiac diseases. The agreement of clinical diagnosis and HAD questionnaire was acceptable and the questionnaire will not be used routinely. A comprehensive cardiac rehabilitation program seems to reduce substancially symptoms of depression and anxiety among patients in cardiac rehabilitation at Reykjalundur. Tilgangur: Markmið rannsóknarinnar var að kanna algengi þunglyndis og kvíða hjá þeim sem komu til hjartaendurhæfingar á Reykjalundi og samsvörun klínískrar greiningar og niðurstöðu viðurkennds þunglyndis- og ... Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive Smella ENVELOPE(29.443,29.443,69.896,69.896) |
institution |
Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
op_collection_id |
ftlandspitaliuni |
language |
Icelandic |
topic |
Þunglyndi Kvíði Hjartasjúkdómar LBL12 Anxiety Cardiovascular Diseases Depression Female Humans Iceland Male Predictive Value of Tests Prevalence Program Evaluation Psychiatric Status Rating Scales Questionnaires Rehabilitation Centers Sensitivity and Specificity |
spellingShingle |
Þunglyndi Kvíði Hjartasjúkdómar LBL12 Anxiety Cardiovascular Diseases Depression Female Humans Iceland Male Predictive Value of Tests Prevalence Program Evaluation Psychiatric Status Rating Scales Questionnaires Rehabilitation Centers Sensitivity and Specificity Karl Kristjánsson Þórunn Guðmundsdóttir Magnús R. Jónasson Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
topic_facet |
Þunglyndi Kvíði Hjartasjúkdómar LBL12 Anxiety Cardiovascular Diseases Depression Female Humans Iceland Male Predictive Value of Tests Prevalence Program Evaluation Psychiatric Status Rating Scales Questionnaires Rehabilitation Centers Sensitivity and Specificity |
description |
Neðst á síðunni er hægt að nálgast greinina í heild sinni með því að smella á hlekkinn View/Open OBJECTIVE: The aim of this study was to estimate the prevalence of depression and anxiety among patients in cardiac rehabilitation at Reykjalundur Rehabilitation Center and to study the impact of a 4-5 weeks inpatient cardiac rehabilitation program on these symptoms. Secondly we wished to compare the concordance of our clinical diagnosis with the results of a standardized psychometric scale, Hospital Anxiety and Depression scale, HAD. MATERIALS AND METHODS: Of 224 patients in one year, 200 (89.3%) were included in the study, 151 men and 49 women. The patients were first evaluated by a doctor and a nurse separately at the arrival and a clinical evaluation was made jointly. Shortly after arrival and before departure a HAD questionnaire was to be answered. All new psychiatric treatment was recorded. RESULTS: Prevalence of depression as measured by HAD was reduced from 9.5% to 3.1% and anxiety from 11.6% to 2.5%. The sensitivity of clinical diagnosis of depression as compared to the results of HAD was 73.7% and specificity 87.3%. For anxiety the sensitivity was 86.4% and specificity was 79.2%. The predictive value of a positive clinical diagnosis of depressions was 37.8% and anxiety 33.9%, but predictive value of a negative clinical diagnosis was 96.9% and anxiety 97.9% respectively. CONCLUSION: The prevalence of depression and anxiety is similar or somewhat lower than in other studies on patients with cardiac diseases. The agreement of clinical diagnosis and HAD questionnaire was acceptable and the questionnaire will not be used routinely. A comprehensive cardiac rehabilitation program seems to reduce substancially symptoms of depression and anxiety among patients in cardiac rehabilitation at Reykjalundur. Tilgangur: Markmið rannsóknarinnar var að kanna algengi þunglyndis og kvíða hjá þeim sem komu til hjartaendurhæfingar á Reykjalundi og samsvörun klínískrar greiningar og niðurstöðu viðurkennds þunglyndis- og ... |
format |
Article in Journal/Newspaper |
author |
Karl Kristjánsson Þórunn Guðmundsdóttir Magnús R. Jónasson |
author_facet |
Karl Kristjánsson Þórunn Guðmundsdóttir Magnús R. Jónasson |
author_sort |
Karl Kristjánsson |
title |
Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
title_short |
Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
title_full |
Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
title_fullStr |
Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
title_full_unstemmed |
Algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
title_sort |
algengi, greining og meðferð þunglyndis og kvíða sjúklinga í hjartaendurhæfingu |
publisher |
Læknafélag Íslands, Læknafélag Reykjavíkur |
publishDate |
2008 |
url |
http://hdl.handle.net/2336/18154 |
long_lat |
ENVELOPE(29.443,29.443,69.896,69.896) |
geographic |
Smella |
geographic_facet |
Smella |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://www.laeknabladid.is/2007/12/nr/3001 Læknablaðið 2007, 93(12):841-5 0023-7213 18057474 http://hdl.handle.net/2336/18154 Læknablaðið |
_version_ |
1766043165984292864 |