Health Psychology Research / HPR / Volume 3 / Issue 2 / DOI: 10.4081/​hpr.2015.2123
GENERAL

 Investigation of anxiety and  depression in patients with  chronic diseases

Evangelia-Ioanna Gerontoukou1 Sofia Michaelidoy1 Maria Rekleiti2* Maria Saridi2 Kyriakos Souliotis1
Show Less
1 Faculty of Social Sciences, University of Peloponnese, Korinthos
2 General Hospital of Korinthos, Greece
Submitted: 21 November 2013 | Revised: 30 January 2014 | Accepted: 30 January 2014 | Published: 30 September 2015
© 2015 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

The health of an individual depends on both his/her physical and psychological condition. In recent years it has been observed that chronic patients have frequently an affected psycho-emotional state. The purpose of this study is to investigate anxiety and depression in patients with chronic diseases and the cor relation of the results with daily physical activ ity levels and individual health levels, as well comorbidity. This study included patients with chronic diseases that were treated in a local general hospital or were visiting often outpa tient clinics of the same hospital due to their condition. The sample in this particular study included 204 patients; 118 of them were women and 86 men. From the total sample that participated in our research, 118 (57.8%) were females and the majority of the participants were secondary/basic education graduates (67%), married (71%), living in urban areas (53%). Hypertension was the most frequent chronic disease in our sample, followed by hypercholesterolemia and diabetes mellitus. Comparing the occurrence of depression and anxiety symptoms in both questionnaires in relation to the expected frequency in the gen eral population, significant levels of depres sion and anxiety symptoms were recorded. Taking into consideration the findings of this research, anxiety and depression symptoms can have profound effects regarding the con trol of chronic diseases, the patients’ quality of life and their general health. 

Keywords
Anxiety; chronic diseases; depression; hypertension
References

1. Polukandrioti M, Gouvenos I, Michalis L, et al. The effects of anxiety and depression on the needs of patients hospitalized with coronary disease. Arch Hell Med 2012;29:33-43.
2. Theophilou P. Quality of life and mental health in hemodialysis and peritoneal dialysis patients: the role of health beliefs. Int Urol Nephrol 2012;44:245-53.
3. Minos C, Rekleiti M, Saridi M, et al. Factors affecting quality of life in end-stage renal disease patients on hemodialysis. Hell J Nurs Sci 2012;5:64-71.
4. Rekleiti M, Roupa Z, Kyriazis I, et al. Self-assessment of depression in patients with diabetes mellitus and its correlation with complications. Arch Hell Med 2012;29:599-605.
5. Janowski K, Kurpas D, Kusz J, et al. Emotional control, styles of coping with stress and acceptance of illness among patients suffering from chronic somatic diseases. PLoS One 2013;8:e63920.
6. Wong WS, Chen PP, Yap J, et al. Chronic pain and psychiatric morbidity: a comparison between patients attending specialist orthopedics clinic and multidisciplinary pain clinic. Pain Med 2011;12:246-59.
7. Yohannes AM, Willgoss TG, Baldwin RC, Connolly MJ. Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles. Int J Geriatr Psychiatry 2010;25:1209-21. 
8. Kunik ME, Roundy K, Veazey C, et al. Surprisingly high prevalence of anxiety and depression in chronic breathing disorders. Chest J 2005;127:1205-11.
9. Anda R, Williamson D, Jones D, et al. Depressed affect, hopelessness, and the risk of ischemic heart disease in a cohort of US adults. Epidemiology 1993;4:285-94.
10. Leung K, Lue B, Lee M, Tang LY. Screening of depression in patients with chronic medical diseases in a primary care setting. Fam Pract 1998;15:67-75.
11. Rafique R, Amjab N. Psychosocial factors as predictors of early onset ischemic heart disease in a sample of Pakistani women International. J Res Stud Psychol 2012;1:17-27.
12. Zung WWK. A self-rating depression scale. Arch Gen Psychiatry 1965;12:63-70.
13. Fountoulakis KN, lacovides A, Samolis S, et al. Reliability, validity and psychometric properties of the Greek translation of the Zung depression rating scale. BMC Psychiatry 2001;1:6.
14. Zung WWK. A cross-cultural survey of symptoms in depression. Am J Psychiatry 1969;126:116-21.
15. Zung WWK. A cross-cultural survey of depressive symptomatology in normal adults. J Cross-Cult Psychol 1972;3:177-83.
16. Bedford A, Foulds GA, Sheffield BF. A new personal disturbance scale: DSSI/sAD. Br J Soc Clin Psychol 1976;15:387-94.
17. Krommydas GC, Gourgoulianis KI, Angelopoulos NV, et al. Depression and pulmonary function in outpatients with asthma. Respir Med 2004;98:220-4. 
18. Roupa Z, Tatsiou I, Tsiklitara A, et al. Anxiety and depression among elderly in the community. Intersci Health Care 2009;1:61-6.
19. Babatsikou F, Zanitsanou A. Epidemiology of hypertension in the elderly. Health Sci 2010;4:24-30.
20. Lykouras L, Alevizos B, Michalopoulou P, Rabavilas A. Obsessive-compulsive symptoms induced by atypical antipsychotics: a review of the reported cases. Prog Neuropsychopharmacol Biol Psychiatry 2003;27:333-46.
21. Enqum A. The role of depression and anxiety in onset of diabetes in a large population-based study. J Psychosom Res 2007;62:31-8.
22. Kyloudis P, Rekliti M, Kyriazis I, et al. Probing stress and depression in mental health professionals at the general hospital in Greece. Eur Psychiatry 2010;25:731.
23. Michal M, Wiltink J, Reiner I, et al. Association of mental distress with smoking status in the community: results from the Gutenberg health study. J Affect Disord 2013;146:355-60.

Conflict of interest
The authors report no conflict of interests.
Share
Back to top
Health Psychology Research, Electronic ISSN: 2420-8124 Published by Health Psychology Research