Features of emotional status of smoking patients with ischemic heart disease

Abstract

Abstract Funding Acknowledgements Type of funding sources: None. Purpose. To study emotional status of smoking patients with ischemic heart disease (IHD). Methods. 277 patients with IHD (angina pectoris II - IV function class) were examined. Patients were divided in two group according to their smoking status. The first group included 139 smoking patients (average age 53.9 ± 0.7 years). The second group included 138 nonsmoking patients with IHD (average age 59.9 ± 0.7 years). A level of anxiety and the depression were examined by the Hospital Anxiety and Depression Scale (HADS), personality characteristics - by the Mini-Mult questionnaire - short form MMPI questionnaire. Results. The groups did not differ in class of angina pectoris and treatment. The patients of 1st group had level of anxiety and depression 6.9 ± 0.3 score and 5.4 ± 0.4 score accordingly. The patients of 2nd group had level of anxiety and depression 8.7 ± 0.4 score (p < 0.01) and 6.8 ± 0.3 score accordingly (p < 0.05). The patients of 1st group had such personality characteristics accordingly: on scale of Hypochondriasis – 54.9 ± 0.7 T-score; on scale of Depression – 50.3 ± 1.1 T-score; on scale of Hysteria – 52.1 ± 0.6 T-score; on scale of Psychopathic Deviate – 45.1 ± 0.8 T-score; on scale of Paranoia – 51.3 ± 0.9 T-score; on scale of Psychasthenia – 47.6 ± 0.9 T-score; on scale of Schizophrenia – 47.6 ± 0.9 T-score; on scale of Hypomania – 49.9 ± 1.0 T-score. The patients of 2nd group had the such personality characteristics accordingly: on scale of Hypochondriasis - 58,1 ± 0,7 T-score (p < 0.01); on scale of Depression – 53.4 ± 1.1 T-score (p < 0.05); on scale of Hysterias – 55.4 ± 0.6 T-score (p < 0.01); on scale of Psychopathia Deviate – 46.9 ± 0.9 T-score (p >0.05); on scale of Paranoia – 55.0 ± 1.1 T-score (p < 0.05); on scale of Psychasthenia – 51.5 ± 1,0 T-score (p < 0.05); on scale of Schizophrenia – 51.3 ± 1.0 T-score (p < 0.05); on scale of Hypomania – 49.6 ± 0.9 T-score (p > 0.05). Conclusion. The smoking patients with ischemic heart disease had less expressed accentuated personality characteristics and lower level of anxiety and depression, in comparison with nonsmoking patients, that should be considered in treatment and rehabilitation.