|
KMID : 0368120210510090752
|
|
Korean Circulation Journal
2021 Volume.51 No. 9 p.752 ~ p.763
|
|
|
Community-Dwelling Individuals with Coronary Artery Disease Have Higher Risk of Depression than the General Population in Female, But Not in Male
|
|
Kim Nam-Ho
Lee Young-Hoon
Kim Mi-Na
|
|
|
Abstract
|
|
|
Background and Objectives: The aim of this study was to assess sex difference in the association between coronary artery disease (CAD) status and depression in a representative nationwide Korean population.
Methods: In total, 4,620 male and 6,151 female aged ≥40 years, who participated in the Korea National Health and Nutrition Examination Survey conducted in 2014, 2016, and 2018, were included in the analysis. Depression was defined as ≥10 points on the 9-item Patient Health Questionnaire.
Results: Among male participants, no significant association between CAD status and depression was observed. However, female with CAD had higher odds ratio (OR) for depression (OR, 2.68; 95% confidence interval [CI], 1.78?4.03) compared with those without CAD in a multiple logistic regression analysis after adjustment for covariates. Younger age at diagnosis of CAD was a significant relating factor for depression in female; OR (95% CI) was 1.73 (0.88?3.40), 3.01 (1.52?5.97), and 4.11 (2.04?8.28) for age ≥65 years, 55?64 years, and ≤54 years, respectively, compared with that in non-CAD controls. In addition, shorter duration of CAD was a significant relating factor for depression in female; OR (95% CI) was 2.42 (1.26?4.67), 2.61 (1.32?5.16), and 3.13 (1.54?6.34) for duration ≥10 years, 5-9 years, and ≤4 years, respectively, compared with that in non-CAD controls.
Conclusions: Consistent screening and psychosocial supports for depression after discharge are required to improve the mental health care of CAD survivors in the community, especially for female diagnosed at a younger age and recently diagnosed.
|
|
|
KEYWORD
|
|
|
Coronary artery disease, Depression, Patient Health Questionnaire, Community
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|
|