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The structure of depressive manifestations in preoperative cardiac surgery patients

Published online by Cambridge University Press:  13 August 2021

O. Nikolaeva ,
E. Nikolaev ,
N. Maksimova ,
E. Litvinova ,
A. Zakharova  and
G. Dulina
O. Nikolaeva
Affiliation:
Cardiosurgery, Republic Cardiology Clinic, Cheboksary, Russian Federation
E. Nikolaev*
Affiliation:
Medical Faculty, Ulianov Chuvash State University, Cheboksary, Russian Federation
N. Maksimova
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
E. Litvinova
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
A. Zakharova
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
G. Dulina
Affiliation:
Social And Clinical Psychology, Ulianov Chuvash State University, Cheboksary, Russian Federation
*
*Corresponding author.

Abstract

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Introduction

It is common knowledge that depressive disorders are prevalent in cardiac patients. The fact of a prospective heart surgery can have a negative effect on depressive manifestations in cardiac patients.

Objectives

To describe representation and structure of depression in preoperative cardiac surgery patients and its correlation with the patients’ personal time perspective

Methods

We used the Beck Depression Inventory to estimate the level and structure of depression in 60 cardiac surgery patients of both sexes and the Zimbardo Time Perspective Inventory to identify the patients’ personal time perspective.

Results

We revealed depression of various manifestations in 53.4% of preoperative cardiac patients; 3.3% of them had severe depression, 11.7% – moderate depression, 8.3% – mild depression, 30.0% – minimal depression. The patients’ average level of depression was certainly higher than the standard one (t=3.295; р=.000). According to degree, the structure of depressive manifestations included asthenia, irritability, sleeping disorders, low sex drive, weight loss, pessimism, tearfulness, difficulty working, and difficulty taking decision. Two patients showed suicidal thoughts. We revealed a positive correlation between the depression level and a Negative-Past time perspective (r=.39) and a negative correlation with the Positive Past time perspective (r=-.27).

Conclusions

We identified depressive manifestations in every second preoperative cardiac patient. Every sixth one has moderate or severe depression, which calls for special attention. Research in personal time perspective has good prospects for psychological interventions.

Disclosure

No significant relationships.

Keywords

preoperative cardiac surgery patientsDepressiontime perspectivepsychological interventions
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S691 - S692
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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