Psychiatric Morbidities, Personality Temperament and Coping Style in a Sample of Egyptian Patients With Ischemic Heart Disease

Abstract

Back Ground: Ischemic heart disease (IHD) is the leading cause of death worldwide. It is responsible for up to one third of deaths. Moreover it will be the most common reason of mortality in the world by the year 2030. In Egypt, IHD is the leading cause of death according to world health organization (WHO) .Over the past 20 years there has been growing evidence of a link between psychiatric disorders and cardiovascular disease. This link has been shown in multiple studies linking psychiatric disorders with an increase in mortality from (IHD). Aim of work: To identify psychiatric comorbidities the temperament of the personality among patients with different groups of ischemic heart diseases.To study the coping style among patients with Coronary artery diseases. Patients and Methods: Cases were selected from patients attending the cardiology clinics and coronary catheterization unit in cardiology department, Ain shams University Hospitals. They were divided into three groups and the controlA written informed consent was obtained from all patients involved in the study and the subjects are given a detailed explanation of the nature and aim of the study. General heath questionnaire was done for all patients for screening followed by SCID to detect the psychiatric comorbidities and follow up after one month, then TCIR to detect the personality temperament and Coping process scale to detect the coping styles in the study sample. Results: Following the screening, SCID was done for diagnosis of psychiatric disorders..Our results shows statically significance difference between group A, group B ,group C and the control as regard psychiatric disorders inculding depression and anxiety with (p value <0.001). Conclusion: our results suggested screening for psychiatric disorders in Ischemic heart disease patients as they were more prevalent in CHD than in normal population.