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Respiratio 2020, 2021, 2022; 10, 11, 12 (1-2-3): 22-33

PROCJENA PRISUSTVA ANKSIOZNOSTI, DEPRESIVNOSTI I STRESA
KOD PACIJENATA OBOLJELIH OD HRONIČNIH BOLESTI

ASSESSMENT OF THE PRESENCE OF ANXIETY, DEPRESSION AND STRESS IN PATIENTS WITH CHRONIC DISEASES

Kosana Stanetić1,3 , Davorka Plećaš1 ,Verica Petrović 1,3, Suzana Savić1,3 , Mirko Stanetić 2,3


Original Research
Naučni članak                                                                                                                     

doi:10.26601/rsp.aprs.22.2

Sažetak: Uvod: Depresivnost, anksiozonost i stres predstavljaju značajan javnozdravstveni problem
kako u svijetu, tako i u Republici Srpskoj. Ovi mentalni poremećaji se učestalije javljaju kod pacijenata
oboljelih od hroničnih bolesti.
Cilj: Ispitati zastupljenost depresivnosti, anksioznosti i stresa kod oboljelih od hroničnih bolesti
(hipertenzija, astma, hronična obstruktivna bolest pluća, dijabetes melitus, maligne bolesti, stanje poslije
infarkta miokarda). Ispitati uticaj sociodemografskih faktora (pol, dob, stručna sprema, sadašnji radni
status, porodični status) na prevalenciju depresivnosti, anksioznosti i stresa. Ispitati korišćenje
anksiolitika za smanjenje prisutnih simptoma.
Materijal i metode: Istraživanje je studija presjeka, provedena anketiranjem pacijenata starijih od 18
godina registrovanih u timovima porodične medicine Domu zdravlja Banja Luka u periodu od
1.08.2018. do 1.04.2019. Za procjenu postojanja anksioznosti, depresivnosti i stresa korištena je DASS–
21 skala, sociodemografski podaci su upisivani u samostalno kreiran upitnik. Pacijenti su izabrani iz
registra pacijenata sa hroničnim bolestima.
Rezultati: Istraživanjem je obuhvaćeno 405 pacijenata oboljelih od hroničnih bolesti. U odnosu na
pacijente oboljele od drugih hroničnih bolesti u grupi pacijenata nakon infarkta miokarda statistički
značajno najviše je bila izražena depresivnost (p=0.008, 95% CI 8.761-14.412); anksioznost (P= 0.002,
95% CI 19.2444-15.2038) i stres (p=0.016, 95% CI 13.130-18.655). U grupi pacijenata sa hroničnim
bolestima 156 (38,5%) pacijenata koristi lijekove za smanjenje tegoba.
Zaključak: Rezultati našeg istraživanja su pokazali visok nivo stresa, anksioznosti i depresivnosti kod
pacijenata oboljelih od hroničnih bolesti, što upućuje na potrebu preduzimanja mjera za smanjenje
stepena ovih mentalnih poremećaja.
                                                                                                                                                                                                 Ključne riječi: depresivnost, anksioznost, stres, hronične bolesti

Full Article (PDF)

Literatura

1.Suis J, Bunde J. Anger, anxiety and depression as risk factors for cardiovascular disease:The problems and imlicationes of overlapping affective dispositions. Psychol Bull.2005;131:260-300.
[CrossRef]
PMid:15740422

 

2.Krantz DS,McCeney KT. Effects of psychological and social factors on organic disease: A critical assesment of research on coronary heart disease.Annu Rev Psychol. 2002;53:341- 369.
[CrossRef]
PMid:11752489

 

 

3.Rozanski A, Blumenthal AJ, Davidson WK, Saab PG, Kubzansky L. The epidemiology, pathophysiology and menagement of psychosocial risk factors in cardiac pratice: The emerging field of behevioral cardology. J Am Cool Cardiol.2005;45:637-651.
[CrossRef]
PMid:15734605

 

 

4.Musthag M, Najam N. Depression, anxiety, stress and demographyc determinants of hypertension disease.Pak J Med Sci. 2014;30:1293-98.

 

 

5.Baumester H,Balke K, Harter M.Psychiatric and somatic comorbiditaes are negatively associated with quality of life in psysically ill patients. J Clin Epidemiol.2005;58:1090-1100.
[CrossRef]
PMid:16223651

 

 

6.Pierobon A, Sini Bottelli E, Ranziini L.COPD patients self-reported adherence, psychosocial factors and mild cognitive impairment in pulmonary rehabilitations.int J Chron Obstruc pulmon Dis. 2017;12:2059-2067.
[CrossRef]
PMid:28790808 PMCid:PMC5529298

 

 

7. Yohannes AM,Dryden S, Hanania NA:The validy and responsiveness of the depression, anxiety and stress scale (DASS-21) in chronic obstructive pulmonary disease. Chest 2019;155:1166-1177.
[CrossRef]
PMid:30594559

 

 

8.Power F, Geelhoed-Duijvestin P.H.L.M,Tack CJ, Mazelmans E, Beekman AJ,Heine RJ, Snoek FJ:Prevalence of comorbid depression is high in outpatients withType 1 or Type 2 diabetes mellitus.

 

Results from tree out patients clinics in the Netherlands https:// doi.org/10.1111/j.1464-5491.2009.02903:x.

   

 

9. Alkhatami AD,Alamin MA,Alqahtani AM, Alsaees WY,Alkhatami AH.Depression and anxiety among hypertensive and diabetic primary health care patients. Could patients perseption of their diseases control be used as a screening tool?Saudi med J 2017;38:621-28.
[CrossRef]
PMid:28578442 PMCid:PMC5541186

 

 

10.Walker J, HansenCH, Martin P, et al. Prevalence, associations and adequacy of tretmant of major depression in patients with cancer:a cross-sectional analysis of routinely collected clinical data.Lancet Psychiatry.2014:343-350.11.https://www.scu.edu.au/media/scueduau/currentstudents/services/counselling/downloads/DepressionAnxiety-Stress-Scales-DASS3481.pdf.
[CrossRef]

 

 

12.Daniel M, Agewal S, Bergund F, et al. Prevalence of anxiety and depression symptoms in patients with myocardial infarction with non-opstructive coronary arteries. Am J Med. 2018;13:1118-24.
[CrossRef]
PMid:29859805

 

 

13.Li S, Blumenthal JA, Shi C, et al. I-CARE randomized clinical trial intergrating depression and acute coronary syndrome care in low-resoure hospital in China:Desing and rationale .Am Heart J 2018;202:109-115.
[CrossRef]
PMid:29933147

 

 

14.Murphy B, Le Grande M, Alverenga M, Worcester M, Jackson A. Anxiety and depression after a cardiac event:Prevalence and predictors. Front Psychol.2020;10.3010.Published 2020 Jan 29.
[CrossRef]
PMid:32063868 PMCid:PMC7000459

 

 

15.Alzahrani A, Alghamdi A, Alqarni T, Alshareef R. Prevalence and predictors of depression, anxiety and stress symptoms among patients Type II diabetes mellitus attending primary health care centers in western region of Saudi Arabia:a cross-sectional study. Int J Menth sys 2019;13:38.Published 2019 Jul 16.
[CrossRef]
PMid:31341512 PMCid:PMC6631923

 

 

16.Anderson RJ, Feedland KE, Clouse RE, Lustman PJ. The prevalence of comorbid depression in adults with diabetes:a-meta-analysis. Diabetes Care 2001;24:1069-78.
[CrossRef]
PMid:11375373

 

 

17.Tan KC, Chan GC, Eric H, et al. Depression, anxiety and stress amond patients with diabetes in primary care: A cross -sectional study. Malays Fam Physician. 2015;10:9-21.

 

 

18.Galić K, Doday A, Ćorluka-Čerkez V. Study of depression and anxiety in patients with asthma and chronic obstructive pulmonary disease. Psychiatry Danub. 2019:31:112-117.

 

 

19.Lomper K, Chudiak A, Uchmanowicz I, Rosinezuk J, Jankowska-Polanska B. Effects of depression and anxiety on asthma -related quality of life. Pneumo Alergol Pol.2016;84:212-221.
[CrossRef]
PMid:27435347

 

 

20.Linden W,Vodermaier A, MacKenzie R, Greig D. Anxiety and depression after cancer diagnosis: prevalence rates by cancer type, gender and age. J Affect Disord.2012:141:343-350.
[CrossRef]
PMid:22727334

 

 

21.Bhattacharyya S, Mandal T. Depression in cancer patients undergoing chemoterapy in a teriary care hospital of North Bengal, India. Indian J Public Health. 2017;61(1):14-18.
[CrossRef]
PMid:28218157

 

 

22.Serytis P, Navickas P, Lukaviciute L. et al. Gender-Based differences in anxiety and depression folowing acute myocardial infarction. Arq Bras Cardiol. 2018;111: 676-683.
[CrossRef]
PMid:30156607 PMCid:PMC6248233

 

 

23.Segul C, Ozveren O, Cervic C, et al. Comparison of psychosocial risk factors between patients who experience acute myocardial infarction before and after 40 years of age. Turk Kardiyal Dern Ars. 2011;39:396-402.
[CrossRef]
PMid:21743263

 

 

24.Kang K, Gholizadeh L, Han HR. Health-related qulity of Life and Its factors in Korean Elderly with mild cognitive impairment. Clin Nurs Res 2018;27:871-889.
[CrossRef]
PMid:28649855

 

 

25.McMullen M, Lau PKH,Taylir S,et al. Factors associated with psychological distress amongst outpatients chemoterapy patients:An analysis of depression, anxiety and stress used the DASS21. Apple Nurses Res.2018;40:45-50.
[CrossRef]
PMid:29579498

 

 

26.Septoe A, Malloy GJ, Messerly-Burgy N, et al. Emotional triggering and low socioeconomic status as determinants of depression folowing acute coronary syndrome. Psychol Med. 2011;41:1857-66.
[CrossRef]
PMid:21211098

 

 

27.Habtewold TD, Mulungeta S, Gebreegziabhere Y. Associated factors of depression among type 2 diabetic outpatients in Black Lion General Specialized Hospital Addis Ababa. Ethiopia. Austin J Endocrinol Diabetes. 2015;2:id 1032.
[CrossRef]
PMid:25789172 PMCid:PMC4350622

 

 

28.Rizvi S, Cyriac A, Grima E,Tan M, Lin P, Gallaugher L, et al. Depression and employment status in primary and tertiary care settings.The Canadian Journal of Psychiatry 2015;60:14-22.
[CrossRef]
PMid:25886545 PMCid:PMC4314052

 

 

29. Caplan RP. Stress, anxiety and depression in hospital consultants general practinersand senior health service menager. BMJ 1994;309(6964):1261-63.
[CrossRef]
PMid:7888846 PMCid:PMC2541798

 

 

30.Keneita Y, Ohida T, Uchiyama M, et al.The relationship between depression and sleep distirbances: a Japanese nationwide general population survey. J Clin Psychiatry. 2006;67:196-203.
[CrossRef]
PMid:16566613

 

 

31.Weyerer S, Eifflaender-Gorfer S, Kohler I, et al.German Age code group . Prevalence and risk factors for depression in non-demented primary care attenders aged 75 years and older. J Affect Disorder. 2008;111:153-163.
[CrossRef]
PMid:18372049

 

 

32.Fiquero JHC, Silva NASE, Pereira BB, Olivera GMM. Major depression and acute coronary syndrome-related factors:Arq Bras cardiol. 2017;108:217-22.

 

 

Corresponding author:
Kosana Stanetić, MD, PhD, associate professor of family medicine
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: 00387 65 535 790
Primary Health Center Banja Luka, Bosnia and Herzegovina
Medical faculty, University of Banja Luka, Bosnia and Herzegovina


1Primary Health Centar Banja Luka, Bosnia and Herzegovina
2University Clinical Center Republic of Srpska
3Medical faculty, University of Banja Luka, Bosnia and Herzegovina

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