The Correlation Between Anxiety and Depression Levels and Functional Capacity in Pregnant Women with Cardiac Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/304021
Category:
Full-text
Type:
Presentation
Title:
The Correlation Between Anxiety and Depression Levels and Functional Capacity in Pregnant Women with Cardiac Disease
Author(s):
Winkler, Alona; Kuperstein, Rafael; Truman, Smadar; Kerzman, Hana
Lead Author STTI Affiliation:
Non-member
Author Details:
Alona Winkler, RN, MEd, alona.winkler@sheba.health.gov.il; Rafael Kuperstein, MD; Smadar Truman, MPH, RN; Hana Kerzman, PhD;
Abstract:

Session presented on: Monday, July 22, 2013

Purpose:

The study aimed to evaluate anxiety and depression levels in pregnant women with cardiac disease; and their relationship with NYHA functional capacity

Methods:

'A follow-up longitudinal study that included 47 pregnant women with cardiac disease treated in our Heart Center (from a total of 114) was conducted in 3 stages ; after 3 and 6 months of pregnancy' and 1 month post delivery . A questionnaire containing personal and medical details, an anxiety questionnaire (Spielberger 1970) and a depression questionnaire (Beck 1961) were utilized. Forty-four of the 47 patients answered all three questionnaires successfully. Data were collected and analyzed using SPSS software.

Results:

'During the 1st trimester 38 women were in NYHA I, 4 in NYHA II and one in NYHA III. In the 2nd trimester, 29 were NYHA I, 10 NYHA II and 3 NYHA III. After delivery, 39 were NYHA I, 3 NYHA II and 1 NYHA III. 'For the whole cohort average depression and anxiety levels remained low (< 40) throughout pregnancy and there was a significant correlation between functional capacity and anxiety level (p<0.05).' When compared to patients in NYHA class I, patients in NYHA class II-III showed more signs of depression and anxiety in all stages of pregnancy, p=0.014 .

Conclusion:

There is a significant correlation between functional capacity, anxiety and depression levels during pregnancy and post- delivery in women with cardiac disease. Clinical deterioration is associated with an increase in depression and anxiety levels.

Keywords:
heart desease; depression; pregnancy
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013 ; 22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.language.isoenen
dc.type.categoryFull-texten
dc.typePresentationen
dc.titleThe Correlation Between Anxiety and Depression Levels and Functional Capacity in Pregnant Women with Cardiac Diseaseen
dc.contributor.authorWinkler, Alonaen
dc.contributor.authorKuperstein, Rafaelen
dc.contributor.authorTruman, Smadaren
dc.contributor.authorKerzman, Hanaen
dc.contributor.departmentNon-memberen
dc.author.detailsAlona Winkler, RN, MEd, alona.winkler@sheba.health.gov.il; Rafael Kuperstein, MD; Smadar Truman, MPH, RN; Hana Kerzman, PhD;en
dc.identifier.urihttp://hdl.handle.net/10755/304021-
dc.description.abstract<p>Session presented on: Monday, July 22, 2013</p><b>Purpose: </b> <p>The study aimed to evaluate anxiety and depression levels in pregnant women with cardiac disease; and their relationship with NYHA functional capacity <p><b>Methods: </b> <p>'A follow-up longitudinal study that included 47 pregnant women with cardiac disease treated in our Heart Center (from a total of 114) was conducted in 3 stages ; after 3 and 6 months of pregnancy' and 1 month post delivery . A questionnaire containing personal and medical details, an anxiety questionnaire (Spielberger 1970) and a depression questionnaire (Beck 1961) were utilized. Forty-four of the 47 patients answered all three questionnaires successfully. Data were collected and analyzed using SPSS software. <p><b>Results: </b> <p>'During the 1<sup>st</sup> trimester 38 women were in NYHA I, 4 in NYHA II and one in NYHA III. In the 2<sup>nd</sup> trimester, 29 were NYHA I, 10 NYHA II and 3 NYHA III. After delivery, 39 were NYHA I, 3 NYHA II and 1 NYHA III. 'For the whole cohort average depression and anxiety levels remained low (< 40) throughout pregnancy and there was a significant correlation between functional capacity and anxiety level (p<0.05).' When compared to patients in NYHA class I, patients in NYHA class II-III showed more signs of depression and anxiety in all stages of pregnancy, p=0.014 . <p><b>Conclusion: </b> <p>There is a significant correlation between functional capacity, anxiety and depression levels during pregnancy and post- delivery in women with cardiac disease. Clinical deterioration is associated with an increase in depression and anxiety levels.en
dc.subjectheart deseaseen
dc.subjectdepressionen
dc.subjectpregnancyen
dc.date.available2013-10-22T20:27:46Z-
dc.date.issued2013-10-22-
dc.date.issued2013-10-22en
dc.date.accessioned2013-10-22T20:27:46Z-
dc.conference.date2013en
dc.conference.name24th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationPrague, Czech Republicen
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en
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