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Abstract：
BACKGROUND: Anxiety, depression, and Type D personality are strongly correlated with the prognosis of IHD and the effectiveness of therapy. The main purpose of this study was to assess the proportions and associations of anxiety, depression, and Type D personality among clinically stable IHD patients (aged 18-60) treated at an outpatient clinic operated by a government hospital in Sri Lanka, who were diagnosed with IHD within the preceding three months.
METHODS: A cross-sectional study design was analysed using SPSS® version 23.0. The validated Sinhalese version of the Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, while the DS-14 was used to determine Type D personality traits.
RESULTS: Among the 399 patients, 29.8% (n = 119) had anxiety, 24.8% (n = 99) had depression, and 24.6% (n = 24.6) had Type D personality. The level of anxiety had a significant association with depression (p = 0.002) and Type D personality (p = 0.003). Furthermore, depression was significantly associated with ethnicity (p = 0.014), occupation (p = 0.010), and type D personality (p = 0.009). Type D personality was the strongest predictor of anxiety, with patients being 1.902 times more likely to experience anxiety (95% CI 1.149-3.148; p = 0.012). Anxiety was a significant predictor of depression, with patients being 1.997 times more likely to experience depression (95% CI 1.210-3.296; p = 0.007). Non-Sinhalese ethnic background was also a significant predictor of depression (OR: 0.240; 95% CI 0.073-0.785; p = 0.018). Anxiety increased the likelihood of having Type D personality traits by 1.899 times (95% CI 1.148-3.143; p = 0.013).
CONCLUSIONS: The current study recommends the importance of screening and treating the psychological risk factors of IHD patients parallel to their IHD treatment to improve their prognosis. These insights highlight the need for targeted interventions that address depression, anxiety and the impact of Type D personality traits in enhancing the overall management and prognosis of IHD.
METHODS: A cross-sectional study design was analysed using SPSS® version 23.0. The validated Sinhalese version of the Hospital Anxiety and Depression Scale (HADS) was used to measure anxiety and depression, while the DS-14 was used to determine Type D personality traits.
RESULTS: Among the 399 patients, 29.8% (n = 119) had anxiety, 24.8% (n = 99) had depression, and 24.6% (n = 24.6) had Type D personality. The level of anxiety had a significant association with depression (p = 0.002) and Type D personality (p = 0.003). Furthermore, depression was significantly associated with ethnicity (p = 0.014), occupation (p = 0.010), and type D personality (p = 0.009). Type D personality was the strongest predictor of anxiety, with patients being 1.902 times more likely to experience anxiety (95% CI 1.149-3.148; p = 0.012). Anxiety was a significant predictor of depression, with patients being 1.997 times more likely to experience depression (95% CI 1.210-3.296; p = 0.007). Non-Sinhalese ethnic background was also a significant predictor of depression (OR: 0.240; 95% CI 0.073-0.785; p = 0.018). Anxiety increased the likelihood of having Type D personality traits by 1.899 times (95% CI 1.148-3.143; p = 0.013).
CONCLUSIONS: The current study recommends the importance of screening and treating the psychological risk factors of IHD patients parallel to their IHD treatment to improve their prognosis. These insights highlight the need for targeted interventions that address depression, anxiety and the impact of Type D personality traits in enhancing the overall management and prognosis of IHD.
摘要：
背景：焦虑，抑郁症,D型人格与IHD的预后和治疗效果密切相关。这项研究的主要目的是评估焦虑的比例和关联，抑郁症,在斯里兰卡一家政府医院的门诊诊所治疗的临床稳定的IHD患者（年龄18-60岁）中，在过去的三个月内被诊断出患有IHD。
方法：使用SPSS®23.0版分析了横断面研究设计。经过验证的僧伽罗版本的医院焦虑和抑郁量表（HADS）用于测量焦虑和抑郁，而DS-14用于确定D型人格特征。
结果：在399名患者中，29.8%(n=119)有焦虑，24.8%(n=99)患有抑郁症，D型人格占24.6%(n=24.6)。焦虑水平与抑郁（p=0.002）和D型人格（p=0.003）显着相关。此外，抑郁症与种族显著相关（p=0.014），职业（p=0.010），和D型人格（p=0.009）。D型人格是焦虑的最强预测因子，患者出现焦虑的可能性是患者的1.902倍（95%CI1.149-3.148；p=0.012）。焦虑是抑郁症的重要预测因子，患者患抑郁症的可能性是患者的1.997倍（95％CI1.210-3.296；p=0.007）。非僧伽罗族背景也是抑郁症的重要预测因素（OR：0.240；95％CI0.073-0.785；p=0.018）。焦虑使具有D型人格特质的可能性增加了1.899倍（95％CI1.148-3.143；p=0.013）。
结论：目前的研究建议对IHD患者的心理危险因素进行筛查和治疗以改善其预后的重要性。这些见解强调了有针对性的干预措施的必要性，以解决抑郁症，焦虑和D型人格特质对提高IHD整体管理和预后的影响。
方法：使用SPSS®23.0版分析了横断面研究设计。经过验证的僧伽罗版本的医院焦虑和抑郁量表（HADS）用于测量焦虑和抑郁，而DS-14用于确定D型人格特征。
结果：在399名患者中，29.8%(n=119)有焦虑，24.8%(n=99)患有抑郁症，D型人格占24.6%(n=24.6)。焦虑水平与抑郁（p=0.002）和D型人格（p=0.003）显着相关。此外，抑郁症与种族显著相关（p=0.014），职业（p=0.010），和D型人格（p=0.009）。D型人格是焦虑的最强预测因子，患者出现焦虑的可能性是患者的1.902倍（95%CI1.149-3.148；p=0.012）。焦虑是抑郁症的重要预测因子，患者患抑郁症的可能性是患者的1.997倍（95％CI1.210-3.296；p=0.007）。非僧伽罗族背景也是抑郁症的重要预测因素（OR：0.240；95％CI0.073-0.785；p=0.018）。焦虑使具有D型人格特质的可能性增加了1.899倍（95％CI1.148-3.143；p=0.013）。
结论：目前的研究建议对IHD患者的心理危险因素进行筛查和治疗以改善其预后的重要性。这些见解强调了有针对性的干预措施的必要性，以解决抑郁症，焦虑和D型人格特质对提高IHD整体管理和预后的影响。
