New possibilities of screening for mental disorders in cardiology practice

Сергей Задворьев; Мария Дорофейкова; Наталия  Петрова; Артем Яковлев

doi:10.21638/spbu11.2021.304

Авторы

Сергей Задворьев СПб ГБУЗ "Городская многопрофильная больница №2"
Мария Дорофейкова Sechenov Institute of Evolutionary Physiology and Biochemistry, Russian Academy of Sciences, 44, pr. Toreza, St. Petersburg, 194223, Russian Federation
Наталия Петрова St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
Артем Яковлев St. Petersburg Multidisciplinary Hospital No. 2, 5, Uchebniy per., St. Petersburg, 194354, Russian Federation; St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation

DOI:

https://doi.org/10.21638/spbu11.2021.304

Аннотация

Aim of the study: validation of novel algorithm for screening of mental comorbidity in general medical practice. Based on retrospectively formed registry of patients, we assessed an effectiveness of the previously proposed Psycho-cardiac comorbidity Index. An external validation was provided, with subgroup analysis on cohort of patients who presented with suspected “Non-ST-elevation acute coronary syndrome” (N = 577), with assessment of psychopharmacotherapy prescription rate and prevalence of anxiety and depression. Another validation was carried out via comparison with patients with verified mental disorders (N = 235). A positive association was found between magnitude of Psycho-cardiac comorbidity index and Hospital anxiety and depression subscales (r = 0.26, p < 0.001 for anxiety subscale, r = 0.17, p = 0.026 for depression subscale), over-diagnosis of acute coronary syndrome at pre-hospital stage (r = –0.27, p < 0.0001), as well as with neurotic, affective and somatoform mental disorders (average Index 8.59 vs. 7.52 points, U = 6040.5, p = 0.041). The found pattern may be useful for clinicians for screening for patients who require a multidisciplinary approach to diagnosis and treatment.

Ключевые слова:

psychocardiology, acute coronary syndrome, screening of mental disorders, psychosomatics, anxiety, comorbidity

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