New possibilities of screening for mental disorders in cardiology practice

Authors

  • Sergei Zadvorev St. Petersburg Multidisciplinary Hospital No. 2, 5, Uchebniy per., St. Petersburg, 194354, Russian Federation
  • Mariia Dorofeikova Sechenov Institute of Evolutionary Physiology and Biochemistry, Russian Academy of Sciences, 44, pr. Toreza, St. Petersburg, 194223, Russian Federation
  • Natalia Petrova St. Petersburg State University, 7–9, Universitetskaya nab., St. Petersburg, 199034, Russian Federation
  • Artyom Yakovlev 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

Abstract

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.

Keywords:

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

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References


References

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Published

2021-09-30

How to Cite

Zadvorev, S. ., Dorofeikova , M., Petrova , N., & Yakovlev, A. (2021). New possibilities of screening for mental disorders in cardiology practice. Vestnik of Saint Petersburg University. Medicine, 16(3), 171–179. https://doi.org/10.21638/spbu11.2021.304

Issue

Vol. 16 No. 3 (2021)

Section

Neurology. Neurosurgery. Psychiatry

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Articles of "Vestnik of Saint Petersburg University. Medicine" are open access distributed under the terms of the License Agreement with Saint Petersburg State University, which permits to the authors unrestricted distribution and self-archiving free of charge.