Abstract
One hundred patients were selected from the cardiology outpatient department by non-probability purposive method. Each patient was evaluated by a psychiatrist and a consultant cardiologist The informations were recorded in a self designed proforma. The Hindi version of Goldberg′s General Health Questionnaire and modified adjective check list for type A and type B personality characteristics were administered. Seventy five percent of the patients were having psychiatric problems. The cardiac patients were having psychiatric problems. The cardiac patients were having predominantly type A personality characteristics. Panic disorder was the predominant diagnosis in the psychiatric patients and depression was the main diagnosis in cardiac patients. These patients presented with complaints of chest pain, palpitation, ghabarahat, weakness, increased sweating, hot and cold flushes, choking, breathlessness, decreased appetite.etc.in cardiac OPD.
Keywords: Cardiac outpatients, Psychiatric morbidity, Panic disorder, Depression, Type A behavior
Full Text
The Full Text of this article is available as a PDF (203.0 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Bass C. Unexplained chest pain and breathlessness. Med Clin North Am. 1991 Sep;75(5):1157–1173. doi: 10.1016/s0025-7125(16)30405-9. [DOI] [PubMed] [Google Scholar]
- FRIEDMAN M., ROSENMAN R. H. Association of specific overt behavior pattern with blood and cardiovascular findings; blood cholesterol level, blood clotting time, incidence of arcus senilis, and clinical coronary artery disease. J Am Med Assoc. 1959 Mar 21;169(12):1286–1296. doi: 10.1001/jama.1959.03000290012005. [DOI] [PubMed] [Google Scholar]
- Haynes S. G., Feinleib M., Kannel W. B. The relationship of psychosocial factors to coronary heart disease in the Framingham Study. III. Eight-year incidence of coronary heart disease. Am J Epidemiol. 1980 Jan;111(1):37–58. doi: 10.1093/oxfordjournals.aje.a112873. [DOI] [PubMed] [Google Scholar]
- Herman S., Blumenthal J. A., Black G. M., Chesney M. A. Self-ratings of type A (coronary prone) adults: do type A's know they are type A's? Psychosom Med. 1981 Oct;43(5):405–413. doi: 10.1097/00006842-198110000-00003. [DOI] [PubMed] [Google Scholar]
- Katon W. J. Chest pain, cardiac disease, and panic disorder. J Clin Psychiatry. 1990 May;51 (Suppl):27–53. [PubMed] [Google Scholar]
- Mayou R. The patient with angina: symptoms and disability. Postgrad Med J. 1973 Apr;49(570):250–254. doi: 10.1136/pgmj.49.570.250. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roll M., Kollind M., Theorell T. Clinical symptoms in young adults with atypical chest pain attending the emergency department. J Intern Med. 1991 Sep;230(3):271–277. doi: 10.1111/j.1365-2796.1991.tb00442.x. [DOI] [PubMed] [Google Scholar]
- Rosenman R. H., Brand R. J., Jenkins D., Friedman M., Straus R., Wurm M. Coronary heart disease in Western Collaborative Group Study. Final follow-up experience of 8 1/2 years. JAMA. 1975 Aug 25;233(8):872–877. [PubMed] [Google Scholar]
- Williams R. B., Jr, Haney T. L., Lee K. L., Kong Y. H., Blumenthal J. A., Whalen R. E. Type A behavior, hostility, and coronary atherosclerosis. Psychosom Med. 1980 Nov;42(6):539–549. doi: 10.1097/00006842-198011000-00002. [DOI] [PubMed] [Google Scholar]