Skip to main content
Clinical Cardiology logoLink to Clinical Cardiology
. 2009 Oct 8;32(11):E11–E17. doi: 10.1002/clc.20460

Depressive Symptoms and Risk Factors in Chinese Patients with Premature Ventricular Contractions without Structural Heart Disease

Jin‐jun Liang 1, Cong‐xin Huang 1,, Bo Yang 1, He Huang 1, Jun Wan 1, Yan‐hong Tang 1, Qin‐yan Zhao 1
PMCID: PMC6653526  PMID: 19816869

Abstract

Hypothesis

Our objective was to study depressive symptoms and potential risk factors in Chinese persons with premature ventricular contractions (PVCs) without structural heart disease.

Methods

The Zung self‐rating depression scale (ZSDS) was used to assess depressive symptoms. Correlations between depressive symptoms and sociodemographic and medical factors were analyzed by logistic regression.

Background

Prevalence of depressive symptoms in coronary heart disease (CHD) is higher that in the general population and those for the majority of other chronic symptoms in patients with premature ventricular contractions (PUCS).

Results

Of 1,144 patients with PVCs (488 males, 656 females), age 51 ± 23 years, disease duration 1 mo − 23 y, a total of 309 (27%) patients were categorized as having depressive symptoms. Depressive symptoms increased with age, income, education level, nationality, PVC count/24h, society support, and settlement type (p < 0.05). Univariate logistic regression showed that being female, level of education, age, settlement type, and PVC count/24h significantly correlated with depressive symptoms (p < 0.05). Multivariate logistic regression indicated that 5 variables—female sex, education level, settlement type, age, and PVC count/24h significantly and independently related with depressive symptoms (p < 0.05).

Conclusions

In the Chinese population, depressive symptoms in subjects with PVCs were frequent. The village settlement type, female sex, age, PVC count/24h, and education level were independent risk factors for depressive symptoms. Further research on the relationship between PVCs and depressive symptoms in China is necessary. Copyright © 2009 Wiley Periodicals, Inc.

Keywords: premature ventricular contractions, depressive symptoms, risk factor

Full Text

The Full Text of this article is available as a PDF (117.6 KB).

References

  • 1. Eiser C: Psychological effects of chronic disease. J Child Psychol Psychiatry 1990; 31:85–98. [DOI] [PubMed] [Google Scholar]
  • 2. Wulsin LR, Evans JC, Vasan RS, Murabito JM, Kelly‐Hayes M, et al.: Depressive symptoms, coronary heart disease, and overall mortality in the Framingham Heart Study. Psychosom Med 2005; 67(5):697–702. [DOI] [PubMed] [Google Scholar]
  • 3. Barth J, Schumacher M, Herrmann‐Lingen C: Depression as a risk factor for mortality in patients with coronary heart disease: A meta‐analysis. Psychosom Med 2004; 66(6):802–813. [DOI] [PubMed] [Google Scholar]
  • 4. Shiotani I, Sato H, Kinjo K, Nakatani D, Mizuno H, et al.; Osaka Acute Coronary Insufficiency Study (OACIS) Group: Depressive symptoms predict 12‐month prognosis in elderly patients with acute myocardial infarction. J Cardiovasc Risk 2002; 9(3):153–160. [DOI] [PubMed] [Google Scholar]
  • 5. Pedersen SS, van Domburg RT, Theuns DA, Jordaens L, Erdman RA: Concerns about the implantable cardioverter defibrillator: A determinant of anxiety and depressive symptoms independent of experienced shocks. Am Heart J 2005; 149(4):664–669. [DOI] [PubMed] [Google Scholar]
  • 6. Fu CW, Xu B, Luan RS, Zhan SY: Study on risk factors of depressive and/or anxiety symptoms in patients with coronary heart disease in general hospitals of urban China. Wei Sheng Yan Jiu (Chin) 2006; 35(5):634–636. [PubMed] [Google Scholar]
  • 7. Biggs JT, Wylie LT, Ziegler VE: Validity of the Zung self‐rating depression scale. Br J Psychiatry 1978; 132:381–385. [DOI] [PubMed] [Google Scholar]
  • 8. Thurber S, Snow M, Honts CR: The Zung self‐rating depression scale: Convergent validity and diagnostic discrimination. Assessment 2002; 9:401–405. [DOI] [PubMed] [Google Scholar]
  • 9. Rajala U, Keinanen‐Kiukaanniemi S, Kivela SL: Non‐insulin‐dependent diabetes and depression in a middle‐aged Finnish population. Soc Psychiatry Psychiatr Epidemiol 1997; 32:363–367. [DOI] [PubMed] [Google Scholar]
  • 10.Chinese Society of Cardiac Pacing and Electrophysiology, Chinese Society of Cardioelectrophysiology and Pacing, Chinese Journal of Cardiac Pacing and Electrophysiology: Guidelines for radiofrequency catheter ablation of tachyarrhythmia (revised edition). CJPACE(Chin) 2002; 16(2):81–95. [Google Scholar]
  • 11. Krittayphong R, Sriratanasathavorn C, Bhuripanyo K, Raungratanaamporn O, Soongsawang J, et al.: One‐year outcome after radiofrequency catheter ablation of symptomatic ventricular arrhythmia from right ventricular outflow tract. Am J Cardiol 2002; 89(11):1269–1274. [DOI] [PubMed] [Google Scholar]
  • 12. Wang XD: Manual of psychological assessment scale. Chin Mental Health J 1999; (1):194–195. [Google Scholar]
  • 13. Zung WW: A self‐rating depression scale. Arch Gen Psychiatry 1965; 12:63–70. [DOI] [PubMed] [Google Scholar]
  • 14. Zung WW: From art to science. Arch Gen Psychiatry 1973; 29:328–337. [DOI] [PubMed] [Google Scholar]
  • 15. Takemoto M, Yoshimura H, Ohba Y, Matsumoto Y, Yamamoto U, et al.: Radiofrequency catheter ablation of premature ventricular complexes from right ventricular outflow tract improves left ventricular dilation and clinical status in patients without structural heart disease. J Am Coll Cardiol 2005; 45(8):1259–1265. [DOI] [PubMed] [Google Scholar]
  • 16. Huang CX, Liang JJ, Yang B, Jiang H, Tang et al.: Quality of life and cost for patients with premature ventricular contractions by radiofrequency catheter ablation. PACE 2006; 29(4):343–350. [DOI] [PubMed] [Google Scholar]
  • 17. Parker G, Cheah YC, Roy K: Do the Chinese somatize depression? A cross cultural study. Soc Psychiatry Psychiatr Epidemiol 2001; 36:287–293. [DOI] [PubMed] [Google Scholar]
  • 18. Parker G, Gladstone GBA, Chee KT: Depression in the planet's largest ethnic group: The Chinese. Am J Psychiatry 2001;158:857–864. [DOI] [PubMed] [Google Scholar]
  • 19. Yeung A, Howarth S, Chan R, Sonawalla S, Nierenberg AA, et al.: Use of Chinese version of the Beck Depression Inventory for screening depression in primary care. J Nerv Ment Dis 2002; 190:94–99. [DOI] [PubMed] [Google Scholar]
  • 20. Chen R, Copeland JRM, Wei L: A meta‐analysis of epidemiological studies in depression of older people in the People's Republic of China. Int J Geriat Psychiatry 1999; 14:821–830. [DOI] [PubMed] [Google Scholar]
  • 21. Lee D, Yip A, Chiu H, Leung T, Chung T: A psychiatric epidemiological study of postpartum Chinese women. Am J Psychiatry 2001; 158:220–226. [DOI] [PubMed] [Google Scholar]
  • 22. Fuh JL, Liu HC, Wang SJ, Liu CY, Wang PN: Poststroke depression among the Chinese elderly in a rural community. Stroke 1997; 28:1126–1129. [DOI] [PubMed] [Google Scholar]
  • 23. Xu L, Ren JM, Cheng M, Tang KX, Dong M, et al.: Depressive symptoms and risk factors in Chinese persons with type 2 diabetes. Archives of Medical Research 35:2004; Arch Med Res. 2009, 35 (4) 301–307. [DOI] [PubMed] [Google Scholar]
  • 24. Thurston RC, Kubzansky LD, Kawachi I, Berkman LF: Do depression and anxiety mediate the link between educational attainment and CHD? Psychosom Med 2006; 68(1):25–32. [DOI] [PubMed] [Google Scholar]
  • 25. Jackson‐Triche ME, Greer SJ, Wells KB, Rogers W, Camp P, et al.: Depression and health‐related quality of life in ethnic minorities seeking care in general medical settings. J Affect Disord 2000; 58:89–97. [DOI] [PubMed] [Google Scholar]

Articles from Clinical Cardiology are provided here courtesy of Wiley

RESOURCES