Factors Associated with Depression in Hospitalized Patients with Myocardial Infarction in Sri Lanka

다국어 초록 (Multilingual Abstract)

Back ground & Purpose- Myocardial Infarction (MI) is the leading cause of death in Sri Lanka. Depression has been known to be risk factors for developing Cardio Vascular Disease (CVD), owing to its high prevalence and its influence on MI. Although depression of MI has almost reached to epidemic proportion in Sri Lanka, the reason for high risk of depression of MI among Sri Lankans is still unclear. This study was conducted to identify the severity of depression and its correlates in hospitalized MI patients in Sri Lanka.
Methods- This study was performed from July to August in 2016. A descriptive study was carried out among 125 patients with MI was admitted in General Hospital in Sri Lanka. An interview with self-administered questionnaire was used to collect data. Depression was measured by the Hospital Anxiety and Depression Scale.
Results-The mean severity of depression was 8.92. Severity of depression was strongly correlated with symptom experience. All the predictors including age, gender, symptom experience, perceived social support explained 31.0% of the total variance of severity of depression. Symptom experience was the most significant predictor for the severity of depression. Age was also effected on severity of depression.
Conclusion- Assessment is necessary in order to identify depression and factor that associated depression such as symptom experience for the hospitalized patients with MI based on the current study. Especially, clinicians should concern the hospitalized patients who are younger and middle aged as well as older, with higher symptom experience.
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목차 (Table of Contents)

• List of Tables
• List of Figures Abstract i
• I. Introduction 1
• A. Background and purposes 1
• B. Research Purpose 6
• C. Definitions of terms 7
• II. Literature Review 8
• A. Depression among MI patients . 8
• B. Factors that associated with depression. 11
• C. Conceptual Framework . 18
• III. Research Methods 21
• A. Design 21
• B. Subjects. 21
• C. Instruments 21
• D. Data collection methods 24
• E. Data analysis methods 25
• IV. Results 25
• A. Characteristics of the patients with MI. 25
• B. Description of severity of depression, symptom experience and perceived social support 27
• C. Depression according to the patients characteristics 28
• D. Correlation among variables 30
• E. Factors associated with depression in hospitalized patients with MI 31
• V. Discussion 32
• VI. Conclusion and Suggestions. 39
• References . 41
• Appendices 50
• Appendix 1. 1 Questionnaire related to factors associated with depression in hospitalized patients 50
• Appendix 2. Letters of approval from ethical committees. 58
• Appendix 3. Informed consent form 61
• Acknowledgement 64