ASSOCIATION BETWEEN PATIENT WITH CHRONIC DISEASES AND DEPRESSION AND ANXIETY IN GENERAL PRACTICE

Objectives. Some research show that chronic diseases and depression and anxiety comorbidity have higher mortality risk. The aim of the study was to evaluate the depression and anxiety level in patients with chronic disease. As well as to find out a correlation between number of medications and depression and
anxiety level.
Materials and Methods. This was a prospective study, carried out in a general practice and involved 116 adult respondents. Respondents were invited to complete a Generalized Anxiety Disorder Assessment (GAD-7), Patient Depression Questionnaire (PHQ-9) followed by a questions about medications and chronic diseases. Statistical analysis was performed with SPSS 22.0. We used The Shapiro-Wilk test, the Mann-Whitney test, Chi-square and Cramer’s v test.
Results. In total we included 116 respondents, 20.7% men and 79.3% women. The mean age of the group was 40.1, age group 23-72 years. Of all respondents 37.9% have chronic disease – group1 and others were in group 2. From group 1, 72.7% took medication daily. Between all participants depression level were:
no depression 49.1%, mild 25%, moderate 18.1%, moderately severe 5.2%, severe 2.6%. Anxiety levels were: no anxiety 55.2%, mild 28.4%, moderate 12.9%, severe 3.4%. There was not significant difference in depression (p = 0.5) and anxiety level (p = 0.7) between both groups. Also, there was not significant difference in depression (p = 0.5) and anxiety level (p = 0.3) between respondents who take medication daily and not. Correlation coefficient between number of medications and depression and anxiety score were r = 0.06 and r = 0.03 correspondingly.
Conclusions. in our research we found that patients with chronic disease have no higher depression and anxiety level compared with patient without chronic disease, and number of medications does not affect depression and anxiety level.