Prevalence of Psychiatric Problems Among Patients and Healthcare Providers in a Cardiology Department: A Cross-Sectional Study

NCT ID: NCT07274865

Last Updated: 2025-12-10

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

NOT_YET_RECRUITING

Total Enrollment

380 participants

Study Classification

OBSERVATIONAL

Study Start Date

2026-01-31

Study Completion Date

2028-03-31

Brief Summary

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The goal of this observational cross-sectional study is to determine the prevalence of psychiatric problems (depression, anxiety, stress, and burnout) among patients with cardiovascular diseases and healthcare providers working in the Department of Cardiovascular Medicine at Assiut University Heart Hospital.

The main questions it aims to answer are:

* What is the prevalence of depression, anxiety, and stress among cardiovascular patients?
* What is the prevalence of burnout, depression, and anxiety among healthcare providers in the same department?

The study will also explore potential sociodemographic, occupational, and clinical factors associated with these psychological outcomes.

Detailed Description

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Cardiovascular diseases (CVDs) remain the leading cause of morbidity and mortality worldwide. Psychological comorbidities-such as depression, anxiety, post-traumatic stress disorder, and cognitive impairment-are highly prevalent among patients with CVD and are known to adversely affect treatment adherence, quality of life, and overall outcomes.

Similarly, healthcare professionals working in cardiovascular medicine are exposed to continuous psychological stress due to long working hours, critical decision-making, and frequent exposure to life-threatening situations. These stressors contribute to burnout, depression, anxiety, and reduced job satisfaction, all of which may negatively influence patient safety and workforce stability.

Despite the recognized importance of mental health in cardiology, limited data exist from low- and middle-income countries-particularly from Egypt-regarding the concurrent assessment of mental health among both patients and healthcare providers within the same clinical setting.

Therefore, this study aims to estimate the prevalence and correlates of psychiatric symptoms among cardiovascular patients and healthcare providers in a tertiary care center. The results are expected to guide the development of psychosocial support programs and promote mental health awareness in hospital cardiology departments.

Study Design:

Type: Cross-sectional, descriptive, hospital-based study

Setting: Assiut University Heart Hospital

Sample: \~380 cardiovascular patients (systematic random sampling) and all available healthcare providers (census approach)

Tools: Standardized and validated questionnaires including SCL-90R, PSS, PSQI, MBI, and COPE Inventory

Data Analysis: Descriptive and multivariate logistic regression analyses using SPSS v26

Conditions

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Anxiety Depression Burnout Sleep

Study Design

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Observational Model Type

OTHER

Study Time Perspective

CROSS_SECTIONAL

Interventions

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Psychological Assessment using Validated Questionnaires

Participants will complete validated mental health questionnaires, including SCL-90R, COPE Inventory, Eysenck Personality Questionnaire, Perceived Stress Scale (PSS), Pittsburgh Sleep Quality Index (PSQI). Healthcare providers will additionally complete the Maslach Burnout Inventory (MBI). No experimental treatment or behavioral intervention will be applied.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

Patients

Age ≥ 18 years. Diagnosed with a cardiovascular disease (e.g., ischemic heart disease, heart failure, valvular disease).

Able to understand and complete self-administered questionnaires or participate in structured interviews.

Provided informed written consent.

Healthcare Providers

Physicians, residents, nurses, or allied staff working in the Department of Cardiovascular Medicine for ≥6 months.

Provided informed written consent.

Exclusion Criteria

Severe cognitive impairment or communication difficulties that prevent questionnaire completion.

Refusal to participate.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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Hossam Loly Abdulhameed Abdullah

dr

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ali Mohammed Tohamy, Ass. Professor

Role: STUDY_DIRECTOR

Assiut University

Ayman Khairy Hassan, Professor

Role: STUDY_DIRECTOR

Assiut University

Hossam Loly Abdullah, bachelor's

Role: PRINCIPAL_INVESTIGATOR

Assiut University

Locations

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Assiut university hospital

Asyut, Asyut Governorate, Egypt

Site Status

Countries

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Egypt

Central Contacts

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Hossam Loly Abdullah, bachelor's

Role: CONTACT

00201279533575

Facility Contacts

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Assiut university hospital

Role: primary

0020882080150

References

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Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x.

Reference Type RESULT
PMID: 11556941 (View on PubMed)

Shanafelt TD, Boone S, Tan L, Dyrbye LN, Sotile W, Satele D, West CP, Sloan J, Oreskovich MR. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Arch Intern Med. 2012 Oct 8;172(18):1377-85. doi: 10.1001/archinternmed.2012.3199.

Reference Type RESULT
PMID: 22911330 (View on PubMed)

Spitzer RL, Kroenke K, Williams JB, Lowe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006 May 22;166(10):1092-7. doi: 10.1001/archinte.166.10.1092.

Reference Type RESULT
PMID: 16717171 (View on PubMed)

Lichtman JH, Froelicher ES, Blumenthal JA, Carney RM, Doering LV, Frasure-Smith N, Freedland KE, Jaffe AS, Leifheit-Limson EC, Sheps DS, Vaccarino V, Wulsin L; American Heart Association Statistics Committee of the Council on Epidemiology and Prevention and the Council on Cardiovascular and Stroke Nursing. Depression as a risk factor for poor prognosis among patients with acute coronary syndrome: systematic review and recommendations: a scientific statement from the American Heart Association. Circulation. 2014 Mar 25;129(12):1350-69. doi: 10.1161/CIR.0000000000000019. Epub 2014 Feb 24.

Reference Type RESULT
PMID: 24566200 (View on PubMed)

Other Identifiers

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psychiatry in cardiology

Identifier Type: -

Identifier Source: org_study_id

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