Anxiety and Depression in Pre-Operative Patients in Faisalabad Institute of Cardiology: A Cross-Sectional Study
DOI:
https://doi.org/10.62497/irjcs.177Keywords:
Pre-operative patients, depression and anxiety, psychological and biological variables, Faisalabad Institute of Cardiology.Abstract
Pre-operative patients frequently suffer from depression and anxiety, which can negatively influence their general health and perhaps have an impact on the success of their surgery. Symptoms of depression and anxiety are present in a considerable number of individuals prior to surgery. The types of surgeries, the features of the individual, and underlying medical issues all affect the prevalence rates. From June 2024 to March 2025, the latest study was conducted in the Microbiology study Laboratory (MRL) of the Department of Pathology PIMS Islamabad and in Faisalabad Institute of Cardiology. The preoperative anxiety and depression of patients at Pakistan's Faisalabad Institute of Cardiology were the main focus of this investigation. Preoperative heart surgery patients at the Faisalabad Institute of Cardiology. From the FIC pre-operative evaluation clinics or wards, a representative sample of pre-operative patients was selected. Based on the expected prevalence of anxiety and depression as well as the required accuracy level of 100, the sample size was calculated. The study discovered that the distribution of subjects among the 55 adult patients was evenly distributed. The internal consistency of both surveys was strong, with Cronbach's alpha scores of 0.85 and 0.93. There were significant differences between the groups with high trait anxiety and those with normal anxiety levels (p < 0.05) in the situational anxiety ratings obtained from the questionnaires. Remarkably, the only patient-related factor that had a significant impact on the anxiety levels was female sex (p < 0.05). In addition, it was shown that younger girls and females with previous experience under general anesthesia had higher anxiety levels than their male counterparts when additional patient characteristics were stratified by sex. In summary, our research revealed patient-related variables that impact anxiety before to surgery and showed results that were consistent with the Korean translation of the surveys. Notably, there was a notable difference in worry about future occurrences between the sexes, which might be attributed to a mix of biological and psychological causes.
References
Kumari, G., Nabi, S., Ali, S., Khan, A. Z., & Khan, M. N. (2025). Anemia and bone marrow suppression after intra-arterial chemotherapy in children with retinoblastoma. Pakistan Journal of Medical & Health Sciences (PJMHS), 19(4), 6. Medresearch Publisher.
Sayed Ali, K. E., Tufail, M. F., & Bibi, C. (2025). Evaluation of antibiotic prescribing patterns for pediatric upper respiratory tract infections in a tertiary care hospital. Frontier in Medical and Health Research, 3(7). https://doi.org/10.5281/zenodo.17358832
Palese, A., Cecconi, M., Moreale, R., & Skrap, M. (2012). Pre‐operative stress, anxiety, depression and coping strategies adopted by patients experiencing their first or recurrent brain neoplasm: an explorative study. Stress and Health, 28(5), 416-425.
Ahmad, S., Hussain, S., Ali, S., Shah, W. A., Riaz, A., Qazi, S. A., ... & Haq, F. U. (2025). Infectious causes of acute Meningoencephalitis syndrome in children: Insights from a tertiary care hospital in Pakistan. Mathews Journal of Pediatrics, 10(1), 1-11.
Ullah, Z., Ali, S., Bano, S., Faisal, S., & Billoo, F. (2025). Frequency Of UTI In Children Presenting With Diarrhea. The Research of Medical Science Review, Vol. 3 (2) https://medscireview.net/index.php/Journal/article/view/631
Rai, P., Ramchandani, K. J., Ali, A., Hamid, M., Ali, S., Rasool, M. S. & Muhammad, L. (2024) Knowledge and Practices on the Prevention and Management of Diarrhea in Children Under-5 Years in Pakistan. National Journal of Medical and Health Sciences (NJMHS) Volume 6, (1), pp.9-15
Rehman, Z., Hamid, M., Khan, A., GUL, S., ALI, S., AHMAD, I., & ULLAH, S. (2024). Frequency Of Clinical Syndromes in Children with Congenital Heart Defects Admitted at Tertiary Care Hospital. Biological and Clinical Sciences Research Journal, 2024, 1026.
Ibrahim, M., Hussain, F., Ali, S., Ahmad, J., Naseem, M., & Atta, L. (2025). Frequency of Urinary Tract Infection in Neonates With Jaundice. The Research of Medical Science Review, Vol. 3 (2). https://medscireview.net/index.php/Journal/article/view/644
Iqbal A, Muhammad R, Khan BB, Jamshed A, Rehman MI, et al. (2023) Comparative study of C-reactive protein and complete blood count in cancer and non-cancer patients followed by antibiogram analysis of isolated bacterial pathogens. J Bacteriol Mycol Open Access. 11(1): 1-4.
Ramesh, C., Nayak, B. S., Pai, V. B., George, A., George, L. S., & Devi, E. S. (2017). Pre-operative anxiety in patients undergoing coronary artery bypass graft surgery–a cross-sectional study. International journal of Africa nursing sciences, 7, 31-36.
Ali, S., e Rubab, T., & Mushtaq, W. (2025). Investigating the Role of Early Nutritional Interventions in Shaping Long-term Pediatric Health Outcomes: A Multidisciplinary Approach to Growth and Development. Journal of Health, Wellness, and Community Research, e136-e136.
Iqbal, A., Mehboob, Z., & Haq, I. (2024). Assessment of Current Medical Management Approaches for Thyroid Nodules and Cancer in a Tertiary Care Setting. Innovative Research in Applied, Biological and Chemical Sciences, 2(2), 199-204.
Ali, S., Shah, M. A., Khan, M. H., Shah, Z. A., Waheed, A., Ahmad, A., & Haq, F. U. (2025). Duchenne Muscular Dystrophy: An Atypical Adult Presentation and Comprehensive Literature Review with Management Recommendations. Biotechnology Journal International, 29(3), 28-60.
Rubab, T. E., Ali, S., Kumar, S., & Batool, R. (2025). EVALUATING the effectiveness of current asthma management protocols in pediatric populations: a longitudinal study on symptom control and quality of life. The Research of Medical Science Review, 3(4), 682-688. https://medscireview.net/index.php/Journal/article/view/996
Ali, S., Raza, M. A., Fazal, S., Ahmad, R. T., Fatima, M., Shahid, A., & Khatoon, F. (2025). Exploring the Association Between Passive Exposure to Household Smoking and Frequency of Recurrent Wheezing in Children. Journal of Health, Wellness and Community Research, e308-e308.
Jones, A. R., Al-Naseer, S., Bodger, O., James, E. T. R., & Davies, A. P. (2018). Does pre-operative anxiety and/or depression affect patient outcome after primary knee replacement arthroplasty?. The Knee, 25(6), 1238-1246.
Iqbal, A., Ahmed, A., Rehman, S., & Ali, R. (2024). Impact of Long-Term Aspirin Use on Cardiovascular Disease Prevention and Bleeding Risks. Innovative Research in Applied, Biological and Chemical Sciences, 2(2), 193-198.
KANG, H. J., & KIM, B. H. (1999). A study on stress, anxiety, and depression of pre-operational patients. Journal of Korean Academy of Adult Nursing, 809-819.
Ng, S. K., Chau, A. W., & Leung, W. K. (2004). The effect of pre‐operative information in relieving anxiety in oral surgery patients. Community dentistry and oral epidemiology, 32(3), 227-235.
Seagrave, K. G., Lewin, A. M., Harris, I. A., Badge, H., & Naylor, J. (2021). Association between pre-operative anxiety and/or depression and outcomes following total hip or knee arthroplasty. Journal of Orthopaedic Surgery, 29(1), 2309499021992605.
Iqbal, A., Rehman, S., & Haq, I. (2024). Prevalence and Risk Factors of ENT Symptoms in Extra-Pulmonary Tuberculosis Patients. Innovative Research in Applied, Biological and Chemical Sciences, 2(2), 242-247.
Alattas, S. A., Smith, T., Bhatti, M., Wilson-Nunn, D., & Donell, S. (2017). Greater pre-operative anxiety, pain and poorer function predict a worse outcome of a total knee arthroplasty. Knee Surgery, Sports Traumatology, Arthroscopy, 25(11), 3403-3410.
Zeb, A., Hammad, A. M., Baig, R., & Rahman, S. (2019). Pre-operative anxiety in patients at tertiary care hospital, Peshawar. Pakistan. J Clin Trials Res, 2, 76-80.
Farhan, M., & Faisal, M. (2024). The Potential Role of Polyphenol Supplementation in Preventing and Managing Depression: A Review of Current Research. Life, 14(10), 1342.
McLean, C. P., Asnaani, A., Litz, B. T., & Hofmann, S. G. (2011). Gender differences in anxiety disorders: prevalence, course of illness, comorbidity and burden of illness. Journal of psychiatric research, 45(8), 1027-1035.
Lim, N. C., Fan, C. H., Yong, M. K., Wong, E. P., & Yip, L. W. (2016). Assessment of depression, anxiety, and quality of life in Singaporean patients with glaucoma. Journal of glaucoma, 25(7), 605-612.
Bahram, M., & Gaballa, G. (2010). The value of pre-operative magnetic resonance cholangiopancreatography (MRCP) in management of patients with gall stones. International journal of surgery, 8(5), 342-345.
Woldegerima YB, Fitwi GL, Yimer HT, Hailekiros AG. (2017) Prevalence and factors associated with preoperative anxiety among elective surgical patients at University of Gondar hospital. Gondar, Northwest Ethiopia: A crosssectional study. International Journal of Surgury Open, 10,21–9.
Erkilic E, Kesimci E, Soykut C, Doger C, Gumus T, Kanbak O. (2017) Factors associated with preoperative anxiety levels of Turkish surgical patients from a single center in Ankara. Patient Prefer Adherence.11:291–6. DOI 10.2147/PPA.S127342
Kvaal, K.; Ulstein, I.; Nordhus, I.H.; Engedal, K. (2005) The Spielberger State-Trait Anxiety Inventory (STAI): The State Scale in Detecting Mental Disorders in Geriatric Patients. Int. J. Geriat. Psychiatry, 20, 629–634
Haq, F. U., Siraj, A., Ameer, M. A., Hamid, T., Rahman, M., Khan, S., ... & Masud, S. (2021). Comparative review of drugs used in diabetes mellitus—new and old. Journal of diabetes mellitus, 11(4), 115-131.
Levett, D.Z.H.; Grimmett, C. (2019) Psychological Factors, Prehabilitation and Surgical Outcomes: Evidence and Future Directions. Anaesthesia, 74 (Suppl. 1), 36–42.
Zehra, S. W., Wahid, S., Qureshi, M. A., & Ali, S. (2025). DIAGNOSTIC ACCURACY OF MENTZER INDEX TO DIAGNOSE BETA THALASSEMIA TRAIT, KEEPING HB ELECTROPHORESIS AS GOLD STANDARD. Journal of Medical & Health Sciences Review, 2(3).
Ihsan, H., Ullah, I., Khan, A. A., Iqbal, J., Ali, S., Siddiqui, S. K., & Ali, S. (2024). Comparison of azithromycin and amoxicillin in the management of pediatric community-acquired pneumonia. Journal of Population Therapeutics and Clinical Pharmacology, 31(8), 6.
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Copyright (c) 2025 Muhammad Adnan, Adnan Gill, Atta Ur Rehman, Muhammad Iqbal Khan Rahman, Nasir Anwar, Sayed Ali, Salman Khan (Author)
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