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NCT Number: NCT07274865

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

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.

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Key information

Conditions

Anxiety Depression Behavior Behavioral Symptoms Burnout Burnout, Psychological Sleep Stress, Psychological

Age range

18 year and older

Sex eligibility

All sexes

Study type

Observational

Primary location

About this study

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

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

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.

Treatment and study plan

Psychological Assessment using Validated Questionnaires

Other

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.

Primary outcomes

  1. Measuring the prevalence of depressive symptoms among cardiovascular patients assessed by SCL-90R

    Time frame: Within 12 months

    The Symptom Checklist-90-Revised (SCL-90R) will be used to assess depression subscale scores among patients with cardiovascular diseases. A predefined cutoff score indicates the presence of depressive symptoms.

    Unit of measure: Percentage of participants with depressive symptoms (%)

  2. Measuring the prevalence of anxiety symptoms among cardiovascular patients assessed by SCL-90R

    Time frame: Within 12 months

    Anxiety subscale of SCL-90R will be used to quantify anxiety symptoms in patients.

    Unit of measure : Percentage of participants with anxiety symptoms (%)

  3. Prevalence of burnout among healthcare providers assessed by Maslach Burnout Inventory (MBI)

    Time frame: Within 12 months

    The Maslach Burnout Inventory (MBI) will be used to assess emotional exhaustion, depersonalization, and personal accomplishment among cardiology staff.

    Unit of measure : Percentage of participants meeting burnout criteria (%)

Secondary outcomes

  1. Association between sociodemographic and clinical factors and psychiatric symptoms

    Time frame: within 12 months

    Multivariate logistic regression will be used to identify predictors (e.g., age, sex, job type, disease severity) associated with depression, anxiety, and burnout.

    Unit is Odds ratio (95% CI).

  2. Mean Perceived Stress Scale (PSS) score among patients and providers

    Time frame: within 12 months

    Perceived Stress Scale will be used to measure stress levels; higher scores indicate greater perceived stress.

    Unit of measure : Mean PSS score (0-40)

Study contacts

Contact information is provided by the study sponsor or research team.

Hossam Loly Abdullah, bachelor's

CONTACT

[email protected]

00201279533575

Sponsors and collaborators

Lead sponsor

Assiut University

Other

Registry information

Official study title

Prevalence of Psychiatric Problems Among Patients and Healthcare Providers in the Department of Cardiovascular Medicine

Important dates

Study start
2026
Primary completion
2027
Study completion
2028
First posted
Dec 10, 2025
Registry last updated
Dec 10, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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