{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T23:30:39Z","timestamp":1791502239419,"version":"4.3.4"},"reference-count":39,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2024,3,30]],"date-time":"2024-03-30T00:00:00Z","timestamp":1711756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objetives: Cardiovascular disease (CVD) remains a significant contributor to global morbidity and mortality rates. Coronary artery bypass graft (CABG) surgery is a critical intervention for patients with coronary artery disease, yet it poses psychological challenges that can impact recovery. Methods: This prospective cohort study, conducted across six hospitals in the West Bank\/Palestine, aimed to assess changes in depression, anxiety, and stress levels among CABG patients and identify associated factors. The Arabic version of the Depression Anxiety Stress Scales (DASS-21) was administered before (one week) and after surgery (two and three weeks). Results: Of the 200 participants, 116 were men (58%). High levels of depression, anxiety, and stress were observed both before and after surgery, with statistically significant reductions in all these variables after surgery (p &lt; 0.001). Regarding demographic factors, age displayed a weak positive correlation with depression (r = 0.283; p &lt; 0.001), anxiety (r = 0.221; p = 0.002), and stress (r = 0.251; p &lt; 0.001). Sex showed a weak correlation with stress pre-surgery (r = \u22120.160; p = 0.024). Conclusions: Patient outcomes could be improved by early identification and the provision of efficient treatments such as psychosocial therapy both before and after surgery.<\/jats:p>","DOI":"10.3390\/jcm13072027","type":"journal-article","created":{"date-parts":[[2024,3,31]],"date-time":"2024-03-31T13:32:56Z","timestamp":1711891976000},"page":"2027","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Psychological Discomfort in Patients Undergoing Coronary Artery Bypass Graft (CABG) in West Bank: A Cohort Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3446-6250","authenticated-orcid":false,"given":"Osama","family":"Sawalha","sequence":"first","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18006 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2447-2179","authenticated-orcid":false,"given":"Patrocinio","family":"Ariza-Vega","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18006 Granada, Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria ibs. Granada, 18012 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0899-7883","authenticated-orcid":false,"given":"Fadwa","family":"Alhalaiqa","sequence":"additional","affiliation":[{"name":"College of Nursing, Qatar University, Doha 2713, Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonia","family":"P\u00e9rez-Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18006 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2479-8913","authenticated-orcid":false,"given":"Dulce","family":"Romero-Ayuso","sequence":"additional","affiliation":[{"name":"Department of Physical Therapy, Occupational Therapy Division, University of Granada, 18006 Granada, Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria ibs. Granada, 18012 Granada, Spain"},{"name":"Brain, Mind and Behaviour Research Center (CIMCYC), University of Granada, Campus Universitario de Cartuja S.N., 18011 Granada, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,3,30]]},"reference":[{"key":"ref_1","unstructured":"(2023, September 06). Cardiovascular Diseases (CVDs). Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/cardiovascular-diseases-(cvds)."},{"key":"ref_2","unstructured":"Palestinian Health Information Center (2023, September 06). Health Anual Report Palestine 2018. 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