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Article: Anxiety and Depression After a Cardiac Event: Prevalence and Predictors

TitleAnxiety and Depression After a Cardiac Event: Prevalence and Predictors
Authors
Keywordspsychosocial risk factors
heart disease
anxiety
depression
heart attack
Issue Date2020
PublisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology
Citation
Frontiers in Psychology, 2020, v. 10, p. article no. 3010 How to Cite?
AbstractIntroduction Patients who are anxious or depressed after an acute cardiac event are at increased risk of a subsequent event and premature death. It is therefore important to identify these patients early in order to initiate supportive or even preventive measures. In the present study, we report on the prevalence of anxiety and depression during the first 12 months after an acute cardiac event, and the patient characteristics predictive of increased anxiety and depression risk in early and late convalescence. Methods We recruited a sample of 911 patients with acute myocardial infarction (AMI), acute coronary syndrome (ACS), and/or unstable angina (UA), and/or undergoing coronary artery bypass graft surgery (CABGS). Patients completed the Hospital Anxiety and Depression Scale (HADS) close to the time of their event, and again during early (2–4 months post-event) and late (6–12 months post-event) convalescence. Using HADS-A and HADS-D cut-offs of 8+, prevalence rates for anxiety, depression, and comorbid anxiety and depression were determined for each timepoint. Chi-square tests and odds ratios were used to identify baseline patient characteristics associated with increased anxiety and depression risk over 12 months. Results Anxiety rates were 43, 28, and 27% at the time of the event, early, and late convalescence. Depression rates were 22, 17, and 15%, respectively. Factors consistently associated with increased anxiety and depression risk were history of depression, financial strain, poor self-rated health, low socioeconomic status, younger age (<55 years), and smoking. Obesity, diabetes, and social isolation (living alone or being unpartnered) were identified as important albeit less significant risk factors. Neither sex nor event type were predictive of anxiety or depression. Conclusion This large patient sample provided the opportunity to identify rates of anxiety and depression during the 12 months after a cardiac event and key patient characteristics for increased risk. These risk factors are easily identifiable at the time of the event, and could be used to guide the targeting of support programs for patients at risk.
Persistent Identifierhttp://hdl.handle.net/10722/295493
ISSN
2023 Impact Factor: 2.6
2023 SCImago Journal Rankings: 0.800
PubMed Central ID
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorMurphy, MB-
dc.contributor.authorLe Grande, M-
dc.contributor.authorAlvarenga, M-
dc.contributor.authorWorcester, M-
dc.contributor.authorJackson, A-
dc.date.accessioned2021-01-25T11:15:41Z-
dc.date.available2021-01-25T11:15:41Z-
dc.date.issued2020-
dc.identifier.citationFrontiers in Psychology, 2020, v. 10, p. article no. 3010-
dc.identifier.issn1664-1078-
dc.identifier.urihttp://hdl.handle.net/10722/295493-
dc.description.abstractIntroduction Patients who are anxious or depressed after an acute cardiac event are at increased risk of a subsequent event and premature death. It is therefore important to identify these patients early in order to initiate supportive or even preventive measures. In the present study, we report on the prevalence of anxiety and depression during the first 12 months after an acute cardiac event, and the patient characteristics predictive of increased anxiety and depression risk in early and late convalescence. Methods We recruited a sample of 911 patients with acute myocardial infarction (AMI), acute coronary syndrome (ACS), and/or unstable angina (UA), and/or undergoing coronary artery bypass graft surgery (CABGS). Patients completed the Hospital Anxiety and Depression Scale (HADS) close to the time of their event, and again during early (2–4 months post-event) and late (6–12 months post-event) convalescence. Using HADS-A and HADS-D cut-offs of 8+, prevalence rates for anxiety, depression, and comorbid anxiety and depression were determined for each timepoint. Chi-square tests and odds ratios were used to identify baseline patient characteristics associated with increased anxiety and depression risk over 12 months. Results Anxiety rates were 43, 28, and 27% at the time of the event, early, and late convalescence. Depression rates were 22, 17, and 15%, respectively. Factors consistently associated with increased anxiety and depression risk were history of depression, financial strain, poor self-rated health, low socioeconomic status, younger age (<55 years), and smoking. Obesity, diabetes, and social isolation (living alone or being unpartnered) were identified as important albeit less significant risk factors. Neither sex nor event type were predictive of anxiety or depression. Conclusion This large patient sample provided the opportunity to identify rates of anxiety and depression during the 12 months after a cardiac event and key patient characteristics for increased risk. These risk factors are easily identifiable at the time of the event, and could be used to guide the targeting of support programs for patients at risk.-
dc.languageeng-
dc.publisherFrontiers Research Foundation. The Journal's web site is located at http://www.frontiersin.org/psychology-
dc.relation.ispartofFrontiers in Psychology-
dc.rightsThis Document is Protected by copyright and was first published by Frontiers. All rights reserved. It is reproduced with permission.-
dc.rightsThis work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.-
dc.subjectpsychosocial risk factors-
dc.subjectheart disease-
dc.subjectanxiety-
dc.subjectdepression-
dc.subjectheart attack-
dc.titleAnxiety and Depression After a Cardiac Event: Prevalence and Predictors-
dc.typeArticle-
dc.description.naturepublished_or_final_version-
dc.identifier.doi10.3389/fpsyg.2019.03010-
dc.identifier.pmid32063868-
dc.identifier.pmcidPMC7000459-
dc.identifier.scopuseid_2-s2.0-85079479878-
dc.identifier.hkuros321050-
dc.identifier.volume10-
dc.identifier.spagearticle no. 3010-
dc.identifier.epagearticle no. 3010-
dc.identifier.isiWOS:000514375300001-
dc.publisher.placeSwitzerland-

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