Cited by 211Cardiac Health and Mental HealthCardiac and Coronary Surgery TechniquesCancer survivorship and care

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Anxiety and depression as risk factors for mortality after coronary artery bypass surgery

Tully, Phillip J., Baker, Robert A., Knight, John L.·2008·Journal of Psychosomatic Research

DOI 10.1016/j.jpsychores.2007.09.007

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Abstract

Objective This retrospective study examined the association between symptoms of depression, anxiety, and mortality risk following coronary artery bypass graft (CABG) surgery.Methods We assessed 440 CABG surgery patients' scores on the Depression Anxiety and Stress Scale (DASS) and followed up mortality status for a median of 5 years, 10 months.Results There were 67 (15%) deaths overall during the follow-up period. Adjusted survival analysis showed that preoperative depressive symptoms were not associated with a significantly higher risk of mortality. Survival analysis with preoperative anxiety adjusted for covariates showed a significantly increased mortality risk [hazard ratio (HR)=1.88 (95% CI=1.12-3.17), P=.02].Conclusion Preoperative anxiety symptoms were significantly associated with increased mortality risk after adjustment for known mortality risk factors. Future research should further explore the simultaneous role of anxiety and depression on mortality following CABG.

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Authors: Tully, P. J., Baker, R. A., & Knight, J. L.
Affiliations: Flinders Medical Centre (AU)
Flinders University (AU)
Corresponding author: Baker, Robert A.
ORCID: Tully, Phillip J.
Baker, Robert A.
Knight, John L.
Venue: Journal of Psychosomatic Research
Publisher: Elsevier BV
Published: 2008-03
Volume: 64
Issue: 3
Pages: 285-290
ISSN: 0022-3999 (ISSN-L)
DOI: 10.1016/j.jpsychores.2007.09.007
OpenAlex: W1964619777
Cited by: 211
References: 40
Citations by year: 2026: 4 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 13 · 2021: 26 · 2020: 11 · 2019: 6 · 2018: 8 · 2017: 11 · 2016: 14 · 2015: 13 · 2014: 6 · 2013: 11 · 2012: 15
FWCI: 11.16
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychosomatic Research (publishedVersion)
PubMed (publishedVersion)
Adelaide Research & Scholarship (AR&S) (University of Adelaide) (submittedVersion)
Flinders Academic Commons (Flinders University) (submittedVersion)
Figshare (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Surgery › Cardiac and Coronary Surgery Techniques
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Keywords: anxiety, depression, coronary artery bypass grafting, postoperative mortality, preoperative anxiety, depressive symptoms, risk factors, survival analysis, DASS
MeSH terms: Adult, Aged, Anxiety Disorders, Coronary Artery Bypass, Demography, Depressive Disorder, Female, Follow-Up Studies, Humans, Male, Middle Aged, Postoperative Complications, Risk Factors

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Anxiety and depression as risk factors for mortality after coronary artery bypass surgery

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