Cited by 111Cardiac Health and Mental HealthCancer survivorship and careAcute Myocardial Infarction Research

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Anxiety and depression after acute myocardial infarction: an 18-month follow-up study with repeated measures and comparison with a reference population

Hanssen, Tove Aminda, Nordrehaug, Jan Erik, Eide, Geir Egil, Bjelland, Ingvar, Rokne, Berit·2009·European Journal of Cardiovascular Prevention & Rehabilitation

DOI 10.1097/hjr.0b013e32832e4206

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Abstract

BACKGROUND: Recently, there has been substantial improvement in coronary care and a corresponding reduction in mortality after acute myocardial infarction (AMI). Some studies suggest that improved prognosis has led to reduced levels of anxiety and depression after AMI, in both the short and long term. The aims of this study were to assess symptoms of anxiety and depression from the acute event to 18 months following AMI, and to compare results with levels in the Norwegian reference population. DESIGN AND METHODS: The progress of 288 patients was monitored using self-reports 3, 6, 12 and 18 months after AMI. Anxiety and depression were measured by the Hospital Anxiety and Depression Scale. Reference population data were obtained from the Nord-Trøndelag Health Study 1995-1997 (the HUNT 2 Study). RESULTS: At baseline, 19.7 and 13.6% of AMI patients reported high levels of anxiety and depressive symptoms, respectively. At baseline, AMI patients were more anxious, but not more depressed, when compared with the reference population (P<0.001 and P = 0.092, respectively). After 3-18 months, AMI patients' levels of anxiety and depression were not higher than levels in the reference population. Anxiety and depression at baseline and after 3 months were the best predictors of anxiety and depression after 18 months, although complications, bed days and lifestyle improvement also significantly predicted depression after 18 months. CONCLUSION: Initially, AMI patients had higher levels of anxiety, but not depressive symptoms. After 3-18 months, these patients were not more anxious or depressed than the Norwegian reference population.

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Authors: Hanssen, T. A., Nordrehaug, J. E., Eide, G. E., Bjelland, I., & Rokne, B.
Affiliations: University of Bergen (NO)
Department of Heart Disease,
Centre for Clinical Research,
Haukeland University Hospital (NO)
Corresponding author: Hanssen, Tove Aminda
ORCID: Hanssen, Tove Aminda
Nordrehaug, Jan Erik
Eide, Geir Egil
Bjelland, Ingvar
Rokne, Berit
Venue: European Journal of Cardiovascular Prevention & Rehabilitation
Publisher: Oxford University Press (OUP)
Published: 2009-12
Volume: 16
Issue: 6
Pages: 651-659
ISSN: 1741-8267 (ISSN-L)
DOI: 10.1097/hjr.0b013e32832e4206
OpenAlex: W2095502697
Cited by: 111
References: 55
Citations by year: 2026: 1 · 2025: 7 · 2024: 3 · 2023: 12 · 2022: 9 · 2021: 4 · 2020: 6 · 2019: 7 · 2018: 8 · 2017: 9 · 2016: 6 · 2015: 8 · 2014: 6 · 2013: 5 · 2012: 10
FWCI: 4.28
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: European Journal of Cardiovascular Prevention & Rehabilitation (publishedVersion)
PubMed (publishedVersion)
Funders: Haukeland Universitetssjukehus
Norwegian Institute of Public Health
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
Keywords: acute myocardial infarction, anxiety, depression, depressive symptoms, long-term follow-up, predictors of depression, in-hospital complications, length of hospital stay, lifestyle modification, reference population comparison
MeSH terms: Aged, Anxiety, Depression, Female, Follow-Up Studies, Humans, Male, Middle Aged, Myocardial Infarction, Norway, Prospective Studies, Psychiatric Status Rating Scales, Surveys and Questionnaires, Risk Factors, Time Factors, Linear Models, Case-Control Studies, Randomized Controlled Trials as Topic, Treatment Outcome, Risk Assessment

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Anxiety and depression after acute myocardial infarction: an 18-month follow-up study with repeated measures and comparison with a reference population

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