Cited by 250Cardiac Health and Mental HealthAcute Myocardial Infarction ResearchAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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Symptom Dimensions of Depression Following Myocardial Infarction and Their Relationship With Somatic Health Status and Cardiovascular Prognosis

de Jonge, Peter, Ormel, Johan, van den Brink, Rob H.S., van Melle, Joost P., Spijkerman, Titia A., Kuijper, Astrid, van Veldhuisen, Dirk J., van den Berg, Maarten P., Honig, Adriaan, Crijns, Harry J.G.M., Schene, Aart H.·2006·American Journal of Psychiatry

DOI 10.1176/appi.ajp.163.1.138

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Abstract

OBJECTIVE: The reporting of depressive symptoms following myocardial infarction may be confounded by complaints originating from the myocardial infarction. Therefore, it is difficult to estimate the effects of post-myocardial infarction depression and its treatment on cardiovascular prognosis. The authors' goal was to study the relationship between depressive symptom dimensions following myocardial infarction and both somatic health status and prospective cardiovascular prognosis. METHOD: In two studies of myocardial infarction patients (N=494 and 1,972), the Beck Depression Inventory was used to determine the dimensional structure of depressive symptoms following myocardial infarction. Three symptom dimensions-somatic/affective, cognitive/affective, and appetitive-were compared with baseline left ventricular ejection fraction, Charlson comorbidity index, Killip class, and previous myocardial infarction. The relationship between depressive symptom dimensions and prospective cardiovascular mortality and cardiac-related readmissions was also examined (mean follow-up duration=2.5 years). RESULTS: Somatic/affective symptoms were associated with poor health status (left ventricular ejection fraction, Charlson comorbidity index, Killip class, and previous myocardial infarction) and predicted cardiovascular mortality and cardiac events. Cognitive/affective symptoms were only marginally associated with somatic health status and not with cardiovascular death and cardiac events. Appetitive symptoms were related to somatic health status but did not predict cardiovascular death or cardiac events. CONCLUSIONS: Somatic/affective depressive symptoms following myocardial infarction were confounded by somatic health status yet were prospectively associated with cardiac prognosis even after somatic health status was controlled. Cognitive/affective depressive symptoms were only marginally related to health status and not to cardiac prognosis. These findings suggest that treatment of depression following myocardial infarction might improve cardiovascular prognosis when it reduces somatic/affective symptoms.

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Background
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BackgroundResultInfluential
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“총 33편 중 심 리적 요인이 우울, 불안, 분노, 적대감과 같이 단일 요인으로 구분되 지 않은 연구 4편(Allison et al., 1995; Gorkin et al., 1993; Mayou et al., 2000; Sirois, Sears, & Bertolet, 2003), 심리적 요인이 여러 차원으로 구 분되어 측정된 연구 2편(de Jonge et al., 2006; Martens, Hoen, Mittelhaeuser, de Jonge, & Denollet, 2010) 및 분석에 적합한 통계치가 산출 되지 않은 논문…”
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Background
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Result
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BackgroundResult
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Background
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A Machine Learning Based Discharge Prediction of Cardiovascular Diseases Patients in Intensive Care Units
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“(2) Their health status before and after medical interventions [15,16].”
Background
Socioeconomic factors in coronary artery disease – Results from the SPIRR-CAD study
Orth‐Gomér, K., Deter, H., Grün, A.-S., Herrmann‐Lingen, C., Albus, C., Bosbach, A., Ladwig, K., Ronel, J., Söllner, W., de Zwaan, M., et al. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.12.005 · Cited by 14
Time-dependent cognitive and somatic symptoms of depression as predictors of new cardiac-related events in at-risk patients: the UPBEAT-UK cohort
Norton, J. L., Pastore, M., Ancelin, M., Hotopf, M. H., Tylee, A. T., MANN, A. H., & Palacios, J. E. (2020) · Psychological Medicine · doi:10.1017/s0033291719004082 · Cited by 14
Differences in quality of life after stroke and myocardial infarction.
Zalihić, A., Markotić, V., Mabić, M., Obrdalj, E. Č., Zalihić, D., Pivić, G., & Ostojić, L. (2010) · PubMed · Cited by 14
Predictors of Cognitive/Affective and Somatic Depression in Heart Failure Patients
Seo, Y., Yates, B. C., Dizona, P. J., LaFramboise, L. M., & NORMAN, J. F. (2013) · Clinical Nursing Research · doi:10.1177/1054773812473476 · Cited by 13
“This was similar to findings from de Jonge et al. (2006), where the interrelationships between the two dimensions of depression were highly correlated.”
BackgroundResult
Depressed or Not Depressed: Untangling Symptoms of Depression in Patients Hospitalized With Coronary Heart Disease
McGuire, A., Eastwood, J., Hays, R. D., Macabasco‐O’Connell, A., & Doering, L. V. (2014) · American Journal of Critical Care · doi:10.4037/ajcc2014146 · Cited by 13
“accepted.(2,6,22,25,26) The HRsD is a 17-item observer rating tool with various response scales.”
Influential
Formal Professional Relationships Between General Practitioners and Specialists in Shared Care: Possible Associations with Patient Health and Pharmacy Costs
Lublóy, Á., Keresztúri, J. L., & Benedek, G. (2015) · Applied Health Economics and Health Policy · doi:10.1007/s40258-015-0206-1 · Cited by 13
“Some studies show that comorbidity indices are indeed associated with specific or overall health status [44–47].”
Background
Depression and cardiovascular disorders
Roose, S. P., & Deuschle, M. (2012) · Handbook of clinical neurology · doi:10.1016/b978-0-444-52002-9.00032-2 · Cited by 12
Depression Symptom Patterns as Predictors of Metabolic Syndrome and Cardiac Events in Symptomatic Women with Suspected Myocardial Ischemia: The Women's Ischemia Syndrome Evaluation (WISE and WISE-CVD) Projects
Virzi, N. E., Krantz, D. S., Bittner, V., Merz, C. N. B., Reís, S. E., Handberg, E. M., Pepine, C. J., Vaccarino, V., & Rutledge, T. R. (2022) · Heart and Mind · doi:10.4103/hm.hm_35_22 · Cited by 12
Depression Following Acute Coronary Syndrome: A Review
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“the MIND-IT study [53], researchers created a new dimen-”
Method
Cortisol levels and history of depression in acute coronary syndrome patients
Messerli‐Bürgy, N., Molloy, G. J., Wikman, A., Perkins-Porras, L., Randall, G., & Steptoe, A. (2012) · Psychological Medicine · doi:10.1017/s0033291711002959 · Cited by 12
Assessment of anxiety and depression in hospitalized cardiac patients of Faisalabad Institute of Cardiology, Pakistan
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Simultaneous Decomposition of Depression Heterogeneity on the Person-, Symptom- and Time-Level: The Use of Three-Mode Principal Component Analysis
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“A distinction between ‘cognitive’ and ‘somatic’ symptoms has often been reported [13, 49-51], and the item loadings on the first two BDI components obtained from 3MPCA were very similar to the ones reported elsewhere [13, 52, 53].”
Result
Depressive symptoms in patients with obstructive sleep apnea: biological mechanistic pathways
Chirinos, D. A., Gurubhagavatula, I., Broderick, P., Chirinos, J. A., Teff, K. L., Wadden, T. A., Maislin, G., Saif, H., Chittams, J. L., Cassidy, C., et al. (2017) · Journal of Behavioral Medicine · doi:10.1007/s10865-017-9869-4 · Cited by 13
“Somatic depressive symptoms have also been shown to bear stronger associations with other chronic medical conditions, such as cardiovascular disease (Jonge et al. 2006; Doyle et al. 2010; Hoen et al. 2010; Linke et al. 2009; Martens et al. 2010; Roest et al. 2011; Schiffer et al. 2009; Smolderen et…”
Background
Smoking Cessation After Acute Myocardial Infarction in Relation to Depression and Personality Factors
Schlyter, M., Leósdóttir, M., Engström, G., André-Petersson, L., Tydén, P., & Östman, M. (2015) · International Journal of Behavioral Medicine · doi:10.1007/s12529-015-9514-y · Cited by 11
“The BDI has been repeatedly validated [35] and is widely used to assess symptoms of depression in cardiovascular populations [16, 38].”
Method
Exhaustion, depression and hopelessness in cardiac patients: a unidimensional hierarchy of symptoms revealed by Mokken scaling
Doyle, F., Kowalczyk, A., McGee, H. M., & Conroy, R. M. (2011) · Irish Journal of Psychological Medicine · doi:10.1017/s0790966700011939 · Cited by 11
Heterogeneity of Patients With Coronary Artery Disease and Distress and the Need to Identify Relevant Subtypes
de Jonge, P., & Ormel, J. (2008) · Archives of General Psychiatry · doi:10.1001/archpsyc.65.7.851 · Cited by 11
Psychometric assessment of the Cardiac Depression Scale Short Form in cardiac outpatients
Hare, D. L., Selvadurai, L. P., Wang, J. Q., Yau, H. H., Stone, M. J., Raman, B., Wu, N., Shi, W. Y., & Toukhsati, S. R. (2016) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515116652759 · Cited by 10
Depression, anxiety, and vital exhaustion are associated with pro-coagulant markers in depressed patients with coronary artery disease – A cross sectional and prospective secondary analysis of the SPIRR-CAD trial
Deter, H., Orth‐Gomér, K., Rauch‐Kröhnert, U., Albus, C., Ladwig, K., Söllner, W., de Zwaan, M., Grün, A.-S., Ronel, J., Hellmich, M., et al. (2021) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2021.110659 · Cited by 10
The impact of personality factors on delay in seeking treatment of acute myocardial infarction
Schlyter, M., André-Petersson, L., Engström, G., Tydén, P., & Östman, M. (2011) · BMC Cardiovascular Disorders · doi:10.1186/1471-2261-11-21 · Cited by 12
Symptom and course heterogeneity of depressive symptoms and prognosis following myocardial infarction.
Roest, A. M., Wardenaar, K. J., & de Jonge, P. (2015) · Health Psychology · doi:10.1037/hea0000256 · Cited by 20
Depression deconstruction lessons from psychosomatic research
de Jonge, P. (2011) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2010.12.013 · Cited by 9
Frequency and clinical correlates of bipolar features in acute coronary syndrome patients
Pini, S., Abelli, M., Gesi, C., Lari, L., Cardini, A., Paolo, L. D., Felice, F., Stefano, R. D., Mazzotta, G., Oligeri, C., et al. (2013) · European Psychiatry · doi:10.1016/j.eurpsy.2013.06.007 · Cited by 8
“007 ACS, and worsens outcome when present in patients with established ACS, suggesting that depression is associated with both physiological and psychosocial changes that are deleterious to the cardiovascular system [12,19,34,37].”
Background
Personality factors and depression as predictors of hospital-based health care utilization following acute myocardial infarction
Schlyter, M., Östman, M., Engström, G., André-Petersson, L., Tydén, P., & Leósdóttir, M. (2016) · European Journal of Cardiovascular Nursing · doi:10.1177/1474515116666780 · Cited by 8
A negatív érzelmek és a szív- és érrendszeri betegségek összefüggései
Balog, P. (2018) · Orvosi Hetilap · doi:10.1556/650.2018.31221 · Cited by 10
Depressive symptoms, its sub-factors, and augmentation index: the modifying effects according to inflammatory markers
Jeon, Y. J., Cho, S. M. J., Lee, Y. J., Kim, H. C., & Jung, S. J. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.03.174 · Cited by 8
Left Ventricular Dysfunction and Depression in Hospitalized Patients with Heart Failure
Freedland, K. E., Carney, R. M., Steinmeyer, B. C., Skala, J. A., & Rich, M. W. (2021) · Psychosomatic Medicine · doi:10.1097/psy.0000000000000915 · Cited by 8
“In contrast, several studies that used questionnaires to assess depression found inverse associations between LVEF and total depression scores (15) or somatic symptom scores (14,16,17).”
Result
Glucose status and depressive symptoms: a cohort study of elderly people in northwest Finland
Perkkiö, Y., Jokelainen, J. J., AUVINEN, J. P., Eskola, P. J., Saltevo, J. T., Keinanen-Kiukaanniemi, S. M., & Timonen, M. (2019) · Scandinavian Journal of Primary Health Care · doi:10.1080/02813432.2019.1608050 · Cited by 9
Psychological Factors and Heart Disease
Pedersen, S. S., Kupper, N. H. M., & Denollet, J. (2009) · doi:10.1093/med/9780199566990.003.035 · Cited by 8
Do Symptom Dimensions of Depression Following Myocardial Infarction Relate Differently to Physical Health Indicators and Cardiac Prognosis?
Thombs, B. D., Grace, S. L., & Ziegelstein, R. C. (2006) · American Journal of Psychiatry · doi:10.1176/appi.ajp.163.7.1295-a · Cited by 8
Somatic Versus Cognitive Depressive Symptoms as Predictors of Coronary Artery Disease Among Women with Suspected Ischemia
Emami, A. S., Merz, C. N. B., Eastwood, J., Pepine, C. J., Handberg, E. M., Bittner, V., Mehta, P. K., Krantz, D. S., Vaccarino, V., Eteiba, W., et al. (2021) · Heart and Mind · doi:10.4103/hm.hm_34_21 · Cited by 7
“Similarly, de Jonge et al.[11] found that somatic depressive symptoms were associated with cardiovascular death and cardiac-related readmissions during an average follow-up of 2.”
BackgroundInfluential
The Importance of Psychological Assessment and Support in Patients Suffering from Cardiovascular Disease or Undergoing Cardiac Treatment
Császár, N. (2014) · Journal of Cardiovascular Diseases & Diagnosis · doi:10.4172/2329-9517.1000161 · Cited by 7
“If needed, pharmacological treatment can be taken into consideration, which can be effective in reducing the somatic/affective symptoms of depression in order to increase the potential to affect the cardiac prognosis [41].”
Background
Anxiety and Depression: Risk Factors for Cardiovascular Disease
Compare, A., Proietti, R., Germani, E., & Janeway, D. (2012) · Springer eBooks · doi:10.1007/978-1-4419-5650-7_8 · Cited by 7
Treatment of post-myocardial infarction depressive disorder
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Co-occurrence of diabetes and hopelessness predicts adverse prognosis following percutaneous coronary intervention
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“In CAD, depression has been associated with multiple adverse health outcomes, including increased mortality (Barth et al. 2004; de Jonge et al. 2006; Jiang et al. 2001), re-hospitalizations (Jiang et al. 2001), poor health status (Rumsfeld et al. 2003; Ruo et al. 2003), and non-compliance (Dimatteo…”
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Importance of Depressive Symptoms in Patients With Coronary Heart Disease – Review Article
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“…in a sample of 473 patients with MI, the earlier conclusion of De Jonge et al. (2006), and of Schiffer et al. (2009), that somatic, not cognitive, symptoms of depression are associated with a worse cardiovascular prognosis, possibly by effects on heart rate variability (De Jonge et al., 2006).”
BackgroundResult
Components of Depression and 6-Year Mortality After an Acute Coronary Syndrome
Herbison, P., Tie, C., Tang, E. W., Bermingham, B., & Wong, C. (2014) · The American Journal of Medicine · doi:10.1016/j.amjmed.2014.11.029 · Cited by 4

Authors: de Jonge, P., Ormel, J., van den Brink, R. H. S., van Melle, J. P., Spijkerman, T. A., Kuijper, A., van Veldhuisen, D. J., van den Berg, M. P., Honig, A., Crijns, H. J. G. M., & Schene, A. H.
ORCID: Ormel, Johan
Honig, Adriaan
Crijns, Harry J.G.M.
Schene, Aart H.
Venue: American Journal of Psychiatry
Publisher: American Psychiatric Association Publishing
Published: 2006-01
Volume: 163
Issue: 1
Pages: 138-144
ISSN: 0002-953X (ISSN-L)
1535-7228
DOI: 10.1176/appi.ajp.163.1.138
OpenAlex: W2148022279
Cited by: 250
References: 33
Citations by year: 2026: 1 · 2025: 3 · 2024: 1 · 2023: 5 · 2022: 6 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 3 · 2017: 9 · 2016: 11 · 2015: 18 · 2014: 15 · 2013: 19 · 2012: 21
FWCI: 16.73
Type: journal article
Language: en
Open access: closed
Locations: American Journal of Psychiatry (publishedVersion)
PubMed (publishedVersion)
Pure Amsterdam UMC (publishedVersion)
Data Archiving and Networked Services (DANS) (submittedVersion)
University of Groningen research database (University of Groningen / Centre for Information Technology) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Acute Myocardial Infarction Research
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: post-myocardial infarction depression, cognitive-affective symptoms, cardiovascular prognosis, cardiovascular mortality, cardiac readmission, left ventricular ejection fraction, Charlson Comorbidity Index, Killip class, depression treatment
MeSH terms: Cause of Death, Cognition Disorders, Cross-Sectional Studies, Depressive Disorder, Factor Analysis, Statistical, Health Status, Humans, Myocardial Infarction, Netherlands, Personality Inventory, Prognosis, Prospective Studies, Recurrence, Risk Factors, Stroke Volume, Time Factors, Models, Statistical, Comorbidity, Survival Analysis, Death, Sudden, Cardiac

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Symptom Dimensions of Depression Following Myocardial Infarction and Their Relationship With Somatic Health Status and Cardiovascular Prognosis

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