Cited by 210Cardiac Health and Mental HealthCancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

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The prevalence and persistence of depression and anxiety following myocardial infarction

Lane, Deirdre, Carroll, Douglas, Ring, Christopher, Beevers, D. Gareth, Lip, Gregory Y. H.·2002·British Journal of Health Psychology

DOI 10.1348/135910702169321

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Abstract

Objectives. This study was designed to assess the prevalence and persistence of symptoms of depression and anxiety during the first 12 months following acute myocardial infarction (MI). Design and methods. In a prospective study, 288 MI patients were assessed for symptoms of depression and anxiety using the Beck Depression Inventory (BDI) and the State‐Trait Anxiety Inventory (STAI) in hospital,2‐15 days following MI, and 4 and 12 months subsequently. Results. During hospitalization, 89 (30.9%) and 75 (26.1%) patients registered elevated BDI scores (≥10) and state anxiety scores (≥40), respectively. The 4 and 12 month prevalence rates were 37.7% and 37.2% for depressive symptoms, and 41.8% and 40.0% for anxious symptoms, respectively. Depression and anxiety were highly co‐morbid, with 51% of patients experiencing significant levels of depressive and anxious symptoms at baseline. More than half the patients with complete BDI and state anxiety data experienced either elevated symptoms of anxiety or depression throughout the first year following MI. Conclusions. Symptoms of depression and anxiety are prevalent, persistent problems during the first year following MI. This study highlights the importance of routine psychological assessment for MI patients both in hospital and after discharge.

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Background
Clinical effects of cognitive behavioral therapy in heart failure patients: a meta-analysis of randomized controlled trials
Balata, M., Gbreel, M. I., Elrashedy, A. A., Westenfeld, R., Pfister, R., Zimmer, S., Nickenig, G., Becher, M. U., & Sugiura, A. (2023) · BMC Complementary Medicine and Therapies · doi:10.1186/s12906-023-04117-2 · Cited by 24
“Between 9% and 60% of people who have HF also have depression, which is a relatively high prevalence [4, 5].”
Background
Polish version of Centre for Epidemiological Studies Depression Scale (CES-D): results of a preliminary study on the psychometric properties of the scale
Ziarko, M., Kaczmarek, L. D., & Haładziński, P. (2014) · Current Issues in Personality Psychology · doi:10.5114/cipp.2013.40637 · Cited by 23
“9% (Lane et al., 2002).”
BackgroundInfluential
Anxiety and depression in patients three months after myocardial infarction: Association with markers of coagulation and the relevance of age
Geiser, F., Urbach, A. S., Harbrecht, U., Conrad, R., Pötzsch, B., Amann, N., Kiesewetter, K., Sieke, A., Wolffs, K., & Skowasch, D. (2017) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2017.06.015 · Cited by 22
Prevalence and correlates of depressive symptoms among United States adults with disabilities using assistive technology
Okoro, C. A., Strine, T. W., Balluz, L. S., Crews, J. E., & Mokdad, A. H. (2010) · Preventive Medicine · doi:10.1016/j.ypmed.2010.01.008 · Cited by 22
“For instance, among persons with ischemic heart disease (IHD), incident anxiety and depression have each been associated with cardiac events and mortality after acute coronary syndromes (Carney and Freedland, 2003; Doering et al., 2009; Empana et al., 2006; Lane et al., 2002; Shibeshi et al., 2007).”
Background
Predictors of depressive disorder following acute coronary syndrome: Results from K-DEPACS and EsDEPACS
Kang, H., Stewart, R. J., Bae, K., Kim, S., Shin, I., Hong, Y. J., Ahn, Y., Jeong, M. H., Yoon, J., & Kim, J. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.04.004 · Cited by 21
“These results are in line with previous studies showing that a majority remain depressed and display stable pattern of depressive symptoms during first year (Kaptein et al., 2006; Lane et al., 2002; Martens et al., 2008).”
Result
The role of coping, anxiety, and stress in depression post-acute coronary syndrome
Benedetto, M. D., Lindner, H., Hare, D. L., & Kent, S. (2007) · Psychology Health & Medicine · doi:10.1080/13548500601109334 · Cited by 21
Depression in Survivors of Acute Myocardial Infarction
Trajanovska, A. S., Kostov, J., & Perevska, Z. (2019) · Materia Socio Medica · doi:10.5455/msm.2019.31.110-114 · Cited by 19
“This results correlate with some researcher reports 31,1% (23), BDI >10 after 4 month 48%(16), after 12 month 37% (22) ; after 6 month 30% , after 18 month 34% (20); after 12 month 30% (22).”
Result
Effects of Aromatherapy on Anxiety and Vital Signs of Myocardial Infarction Patients in Intensive Care Units
Mirbastegan, N., Ganjloo, J., Bavarsad, M. B., et al. (2016) · IIUM Medical Journal Malaysia · doi:10.31436/imjm.v15i2.387 · Cited by 19
Depression following acute coronary syndrome: a Danish nationwide study of potential risk factors
Joergensen, T. S. H., Mårtensson, S., Ibfelt, E. H., Jørgensen, M. B., Wium‐Andersen, I. K., Wium‐Andersen, M. K., Prescott, E., Andersen, P. K., & Osler, M. (2016) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-016-1275-7 · Cited by 18
Depressive symptoms, anxiety and social stress are associated with diminished cardiovascular reactivity in a psychological treatment-naive population
Liu, X., Lin, W., Huang, J., Cao, Z., Wu, M., Chen, Z., Zhu, W., Tan, Z., Yu, P., Ma, J., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.150 · Cited by 20
“However, chronic diseases, such as cardiovascular diseases, are important confounders; additionally, it is worth noting that high levels of depressive and related symptomatology are common among people with established chronic diseases (Lane et al., 2002).”
Background
Do Cognitive Coping and Goal Adjustment Strategies Used Shortly After Myocardial Infarction Predict Depressive Outcomes 1 Year Later?
Garnefski, N., & Kraaji, V. (2010) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0b013e3181d298ca · Cited by 18
Long-term causal meaning of myocardial infarction
Baldacchino, D. (2010) · British Journal of Nursing · doi:10.12968/bjon.2010.19.12.48656 · Cited by 18
Comparison of the Effects of Melatonin and Oxazepam on Anxiety Levels and Sleep Quality in Patients With ST-Segment-Elevation Myocardial Infarction Following Primary Percutaneous Coronary Intervention: A Randomized Clinical Trial
Ghaeli, P., Solduzian, M., Vejdani, S., & Talasaz, A. H. (2018) · Annals of Pharmacotherapy · doi:10.1177/1060028018776608 · Cited by 17
“It has been reported that anxiety symptoms are 26% more prevalent in STEMI patients than in individuals without this problem.(6) Therefore, consulting psychiatrists is deemed valuable in the management of patients with STEMI.”
The effect of melatonin on depressive symptoms and anxiety in patients after acute coronary syndrome: The MEDACIS randomized clinical trial
Madsen, M. T., Zahid, J. A., Hansen, C. H., Grummedal, O., Hansen, J. R., Isbrand, A. B., Andersen, U. O., Andersen, L. J., Taskiran, M., Simonsen, E. H., et al. (2019) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2019.09.014 · Cited by 17
The association between antihypertensive medications and mental health outcomes among Syrian war refugees with stress and hypertension
Gammoh, O., Bjørk, M., Alrob, O. A., Alqudah, A. M., Hani, A. B., & Al‐Smadi, A. M. (2023) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2023.111200 · Cited by 17
Anxiety disorders and depression are associated with resistant hypertension
Duman, H., Duman, H., Puşuroğlu, M., & Yılmaz, A. Ş. (2023) · Advances in Clinical and Experimental Medicine · doi:10.17219/acem/166304 · Cited by 16
Influenza and Pneumococcal Vaccination in Non-Infected Cardiometabolic Patients from the Americas during the COVID-19 Pandemic. A Sub-Analysis of the CorCOVID-LATAM Study
Liprandi, Á. S., Zaidel, E. J., López-Santi, R., Araujo, J. J., González, M. A. B., Busso, J. M., Cabral, L., Camilletti, J., Erriest, J., Flores, R., et al. (2021) · Vaccines · doi:10.3390/vaccines9020123 · Cited by 17
“Knowledge, attitude, and behavior both by patients and physicians may play a role in this finding, as well as psychological aspects of CAD patients after an acute coronary event [51].”
Background
Changes in anxiety and depression over 2 years in medically stable patients after myocardial infarction and their spouses in the Home Automatic External Defibrillator Trial (HAT): a longitudinal observational study
Thomas, S. A., Friedmann, E., Lee, H.-J., Son, H., Morton, P. G., & the HAT Investigators (2010) · Heart · doi:10.1136/hrt.2009.184119 · Cited by 15
“In previous studies of hospitalised post-MI patients, depression and anxiety increased at 4 and 12 months after MI.47 This contrasts with the longer-term experience in this study where average depression and anxiety decreased during 2 years of follow-up.”
ResultInfluential
Matters of the heart: Patients’ adjustment to life following a cardiac crisis
So, S. S., & Guardia, J. G. L. (2011) · Psychology and Health · doi:10.1080/08870441003690456 · Cited by 14
“Additionally, 40% of patients who have had an MI (Lane et al., 2002) and 34–45% of those who have had a CABG surgery (Andrew, Baker, Kneebone, & Knight, 2000; Rymaszewska, Kiejna, & Hadrys, 2003) experience significant anxiety.”
Background
Screening for anxiety and depression in clinical practice: translating scores from World Health Organization-5/Anxiety Symptom Scale-2/Major Depression Inventory-2 to Hospital Anxiety and Depression Scale
Johnsen, N. F., Jensen, S. N., Christensen, K. B., Pedersen, S. S., Helmark, C., Zwisler, A., & Gislason, G. (2023) · European Journal of Preventive Cardiology · doi:10.1093/eurjpc/zwad180 · Cited by 15
Personalised discharge care planning for postmyocardial infarction patients through the use of the P ersonalised P atient E ducation P rotocol – implementing theory into practice
Lau‐Walker, M., Landy, A., & Murrells, T. (2016) · Journal of Clinical Nursing · doi:10.1111/jocn.13177 · Cited by 14
The synergistic effect of vascular cell adhesion molecule-1 and coronary artery disease on brain-derived neurotrophic factor
Lee, I., Wang, J., Lee, W., Lin, S., Fu, C., Liang, K., Hsu, C., & Sheu, W. H. (2017) · Clinica Chimica Acta · doi:10.1016/j.cca.2017.01.026 · Cited by 14
The Influence of the Social Environment on Health Behavior
Guardia, J. G. L., & Patrick, H. (2014) · Springer eBooks · doi:10.1007/978-94-017-8542-6_13 · Cited by 15
Emergency percutaneous coronary intervention and stent implantation: Patients' lived experiences
Simeone, S., Vellone, E., Pucciarelli, G., & Alvaro, R. (2021) · Nursing in Critical Care · doi:10.1111/nicc.12623 · Cited by 16
Psicología de la salud: algunas reflexiones críticas sobre su qué y su para qué
Piña, J. A., & Rivera, B. M. (2006) · LA Referencia (Red Federada de Repositorios Institucionales de Publicaciones Científicas) · Cited by 13
Feelings of being disabled as a risk factor for mortality up to 8 years after acute myocardial infarction
van der Vlugt, M. J., van Domburg, R. T., Pedersen, S. S., Veerhoek, R. J., Leenders, I. M., Pop, G. A. M., ter Keurs, D., Deckers, J. W., Simoons, M. L., & Erdman, R. A. M. (2005) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.03.003 · Cited by 13
“In addition, although it may seem puzzling that there was no decrease in the HPPQ scores between baseline and 3 months in the current study, others have also shown that symptoms such as depression and anxiety may persist up to at least 1 year in cardiac patients [1,18].”
Background
A Comparison of Psychosocial Risk Factors Between 3 Groups of Cardiovascular Disease Patients Referred for Outpatient Cardiac Rehabilitation
Stauber, S., Schmid, J., Saner, H. E., Saner, G., Grolimund, J., & von Känel, R. (2012) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0b013e31824cc1f7 · Cited by 12
The Influence of General and Exercise Specific Social Support on Self‐Efficacy for Overcoming Barriers to Cardiac Rehabilitation1
Fraser, S. N., & Rodgers, W. M. (2012) · Journal of Applied Social Psychology · doi:10.1111/j.1559-1816.2012.00919.x · Cited by 11
Impact of depressive mood on lifestyle changes in patients with coronary artery disease
Söderman, E., Lisspers, J., & Sundin, Ö. (2007) · Acta Dermato Venereologica · doi:10.2340/16501977-0064 · Cited by 11
“The program was an exclusive CAD rehabilitation program and was not originally designed to include special treatment for depression.”
BackgroundInfluential
Prevalence of Mood and Anxiety Disorders in Canadians with Cardiovascular Disease: A Cross-Sectional Study
Sohier, L., Dallaire-Habel, S., Turcotte, S., & Foldes‐Busque, G. (2024) · Heart and Mind · doi:10.4103/hm.hm-d-23-00060 · Cited by 13

Authors: Lane, D., Carroll, D., Ring, C., Beevers, D. G., & Lip, G. Y. H.
Affiliations: University of Birmingham (GB)
Birmingham City Hospital (GB)
Corresponding author: Carroll, Douglas
ORCID: Lane, Deirdre
Ring, Christopher
Lip, Gregory Y. H.
Venue: British Journal of Health Psychology
Publisher: Wiley
Published: 2002-02
Volume: 7
Issue: 1
Pages: 11-21
ISSN: 1359-107X (ISSN-L)
2044-8287
DOI: 10.1348/135910702169321
OpenAlex: W2033611745
Cited by: 209
References: 0
Citations by year: 2026: 2 · 2025: 7 · 2024: 7 · 2023: 6 · 2022: 5 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 15 · 2017: 15 · 2016: 14 · 2015: 13 · 2014: 9 · 2013: 3 · 2012: 9
FWCI: 4.37
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor, 3240 d)
Locations: British Journal of Health Psychology (publishedVersion)
PubMed (publishedVersion)
University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
Health Sciences › Medicine › Oncology › Cancer survivorship and care
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords: myocardial infarction, depression, anxiety, prevalence, symptom persistence, comorbidities, cardiac patients

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The prevalence and persistence of depression and anxiety following myocardial infarction

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