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The prevalence and persistence of depression and anxiety following myocardial infarction
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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“Symptoms of depression and anxiety are common after a myocardial infarction (MI).”
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State of the art review: depression, stress, anxiety, and cardiovascular disease
Cohen, B. E., Edmondson, D., & Kronish, I. M. (2015) · American Journal of Hypertension · doi:10.1093/ajh/hpv047 · Cited by 955
Prevalence of depression in survivors of acute myocardial infarction: Review of the evidence
Thombs, B. D., Bass, E. B., Ford, D. E., Stewart, K. J., Tsilidis, K. K., Patel, U., Fauerbach, J. A., Bush, D. E., & Ziegelstein, R. C. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2005.00269.x · Cited by 841
Thomas, R. J., King, M. L., Lui, K., Oldridge, N., Piña, I. L., Spertus, J. A., Bonow, R. O., Estes, N. A. M., Goff, D. C., Grady, K. L., et al. (2007) · Journal of the American College of Cardiology · doi:10.1016/j.jacc.2007.04.033 · Cited by 329
Pogosova, N., Saner, H., Pedersen, S. S., Cupples, M. E., McGee, H., Höfer, S., Doyle, F., Schmid, J.-P., von Känel, R., & on behalf of the Cardiac Rehabilitation Section of the European Association of Cardiovascular Prevention and Rehabilitation of the European Society of Cardiology (2015) · European Journal of Preventive Cardiology · doi:10.1177/2047487314543075 · Cited by 292
“Regarding the prevalence of clinically significant anxiety in CHD populations, a prospective study on patients with acute MI showed elevated STAI scores in 27%, 42%, and 40%, respectively, during hospitalisation, after four months and after one year.(149) In another study, 29% of patients were identified with anxiety…”
BackgroundKronish, I. M., Rieckmann, N., Halm, E. A., Shimbo, D., Vorchheimer, D. A., Haas, D. C., & Davidson, K. W. (2006) · Journal of General Internal Medicine · doi:10.1111/j.1525-1497.2006.00586.x · Cited by 254
“The BDI is a validated self-report instrument that has been used in previous studies of depression and ACS.28 Using a cutoff score of 10, the BDI has a sensitivity of 82% and specificity of 79% for diagnosing major depression in patients diagnosed with MI.29 A score of 0 to 4 is consistent with a low-normal level of d…”
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Metadata
- 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
- 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
- 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
- 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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