Depression and Anxiety as Predictors of 2-Year Cardiac Events in Patients With Stable Coronary Artery Disease

Frasure-Smith, Nancy; Lespérance, François

doi:10.1001/archgenpsychiatry.2007.4

Cited by 489 publications

(442 citation statements)

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“…Individuals with anxiety disorders are prone to unhealthy lifestyles, which is an important risk factor for patients with CAD (5) . Anxiety and depression also increase the risk of major adverse cardiac events in patients with CAD, including death from cardiac events and myocardial infarction (8) .…”

Section: Anxiety and Depression Among Men And Women Who Underwent Permentioning

confidence: 99%

Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

Furuya

Costa

Coelho

et al. 2013

Rev. esc. enferm. USP

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RESUMOEstudo descritivo, transversal, correlacional, que objetivou verificar a associação entre a presença de ansiedade e depressão após a alta hospitalar em pacientes submetidos à intervenção coronária percutânea (ICP), segundo o sexo. Foram avaliados 59 pacientes submetidos à ICP e em acompanhamento ambulatorial nos primeiros sete meses após a alta hospitalar. Para avaliação de sintomas de ansiedade e de depressão foi utilizada a Escala Hospitalar de Ansiedade e Depressão (HADS). Para testar as possíveis associações entre as variáveis ansiedade, depressão e sexo foi utilizado o teste de qui-quadrado, com nível de significância de 5%. Os resultados indicaram maior número de mulheres com depressão, sendo que a associação entre as variáveis sexo e depressão mostrou-se estatisticamente significativa. Em relação à ansiedade, os casos foram mais frequentes no sexo masculino e a associação entre as variáveis sexo e ansiedade não foi estatisticamente significativa. DESCRITORES Doenças cardiovascularesIntervenção coronária percutânea Ansiedade Depressão ABSTRACT A descriptive, cross-sectional, correlational study aimed to investigate the association of sex and the presence of anxiety and depression after hospital discharge in patients who underwent percutaneous coronary intervention (PCI). Fifty-nine patients undergoing PCI and receiving outpatient treatment in the first seven months after hospital discharge were evaluated. To assess the symptoms of anxiety and depression the Hospital Anxiety and Depression Scale (HADS) was used. To test the possible associations between the variables anxiety, depression and sex the Chi-square test was used with a significance level of 5%. The results indicated a greater number of women with depression and the association between the variables sex and depression was statistically significant. In relation to anxiety, cases were more frequent in males and the association between the variables sex and anxiety was not statistically significant. DESCRIPTORS Cardiovascular diseases Percutaneous coronary intervention Anxiety Depression RESUMEnLa finalidad de este estudio fue verificar la asociación entre la presencia de ansiedad y depresión tras el alta hospitalaria en pacientes sometidos a intervención coronaria percutánea (ICP) según el sexo. Éste corresponde a un estudio descriptivo, transversal, correlacional con 59 pacientes sometidos a ICP y con seguimiento ambulatorio durante los primeros siete meses tras el alta. Para evaluar los síntomas de ansiedad y de depresión se utilizó la Escala Hospitalaria de Ansiedad y Depresión (HADS). Para testar las posibles asociaciones entre las variables ansiedad, depresión y sexo, se utilizó el test ji-cuadrado con nivel de significancia del 5%. Los resultados indicaron un mayor número de mujeres con depresión, siendo la asociación entre las variables sexo y depresión estadísticamente significativa. Respecto a la ansiedad, los casos fueron más frecuentes en las personas de sexo masculino y la asociación entre las variables sexo y ansiedad no fue estad...

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Section: Anxiety and Depression Among Men And Women Who Underwent Permentioning

confidence: 99%

Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

Furuya

Costa

Coelho

et al. 2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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“…Although the difference in the correlations may not be clinically significant, it suggests that there was a comorbidity of depression and anxiety in our sample. This may have two not mutually exclusive explanations: a) The comorbidity of depression and anxiety is evident worldwide (Kessler et al, 2015) and in the Arabic population specifically (Al-Turkait et al, 2011;Belzer and Schneier, 2004;Ohaeri et al, 2010) and b) there is evidence that depression is correlated to anxiety in patients with heart disease (Frasure-Smith et al, 1995;Watkins et al, 2013) and this comorbidity can affect between 21% to 26% of the patients (Doering et al, 2010;Frasure-Smith and Lesperance, 2008). Both explanations support the validity of the A-CDS.…”

mentioning

confidence: 97%

Translation and validation of the Cardiac Depression Scale to Arabic

Papasavvas

Al-Amin

Ghabrash

et al. 2016

Asian Journal of Psychiatry

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Background: The Cardiac Depression Scale (CDS) has been designed to measure depressive symptoms in patients with heart disease. There is no Arabic version of the CDS. We translated and validated the CDS in an Arabic sample of patients with heart disease. Methods: Forward and back translation of the CDS was followed by assessment of cultural relevance and content validity. The Arabic version of the CDS (A-CDS) and the Arabic version of the Hospital Anxiety and Depression Scale (A-HADS) were then administered to 260 Arab in-patients with heart disease from 18 Arabic countries. Construct validity was assessed using exploratory factor analysis with polychoric correlations. Internal consistency was assessed using ordinal reliability alpha and item-to-factor polychoric correlations. Concurrent validity was assessed using Pearson's correlation coefficient between the A-CDS and the depression subscale of the A-HADS (A-HADS-D).Results: Cultural relevance and content validity of the A-CDS were satisfactory. Exploratory factor analysis revealed three robust factors, without cross-loadings, that formed a single dimension. Internal consistency was high (ordinal reliability alpha for the total scale and the three factors were .94, .91, .86, and .87, respectively; item-to-factor correlations ranged from .77 to .91). Concurrent validity was high (r = .72). The A-CDS demonstrated a closer to normal distribution of scores than the A-HADS-D. Limitations: Sensitivity and specificity of the A-CDS were not objectively assessed. Conclusions: The A-CDS appears to be a valid and reliable instrument to measure depressive symptoms in a representative sample of Arab in-patients with heart disease.Keywords: Arabic; Cardiac Depression Scale; cultural relevance; depression; heart disease; scale validation Highlights• We translated and validated the Cardiac Depression Scale to Arabic.• Cultural relevance and content validity were satisfactory.• A stable, parsimonious, and meaningful three-factor model was created.• Internal consistency and concurrent validity were high.• The translated scale appears to be a valid and reliable instrument.

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“…Generalised Anxiety Disorder (GAD) in patients with stable coronary artery disease (2). The relevance of the presence of anxiety and depression in cardiac patients has repeatedly been shown in systematic reviews; both are associated with higher death rates and poorer prognoses in general in cardiovascular disease (3)(4)(5).…”

mentioning

confidence: 99%

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

Burns

Höfer

Curry

et al. 2014

Journal of Psychosomatic Research

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Depression and Anxiety as Predictors of 2-Year Cardiac Events in Patients With Stable Coronary Artery Disease

Abstract: Anxiety and depression predict greater MACE risk in patients with stable CAD, supporting future research into common genetic, environmental, and pathophysiologic pathways and treatments.

Cited by 489 publications

References 64 publications

Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

Ansiedade e depressao entre homens e mulheres submetidos a intervencao coronaria percutanea

Translation and validation of the Cardiac Depression Scale to Arabic

Revisiting the dimensionality of the Hospital Anxiety and Depression Scale in an international sample of patients with ischaemic heart disease

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