Depressive symptoms and outcome of coronary artery bypass grafting

Saur, CD; Granger, BB; Lh, Muhlbaier; Forman, LM; McKenzie, Robert J.; Mb, Taylor; Pk, Smith

doi:10.4037/ajcc2001.10.1.4

Cited by 87 publications

(45 citation statements)

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“…Considerable evidence details the association between depression and poor recovery both in the immediate period following CABG surgery and in the longer term (Burg et al, 2003;Saur et al, 2001). Markers of short-term recovery, including longer in-hospital stay following surgery, pain, graft site and wound infection, have been linked with depression (Doering, Moser, Lemankiewicz, Luper, & Khan, 2005;.…”

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confidence: 99%

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Kidd

Poole

Ronaldson

et al. 2016

British J Health Psychol

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ObjectiveDepression and anxiety are associated with poor recovery in coronary artery bypass graft (CABG) patients, but little is known about predictors of depression and anxiety symptoms.DesignWe tested the prospective association between attachment orientation, and symptoms of depression and anxiety in CABG patients, 6–8 weeks, and 12 months following surgery.MethodOne hundred and fifty‐five patients who were undergoing planned CABG surgery were recruited. Patients completed questionnaires measuring attachment, depression, and anxiety prior to surgery, then 6–8 weeks, and 12 months after surgery.ResultsAttachment anxiety predicted symptoms of depression and anxiety at both follow‐up time points, whereas attachment avoidance was not associated with depression or anxiety symptoms. The findings remained significant when controlling for baseline mood scores, social support, demographic, and clinical risk factors.ConclusionThese results suggest that attachment anxiety is associated with short‐term and long‐term depression and anxiety symptoms following CABG surgery. These results may offer important insight into understanding the recovery process in CABG surgery. Statement of contribution What is already known on this subject? Depression and anxiety symptoms are twice more likely to occur in coronary artery bypass graft (CABG) populations than in any other medical group.Depression and anxiety are associated with poor recovery following cardiac surgery.Predictors of depression and anxiety in CABG patients have been underexplored. What does this study add? This study highlights the importance of close interpersonal relationships on health.Attachment anxiety was prospectively associated with higher levels of depression and anxiety.These results add to understanding mechanisms linked to recovery following CABG.

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confidence: 99%

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Kidd

Poole

Ronaldson

et al. 2016

British J Health Psychol

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“…Moreover, a number of studies have found that adverse CABG outcomes such as LOS and patient disposition cannot be fully explained by traditional risk factors alone such as age, gender, and medical comorbidities. 8,9 To the best of our knowledge there have been no studies that have simultaneously examined the relations between gender and anxiety disorders on CABG outcomes among rural patients. Thus, one of the goals of this study was to investigate the association between CABG outcomes (eg, length of stay and patient disposition), gender, and anxiety while holding constant potential differences in medical and sociodemographic (eg, age, race) variables.…”

Section: Discussionmentioning

confidence: 99%

Gender as a Moderator Between Having an Anxiety Disorder Diagnosis and Coronary Artery Bypass Grafting Surgery (CABG) Outcomes in Rural Patients

Dao

Voelkel

Presley

et al. 2011

The Journal of Rural Health

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Three findings were noteworthy. First, anxiety disorder is prevalent in rural patients who are undergoing a CABG operation. Second, anxiety was a significant independent predictor of both length of hospital stay and nonroutine discharge for patients receiving CABG surgery. Last, having an anxiety disorder diagnosis increased hospital stay for both males and females; however, females seemed to be impacted more than males.

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“…one year after open-heart surgery (Doering et al, 2005;Saur et al, 2001). Saur et al (2001) examined feeling downhearted and blue, and being happy.…”

Section: Anxiety and Open-heart Surgerymentioning

confidence: 99%

“…one year after open-heart surgery (Doering et al, 2005;Saur et al, 2001). Saur et al (2001) examined feeling downhearted and blue, and being happy. Depressive symptoms before CABG surgery correlated with depressive symptoms at six-weeks for the down-in-the-dumps question (p = .009), the downhearted question (p < .001), and the overall Mental Health scale (p < .001).…”

Section: Anxiety and Open-heart Surgerymentioning

confidence: 99%

“…Studies that have measured pre and postoperative depression have also reported varied conclusions. Depressive symptoms have been present preoperatively and postoperatively (Saur et al, 2001), and have been correlated with decreased emotional and physical recovery (Doering et al, 2005;Mallik et al, 2005), cardiac events (Connerney et al, 2001), and higher mortality rates (Blumenthal et al, 2003). Preoperative depression has also been linked to readmission after surgery (Oxlad et al, 2006), while postoperative depression has been reported more by women than men up to one year after surgery (Lindquist et al, 2003).…”

Section: Anxiety and Open-heart Surgerymentioning

confidence: 99%

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Determining preoperative and postoperative predictors of physical health status in open -heart surgery patients

Chunta¹

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The questionnaires measured expectations, anxiety, depression, and PHS. Subjects were also asked three open-ended questions postoperatively regarding their expectations of surgery and recovery. Findings: Repeated Measures ANOVA indicated that expectations improved after surgery (p = .246), while PHS decreased slightly after surgery (p = .323), but the findings were not significant. Anxiety and depression scores decreased postoperatively and the findings were significant (p = .002 anxiety, p = .026 depression). Pearson Product Moment Correlations revealed positive preoperative expectations were associated with better preoperative PHS (p = .008). In contrast, preoperative expectations were negatively correlated with anxiety (p = .000) and depression (p = .000). Preoperative depression was also negatively correlated with preoperative PHS (p = .006). Postoperative expectations were associated with better postoperative PHS (p = .047). In contrast, postoperative expectations were negatively correlated with postoperative anxiety (p = .000) and postoperative depression (p = .000). Postoperative depression was also negatively correlated with postoperative PHS (p = .017). Multiple regression analyses indicated that preoperative expectations, anxiety, depression, and PHS contributed to 38% of the variance of postoperative PHS, and the findings were statistically significant (p = .000). Postoperative expectations, anxiety and depression only contributed to 8% of the variance of postoperative PHS and the findings were not significant (p = .075). Conclusions: The findings support the need for interventions to assist patients in developing realistic expectations. The findings also support the need for clinicians to screen patients before and after surgery for anxiety and depression. Future research needs to measure PHS at various times postoperatively to identify continued limitations after surgery. v I would especially like to thank my family. To my parents, Dr. Richard and Bonnie Frazer, thank you for loving and encouraging me, and especially for all of your prayers. To my siblings and their families, thank you for all of your support and encouragement. Finally, to my husband, Bob, and our children, Mitchell and Julia, thank you for your continued love and support over the past five years. I know there were difficult days and times when it seemed this would never end. I appreciate the sacrifices that we have all made and hope that you are as proud of me as I am of all of you. I am so grateful to have you as my family. Thank you. I love you all so very much! I would especially like to thank God for His continued blessings and for granting me the wisdom, knowledge, and perseverance to complete this degree. vi

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Depressive symptoms and outcome of coronary artery bypass grafting

Cited by 87 publications

References 0 publications

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Attachment anxiety predicts depression and anxiety symptoms following coronary artery bypass graft surgery

Gender as a Moderator Between Having an Anxiety Disorder Diagnosis and Coronary Artery Bypass Grafting Surgery (CABG) Outcomes in Rural Patients

Determining preoperative and postoperative predictors of physical health status in open -heart surgery patients

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