Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

Steptoe, Andrew; Molloy, Gerard J.; Messerly-Bürgy, N.; Wikman, Anna; Randall, Gemma; Perkins-Porras, Linda; Kaski, Juan‐Carlos

doi:10.1017/s0033291710002588

Cited by 26 publications

(17 citation statements)

References 60 publications

(71 reference statements)

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“…The women of the highest income class tended to become depressed more often, though only slightly, unlike the men, probably because the causes of depression relating to this variable are distinct between genders. 28 …”

Section: Discussionmentioning

confidence: 99%

Major Depression and Acute Coronary Syndrome-Related Factors

Figueiredo¹,

Silva²,

Pereira³

et al. 2017

Arquivos Brasileiros De Cardiologia

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BackgroundMajor Depressive Disorder (MDD) is one of the most common mental illnesses in psychiatry, being considered a risk factor for Acute Coronary Syndrome (ACS).ObjectiveTo assess the prevalence of MDD in ACS patients, as well as to analyze associated factors through the interdependence of sociodemographic, lifestyle and clinical variables.MethodsObservational, descriptive, cross-sectional, case-series study conducted on patients hospitalized consecutively at the coronary units of three public hospitals in the city of Rio de Janeiro over a 24-month period. All participants answered a standardized questionnaire requesting sociodemographic, lifestyle and clinical data, as well as a structured diagnostic interview for the DSM-IV regarding ongoing major depressive episodes. A general log-linear model of multivariate analysis was employed to assess association and interdependence with a significance level of 5%.ResultsAnalysis of 356 patients (229 men), with an average and median age of 60 years (SD ± 11.42, 27-89). We found an MDD point prevalence of 23%, and a significant association between MDD and gender, marital status, sedentary lifestyle, Killip classification, and MDD history. Controlling for gender, we found a statistically significant association between MDD and gender, age ≤ 60 years, sedentary lifestyle and MDD history. The log-linear model identified the variables MDD history, gender, sedentary lifestyle, and age ≤ 60 years as having the greatest association with MDD.ConclusionDistinct approaches are required to diagnose and treat MDD in young women with ACS, history of MDD, sedentary lifestyle, and who are not in stable relationships.

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Section: Discussionmentioning

confidence: 99%

Major Depression and Acute Coronary Syndrome-Related Factors

Figueiredo¹,

Silva²,

Pereira³

et al. 2017

Arquivos Brasileiros De Cardiologia

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“…In a sample of 298 men and women low household income was associated with elevated depression symptoms at three weeks, six months and one year following ACS and this effect was independent of other demographic and clinical risk factors as well as history of depression [17]. In CABG samples, some investigators have used another marker of socioeconomic position, education, finding that low education is associated with greater risk of pre-operative depression [4,18], but others have not supported this effect [2].…”

Section: Introductionmentioning

confidence: 92%

The combined association of depression and socioeconomic status with length of post-operative hospital stay following coronary artery bypass graft surgery: Data from a prospective cohort study

Poole

Leigh

Kidd

et al. 2014

Journal of Psychosomatic Research

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ObjectiveTo understand the association between pre-operative depression symptoms, including cognitive and somatic symptom subtypes, and length of post-operative stay in patients undergoing coronary artery bypass graft (CABG) surgery, and the role of socioeconomic status (SES).MethodsWe measured depression symptoms using the Beck Depression Inventory (BDI) and household income in the month prior to surgery in 310 participants undergoing elective, first-time, CABG. Participants were followed-up post-operatively to assess the length of their hospital stay.ResultsWe showed that greater pre-operative depression symptoms on the BDI were associated with a longer hospital stay (hazard ratio = 0.978, 95% CI 0.957–0.999, p = .043) even after controlling for covariates, with the effect being observed for cognitive symptoms of depression but not somatic symptoms. Lower SES augmented the negative effect of depression on length of stay.ConclusionsDepression symptoms interact with socioeconomic position to affect recovery following cardiac surgery and further work is needed in order to understand the pathways of this association.

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“…The impact of stress on the development of depression after MI has not been studied extensively. One study of 314 MI patients found that stressful life events over the 12 months before MI was not associated with post-MI depression (20), whereas another showed that acute stress during the 2-hour trigger period before cardiac symptom onset predicted greater depression 1-12 months later, particularly among patients of lower socioeconomic status (104).…”

Section: Stress and Prognosis Following Myocardial Infarctionmentioning

confidence: 99%

Stress and Cardiovascular Disease: An Update on Current Knowledge

Steptoe

Kivimäki

2013

Annu. Rev. Public Health

628

443

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Considerable progress has been made during the past decade in research on cardiovascular effects of stress. Early-life stressors, such as childhood abuse and early socioeconomic adversity, are linked to increased cardiovascular morbidity in adulthood. Our updated meta-analyses of prospective studies published until 2011 show a 1.5-fold (95% confidence interval 1.2-1.9) increased risk of coronary heart disease among adults experiencing social isolation and a 1.3-fold (1.2-1.5) excess risk for workplace stress; adverse metabolic changes are one of the underlying plausible mechanisms. Stress, anger, and depressed mood can act as acute triggers of major cardiac events; the pooled relative risk of acute coronary syndrome onset being preceded by stress is 2.5 (1.8-3.5) in case-crossover studies. Stress is also implicated in the prognosis of cardiovascular disease and in the development of stress (takotsubo) cardiomyopathy. A major challenge over the next decade is to incorporate stress processes into the mainstream of cardiovascular pathophysiological research and understanding.

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Emotional triggering and low socio-economic status as determinants of depression following acute coronary syndrome

Cited by 26 publications

References 60 publications

Major Depression and Acute Coronary Syndrome-Related Factors

Major Depression and Acute Coronary Syndrome-Related Factors

The combined association of depression and socioeconomic status with length of post-operative hospital stay following coronary artery bypass graft surgery: Data from a prospective cohort study

Stress and Cardiovascular Disease: An Update on Current Knowledge

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