Gender as a determinant of responses to a self-screening questionnaire on anxiety and depression by patients with coronary artery disease

Norris, Colleen M.; Ljubsa, Amanda; Hegadoren, Kathy

doi:10.1016/j.genm.2009.09.001

Cited by 11 publications

(17 citation statements)

References 35 publications

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“…Authors compared the means of the subscales of anxiety and depression and found a higher score of anxiety among women than among men: 5.3 and 3.3, respectively (p=0.03). In relation to depression, the mean scores of women were also higher (3.8 for females and 2.5 for males, p = 0.07) (22) .…”

Section: Discussionmentioning

confidence: 89%

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: Discussionmentioning

confidence: 89%

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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“…One study found that the HAS score, but not the HDS score, correlated positively with the cortisol awakening response among patients with coronary artery disease [34]. Another study among patients with coronary artery disease found that the HDS score correlated positively with salivary cortisol in men, but not in women, while in women, but not in men, the HAS score correlated negatively with salivary cortisol [35]. In patients with low back pain, HADS scores were unrelated to the diurnal cortisol rhythm measured in saliva [36], while in the normal population, HADS scores were inversely associated with peak salivary cortisol during a psychological stress protocol [37].…”

Section: Discussionmentioning

confidence: 99%

Maternal Stress During Pregnancy Is Associated with Decreased Cortisol and Cortisone Levels in Neonatal Hair

et al. 2018

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Background: Hair glucocorticoids (GCs) offer a retrospective view on chronic GC exposure. We assessed whether maternal pre- and postnatal stress was associated with neonatal and maternal hair GCs postpartum (pp). Methods: On the first day pp 172 mother-infant pairs donated hair, of whom 67 had consulted a centre of expertise for psychiatric disorders during pregnancy. Maternal stress was scored on the Hospital Anxiety and Depression Scale during the first/second (n = 46), third trimester (n = 57), and pp (n = 172). Hair cortisol and cortisone levels were determined by liquid chromatography-tandem mass spectrometry, and associations with maternal hospital anxiety subscale (HAS) and hospital depression subscale (HDS) scores, and antidepressant use were analyzed with linear regression. Results: Neonatal hair GCs were negatively associated with elevated HAS-scores during the first/second trimester, log 10 (β [95% CI]) cortisol –0.19 (–0.39 to 0.02) p = 0.07, cortisone –0.10 (–0.25 to 0.05) p = 0.17; third trimester, cortisol –0.17 (–0.33 to 0.00) p = 0.05, cortisone –0.17 (–0.28 to –0.05) p = 0.01; and pp, cortisol –0.14 (–0.25 to –0.02) p = 0.02, cortisone –0.07 (–0.16 to 0.02) p = 0.10. A similar pattern was observed for elevated HDS-scores. Maternal hair GCs were positively associated with elevated HAS-scores pp (cortisol 0.17 [0.01 to 0.32] p = 0.04, cortisone 0.18 [0.06 to 0.31] p = 0.01), but not prenatally or with elevated HDS-scores. Antidepressant use was associated with elevated maternal hair GCs (p ≤ 0.05), but not with neonatal hair GCs. Conclusion: Exposure to excessive pre- and perinatal maternal stress was associated with a decrease in neonatal hair GCs, while elevated stress-scores around birth were associated with increased maternal hair GCs and elevated stress-scores earlier in gestation were not associated with maternal hair GCs pp. Further studies are needed to test associations with infant neurodevelopment.

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“…7 Studies have demonstrated that patients undergoing cardiac catheterization experience anxiety coming not only from the fact that the experience of catheterization is unknown, but also from uncertainty about the catheterization findings. 8 The wait time before the procedure may cause even more anxiety than the procedure itself. 6,9 Anxiety produced before and during the catheterization can increase myocardial oxygen demand and place greater stress on the heart.…”

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confidence: 99%

“…6,9 Anxiety produced before and during the catheterization can increase myocardial oxygen demand and place greater stress on the heart. 8 Decreasing cardiac catheterization anxiety can be a key factor in improving the outcome. Anxiety is consistently characterized by a pattern of reciprocal inhibition between sympathetic activation and vagal deactivation.…”

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confidence: 99%

Psychophysiological Responses to Sedative Music in Patients Awaiting Cardiac Catheterization Examination

Chang

Peng²,

Wang³

et al. 2011

Journal of Cardiovascular Nursing

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Listening to music resulted in a significantly reduced state of anxiety (P = .003). Both the music and quiet rest groups noted the beneficial effects of decreased HR and increased ST (all P < .001). The treatment effects of both interventions on HR variability were inconclusive. Moreover, we also found that the higher the scores of the music preference, the lower the subjects' perceived anxiety level (P = .05). Our findings provide the necessary scientific support for the use of sedative music and quiet rest as safe and effective interventions against anxiety, as manifested in the subjects' anxiety state, HR, and ST.

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Gender as a determinant of responses to a self-screening questionnaire on anxiety and depression by patients with coronary artery disease

Cited by 11 publications

References 35 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

Maternal Stress During Pregnancy Is Associated with Decreased Cortisol and Cortisone Levels in Neonatal Hair

Psychophysiological Responses to Sedative Music in Patients Awaiting Cardiac Catheterization Examination

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