Longitudinal Risk Factors for Adverse Psychological Functioning Six Months after Coronary Artery Bypass Graft Surgery

Oxlad, Melissa; Wade, Tracey

doi:10.1177/1359105307084314

Cited by 37 publications

(33 citation statements)

References 44 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This finding is consistent with the literature, as depression is common among patients with more symptoms, chronic illnesses, and among the elderly 6,28,60. In this study anxiety and depression was associated with more symptoms, findings which are congruent with other researcher who have reported that anxiety is known to contribute to symptom exacerbation and poor psychosocial outcomes following CABS 14,16,61…”

Section: Discussionsupporting

confidence: 92%

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

Abbott

Barnason²,

Zimmerman³

2010

Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

Although there is extensive literature on symptoms experienced by patients after coronary artery bypass surgery (CABS), there is a paucity of data on symptom clusters and their impact on functional outcomes. The purpose of these descriptive, secondary analyses was to identify and describe cluster subgroups of 226 elderly CABS patients at discharge and to examine the cluster's impact on psychosocial functioning over time (baseline, 6 weeks, and 3 months) using the 36-item Medical Outcome Study Short Form subscales. Cluster analysis revealed a 3-cluster solution with low, low-moderate, and moderate symptom burden clusters. Significant differences were detected for Duke Activity Status Index (F(2,223) = 5.12, P = .007), Barnason Efficacy Expectation Scale (F(2,223) = 9.60, P < .0001), Hospital Anxiety and Depression Scale (F(2,219) = 15.14, P < .0001), and New York Heart Association classification (chi = 17.44, P = .008). Significant differences were noted on all variables between the low and moderate symptom burden clusters with differences between the low-moderate and moderate clusters for only the Barnason Efficacy Expectation Scale and the Hospital Anxiety and Depression Scale. Those in the moderate symptom burden cluster had more symptoms, anxiety, and depression along with lower self-efficacy and physiological functioning than those in the other 2 clusters. There was no interaction or simple main effects for the role-emotional or social subscales as measured by the 36-item Medical Outcome Study Short Form. There was no significant interaction for mental functioning by time and cluster (F(4,641) = .30, P = .88); however, there was a simple main effect for cluster (F(2,641) = 4.11, P = .02). Follow-up analysis indicated significant differences between the low and low-moderate clusters, indicating that those with low symptom burden had significantly better mental health functioning than those with moderate symptom burden. Findings provide a foundation of knowledge on symptom clusters in CABS populations and may be useful to clinicians to identify patients at risk for slowed or delayed recovery and for early intervention.

show abstract

Section: Discussionsupporting

confidence: 92%

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

Abbott

Barnason²,

Zimmerman³

2010

Journal of Cardiovascular Nursing

View full text Add to dashboard Cite

show abstract

“…The recovery period can be quite challenging for CABG patients with chances of infection, restricted mobility, increased dependence on spouse or family members, and overall poorer QoL (Gallagher, McKinley, & Dracup, ; Oxlad & Wade, ). Depression and anxiety symptoms may be experienced more intensely by those with high attachment anxiety because of the utilization of hypervigilant strategies to identify potential threat (Kidd & Sheffield, ; Maunder & Hunter, ).…”

Section: Discussionmentioning

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

View full text Add to dashboard Cite

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.

show abstract

“…High rates of depression after cardiac procedures like coronary artery bypass surgery have been reported by other studies. 28 …”

Section: Discussionmentioning

confidence: 99%

Depression and Diabetes: Factors Associated With Major Depression at Five-Year Follow-Up

et al. 2009

View full text Add to dashboard Cite

Background In a prospective study of primary care patients with diabetes we determined whether macrovascular or microvascular events or coronary, cerebrovascular or peripheral vascular procedures during follow-up were associated with meeting criteria for major depression at 5-year follow-up. Design, Patients and Measurements A total of 2759 patients with diabetes mellitus were followed over a 5-year period. Evidence of macrovascular and microvascular events and coronary, cerebrovascular and peripheral vascular procedures was assembled from automated data using ICD-9 and CPT codes and was verified by chart review. Depression was measured using the Patient Health Questionnaire. Results After controlling for baseline severity of depression symptoms and history of depression, having 1 or more coronary procedures during follow-up, and baseline severity of diabetes symptoms were strong predictors of having major depression at 5-year follow-up. Conclusions The risk of major depression among persons with diabetes is increased by prior depression history, baseline diabetes symptoms, and cardiovascular procedures.

show abstract

Longitudinal Risk Factors for Adverse Psychological Functioning Six Months after Coronary Artery Bypass Graft Surgery

Cited by 37 publications

References 44 publications

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

Symptom Burden Clusters and Their Impact on Psychosocial Functioning Following Coronary Artery Bypass Surgery

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

Depression and Diabetes: Factors Associated With Major Depression at Five-Year Follow-Up

Contact Info

Product

Resources

About