Quality of Life Following Cardiac Surgery: Impact of the Severity and Course of Depressive Symptoms

Goyal, Tanya; Idler, Ellen L.; Krause, Tyrone J.; Contrada, Richard J.

doi:10.1097/01.psy.0000174046.40566.80

Cited by 101 publications

(78 citation statements)

References 46 publications

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“…362 Both the presence of depressive symptoms before CABG and the worsening of these symptoms after surgery correlate with poorer physical and psychosocial functioning and poorer quality of life after surgery. 363 Moreover, depression before or after surgery increases the risk of postoperative mortality and other adverse events such as heart failure hospitalization, MI, cardiac arrest, and the need for repeat revascularization. 364,365 Finally, depression after CABG is an important predictor for the recurrence of angina in the postoperative period.…”

Section: Mental Health and Cognitive Impairmentmentioning

confidence: 99%

Secondary Prevention After Coronary Artery Bypass Graft Surgery

Kulik¹,

Ruel²,

Jneid³

et al. 2015

Circulation

334

185

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Section: Mental Health and Cognitive Impairmentmentioning

confidence: 99%

Secondary Prevention After Coronary Artery Bypass Graft Surgery

Kulik¹,

Ruel²,

Jneid³

et al. 2015

Circulation

334

185

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“…Depressive symptoms are commonly elevated prior to heart surgery Goyal, Idler, Krause, & Contrada, 2005;Khatri et al, 1999;Pirraglia, Peterson, WilliamsRusso, Gorkin, & Charlson, 1999) and are associated with female gender (Czajkowski et al, 1997), neuroticism (Duits et al, 1999), lower education level, life stress, and lower social support (Pirraglia et al, 1999). Anxiety is also common (Khatri et al, 1999;Phillips-Bute et al, 2003), with predictors that include female gender and neuroticism (Czajkowski et al, 1997;Phillips-Bute et al, 2003).…”

mentioning

confidence: 99%

Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

et al. 2008

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Objective: Distress and low perceived social support were examined as indicators of psychosocial vulnerability in patients about to undergo heart surgery. Design: A total of 550 study patients underwent heart surgeries, including bypass grafting and valve procedures. Psychosocial interviews were conducted about five days before surgery, and biomedical data were obtained from hospital records. Main Outcome Measures: Sociodemographic, personality, religious, and biomedical factors were evaluated as predictors of psychosocial vulnerability, and all five sets of variables were evaluated as contributors to hospital length of stay (LOS). Results: Patients scoring higher on one or more indicator of presurgical psychosocial vulnerability were younger, more likely to be female, less likely to be married, less well educated, lower in dispositional optimism, higher in trait anger, and lower in religiousness. Older age, depression, low support, and low trait anger each showed an independent, prospective association with greater LOS, and several other predictors had prospective relationships with LOS that were statistically mediated by depression or perceived support. Conclusion: Evidence that multiple psychosocial factors may influence adaptation to heart surgery has implications for understanding and ameliorating presurgical distress and for improving postsurgical recovery.

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“…Psychological and biomedical aspects of coronary disease and associated interventions may affect depression subcomponents in different ways. If so, this would have implications for understanding outcomes, because the course of depression appears to carry prognostic information independently of its severity (4). To understand the predictive value of depression scores in heart patients, and to evaluate the impact of surgical, medical, and psychological interventions, research is needed to characterize structural and temporal parameters of symptom measures.…”

mentioning

confidence: 99%

Course of Depressive Symptoms in Patients Undergoing Heart Surgery: Confirmatory Analysis of the Factor Pattern and Latent Mean Structure of the Center for Epidemiologic Studies Depression Scale

Contrada

Boulifard

Idler

et al. 2006

Psychosomatic Medicine

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Objective: The purpose of this study was to examine the dimensionality, stability, and course of depressive symptoms over the 12-month period beginning approximately 1 week before heart surgery. Methods: The Center for Epidemiological Studies Depression Scale (CES-D) was administered to 570 patients before heart surgery and 1, 3.5, 6.5, and 12.5 months later. Results: Confirmatory factor analysis rejected a four-factor model as a result of small variances for two interpersonal items. With their elimination, a three-factor solution (negative affect, low positive affect, somatic/vegetative symptoms) showed good psychometric properties. Except for the somatic/vegetative factor at the 1-month follow up, there was a high degree of stability in the factor pattern over a 12-month period beginning approximately 1 week before heart surgery. Latent mean structure analysis indicated that, apart from elevations in several somatic/vegetative symptoms during the month after surgery, means for all three depressive symptoms declined over time. The recovery of positive affect showed a steeper trajectory toward the end of the follow-up period by comparison with the rates of decline for depressed affect and somatic/vegetative symptoms. Conclusions: These findings support using 18 CES-D items to measure three depressive symptom dimensions in heart patients and may reflect a normative pattern of adjustment to heart surgery. Key words: Center for Epidemiologic Studies Depression Scale, depressive symptoms, coronary artery bypass graft surgery, valve surgery, confirmatory factor analysis, latent mean structure analysis. CES-D ϭ Center for Epidemiological Studies Depression Scale;CABG ϭ coronary artery bypass graft surgery; CHD ϭ coronary heart disease; MI ϭ myocardial infarction; CFA ϭ confirmatory factor analysis; RWJUH ϭ Robert Wood Johnson University Hospital; UMDNJ ϭ University of Medicine and Dentistry of New Jersey; EM ϭ expectation maximization; MAR ϭ missing at random; DA ϭ depressed affect; PA ϭ positive affect; S/V ϭ somatic/ vegetative; RMSEA ϭ root mean square error of approximation; CI ϭ confidence interval; CFI ϭ comparative fit index.

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Quality of Life Following Cardiac Surgery: Impact of the Severity and Course of Depressive Symptoms

Cited by 101 publications

References 46 publications

Secondary Prevention After Coronary Artery Bypass Graft Surgery

Secondary Prevention After Coronary Artery Bypass Graft Surgery

Psychosocial factors in heart surgery: Presurgical vulnerability and postsurgical recovery.

Course of Depressive Symptoms in Patients Undergoing Heart Surgery: Confirmatory Analysis of the Factor Pattern and Latent Mean Structure of the Center for Epidemiologic Studies Depression Scale

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