Risk factors of depressive and anxiety symptoms 8 years after coronary artery bypass grafting

Kustrzycki, Wojciech; Rymaszewska, Joanna; Malcher, Katarzyna; Szczepańska-Gieracha, Joanna; Biecek, Przemysław

doi:10.1016/j.ejcts.2011.06.028

Cited by 18 publications

(17 citation statements)

References 21 publications

(38 reference statements)

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“…initial minor depression are the patients with the greatest decrease in symptoms by 12 months after surgery, those with major depression demonstrate a stability in their level of distress over the entire follow-up period. The relative stability of trajectories over time is consistent with a study that found relatively unchanged levels of depression and anxiety 8 years after CABG (Kustrzycki et al, 2012). In terms of anxiety trajectories, results showed that patients experience a decrease in anxiety symptoms over the first 12 months, but this decrease was only significant for patients in the remitted minor anxiety.…”

Section: Stability Of Symptom Trajectories: Greatest Improvements By supporting

confidence: 88%

“…The relative stability of trajectories over time is consistent with a study that found relatively unchanged levels of depression and anxiety 8 years after CABG (Kustrzycki et al, 2012). The relative stability of trajectories over time is consistent with a study that found relatively unchanged levels of depression and anxiety 8 years after CABG (Kustrzycki et al, 2012).…”

Section: Stability Of Symptom Trajectories: Greatest Improvements By supporting

confidence: 86%

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Do depression and anxiety profiles over time predict persistent post‐surgical pain? A study in cardiac surgery patients

Pagé

Watt‐Watson

Choinière

2017

European Journal of Pain

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This article presents the relationship between anxiety and depression profiles over 2 years in cardiac surgery patients and persistent post-surgical pain. These results suggest the importance of evaluating how early identification and treatment of high-risk patients could prevent PPSP. These results provide potential detection and prevention avenues of chronic pain for high-risk patients based on their anxiety trajectory.

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Section: Stability Of Symptom Trajectories: Greatest Improvements By supporting

confidence: 88%

Section: Stability Of Symptom Trajectories: Greatest Improvements By supporting

confidence: 86%

Do depression and anxiety profiles over time predict persistent post‐surgical pain? A study in cardiac surgery patients

Pagé

Watt‐Watson

Choinière

2017

European Journal of Pain

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“…They also found that major depressive disorder increased the frequency of cardiac events independent of the usual risk factors [15]. These findings suggest that a surgically successful cardiac operation does not always correlate with the improvement of individual life expectancies after surgery [2] and does not decrease level of depressive symptoms [21]. …”

Section: Discussionmentioning

confidence: 99%

The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery

Cserép

Losoncz

Balog

et al. 2012

J Cardiothorac Surg

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BackgroundPsychosocial factors have shown independent predictive value in the development of cardiovascular diseases. Although there is strong evidence to support the role of psychosocial factors in cardiovascular mortality, there is a scarcity of knowledge about how these factors are related. Therefore, we investigated the relationship between depression, anxiety, education, social isolation and mortality 7.5 years after cardiac surgery.MethodsAfter informed consent, 180 patients undergoing cardiac surgery between July 2000 and May 2001 were prospectively enrolled and followed for ten years. During the follow-up period, the patients were contacted annually by mail. Anxiety (Spielberger State-Trait Anxiety Inventory, STAI-S/STAI-T), depression (Beck Depression Inventory, BDI) and the number and reason for rehospitalizations were assessed each year. Those patients who did not respond were contacted by telephone, and national registries were searched for deaths.ResultsDuring a median follow-up of 7.6 years (25th to 75th percentile, 7.4 to 8.1 years), the mortality rate was 23.6% (95% confidence interval [CI] 17.3-29.9; 42 deaths). In a Cox regression model, the risk factors associated with an increased risk of mortality were a higher EUROSCORE (points; Adjusted Hazard Ratio (AHR):1.30, 95%CI:1.07-1.58)), a higher preoperative STAI-T score (points; AHR:1.06, 95%CI 1.02-1.09), lower education level (school years; AHR:0.86, 95%CI:0.74-0.98), and the occurrence of major adverse cardiac and cerebral events during follow up (AHR:7.24, 95%CI:2.65-19.7). In the postdischarge model, the same risk factors remained.ConclusionsOur results suggest that the assessment of psychosocial factors, particularly anxiety and education may help identify patients at an increased risk for long-term mortality after cardiac surgery.

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“…[ 12 ] The presence of anxiety and/or depression before surgery has the effect on cardiac rehabilitation outcomes after surgery, and both the factors are triggered and contributed using stress levels; hence, there is a need for early diagnosis and supportive therapeutics that involve mind–body interventions. [ 13 ] There is need for interventions which target stress management[ 14 ] and improve QOL, in particular after CABG. [ 8 ]…”

Section: Introductionmentioning

confidence: 99%

Yoga-Based Postoperative Cardiac Rehabilitation Program for Improving Quality of Life and Stress Levels

Eraballi

Ramarao

Nagarathna

et al. 2018

International Journal of Yoga

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Objectives: This study was aimed to assess the efficacy of yoga-based lifestyle program (YLSP) in improving quality of life (QOL) and stress levels in patients after 5 years of coronary artery bypass graft (CABG). Methodology: Three hundred patients posted for elective CABG in Narayana Hrudayalaya Super Speciality Hospital, Bengaluru, were randomized into two groups: YLSP and conventional lifestyle program (CLSP), and follow-up was done for 5 years. Intervention: In YLSP group, all practices of integrative approach of yoga therapy such as yama, niyama, asana, pranayama, and meditation were used as an add-on to conventional cardiac rehabilitation. The control group (CLSP) continued conventional cardiac rehabilitation only. Outcome Measures: World Health Organization (WHO)-QOL BREF Questionnaire, Perceived Stress Scale, Positive and Negative Affect Scale (PANAS), and Hospital Anxiety and Depression Scale (HADS) were assessed before surgery and at the end of the 5th year after CABG. As data were not normally distributed, Mann–Whitney U-test was used for between-group comparisons and Wilcoxon's signed-rank test was used for within-group comparisons. Results: At the end of 5 years, mental health (P = 0.05), perceived stress (P = 0.01), and negative affect (NA) (P = 0.05) have shown significant improvements. WHO-QOL BREF score has shown improvements in physical health (P = 0.046), environmental health (P = 0.04), perceived stress (P = 0.001), and NA (P = 0.02) in YLSP than CLSP. Positive affect has significantly improved in CLSP than YLSP. Other domains of WHO-QOL-BREF, PANAS, and HADS did not reveal any significant between-group differences. Conclusion: Addition of long-term YLSP to conventional cardiac rehabilitation brings better improvements in QOL and reduction in stress levels at the end of 5 years after CABG.

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Risk factors of depressive and anxiety symptoms 8 years after coronary artery bypass grafting

Cited by 18 publications

References 21 publications

Do depression and anxiety profiles over time predict persistent post‐surgical pain? A study in cardiac surgery patients

Do depression and anxiety profiles over time predict persistent post‐surgical pain? A study in cardiac surgery patients

The impact of preoperative anxiety and education level on long-term mortality after cardiac surgery

Yoga-Based Postoperative Cardiac Rehabilitation Program for Improving Quality of Life and Stress Levels

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