Social Support, Depression, and Mortality During the First Year After Myocardial Infarction

Frasure-Smith, Nancy; Lespérance, François; Gravel, Ginette; Masson, Aline; Juneau, Martin; Talajic, Mario; Bourassa, Martial G.

doi:10.1161/01.cir.101.16.1919

Cited by 549 publications

(389 citation statements)

References 25 publications

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“…A média do número de parentes e amigos confidentes ± DP foi de 12, associam depressão com maior mortalidade utilizaram essa mesma escala, o BDI 11,12 ; 2) Nossa amostra foi composta por pacientes internados em um hospital universitário, com ní-vel de atenção terciário. É possível que pacientes na atenção primária ou secundária tenham padrões diferentes; 3) Por ser um estudo transversal, não é possível estabelecer relação de causa e efeito; 4) Pacientes muito graves e incapacitados (por exemplo, com dispneia intensa) foram excluídos por não conseguirem responder à entrevista, portanto não estão representados na nossa amostra.…”

Section: Resultsunclassified

“…Ambos -apoio social e depressão -podem influenciar, direta ou indiretamente, na evolução e bem-estar de pacientes clíni-cos, como observado entre pacientes com infarto agudo do miocárdio (IAM) 12 . A depressão mostrou-se um fator preditor de mortalidade após um ano de IAM, porém o apoio social não se relacionou diretamente com a sobrevivência.…”

Section: Introductionunclassified

“…A depressão mostrou-se um fator preditor de mortalidade após um ano de IAM, porém o apoio social não se relacionou diretamente com a sobrevivência. Contudo, altos níveis de apoio social se relacionaram com melhora nos sintomas depressivos, podendo ser, assim, um fator protetor indireto para pessoas com IAM 12 . Além disso, pacientes com insuficiência cardíaca deprimidos apresentaram mais pessimismo, baixa percepção de apoio social e um padrão de comportamento de evitação 13 .…”

Section: Introductionunclassified

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Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Marques

Stefanello

Mendonça

et al. 2013

J. bras. psiquiatr.

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rESUMo objetivo: Verificar a associação entre depressão, níveis de dor e falta de apoio social em pacientes clínicos internados. Métodos: Em um estudo transversal, 1.147 adultos admitidos nas enfermarias de clínica médica de um hospital universitário foram selecionados por randomização e avaliados durante a primeira semana de internação. Foram utilizados: Subescala Cognitivo-afetiva do Inventário Beck de Depressão (BDI-13), Índice Charlson de Comorbidade Física e escalas numéricas para avaliar dor e percepção de gravidade física. Foram considerados deprimidos os pacientes que pontuaram acima de 10 no BDI-13. Investigou-se apoio social por meio da pergunta direta: "Com quantos parentes ou amigos você se sente à vontade e pode falar sobre tudo ou quase tudo?". Foram considerados como tendo falta de apoio social os pacientes que relataram ter menos que quatro parentes ou amigos confidentes. aBStraCt objective:To evaluate the association of depression, levels of pain and lack of social support in medical inpatients. Methods: In a cross sectional observational study, 1,147 adults admitted to the general medical wards of a university hospital were randomized and evaluated during the first week of admission. The following instruments were used: cognitive--affective subscale of the Beck Depression Inventory (BDI-13), Charlson Comorbidity Index and numerical scales to evaluate pain and perception of medical burden. Patients who scored > 10 in the BDI-13 were considered depressed. Social support was investigated asking the

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Section: Resultsunclassified

Section: Introductionunclassified

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Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Marques

Stefanello

Mendonça

et al. 2013

J. bras. psiquiatr.

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“…Because Hospital Anxiety and Depression Scale anxiety correlated significantly with depression ( r [148]=0.58) and was unrelated to waiting‐list outcomes23, it is not evaluated here. The number of social contacts was assessed asking for “the number of relatives and close friends you have contact with during 1 month.”25 For survival analyses, this score was reversed by multiplication with −1, so that a higher score reflected more social isolation. In order to increase statistical power in this reduced sample of patients who actually received a transplant, depression and social isolation were used as continuous scores.…”

Section: Methodsmentioning

confidence: 99%

Role of Depression and Social Isolation at Time of Waitlisting for Survival 8 Years After Heart Transplantation

Spaderna

Zittermann

Reichenspurner

et al. 2017

JAHA

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BackgroundWe evaluated depression and social isolation assessed at time of waitlisting as predictors of survival in heart transplant (HTx) recipients.Methods and ResultsBetween 2005 and 2006, 318 adult HTx candidates were enrolled in the Waiting for a New Heart Study, and 164 received transplantation. Patients were followed until February 2013. Psychosocial characteristics were assessed by questionnaires. Eurotransplant provided medical data at waitlisting, transplantation dates, and donor characteristics; hospitals reported medical data at HTx and date of death after HTx. During a median follow‐up of 70 months (<1–93 months post‐HTx), 56 (38%) of 148 transplanted patients with complete data died. Depression scores were unrelated to social isolation, and neither correlated with disease severity. Higher depression scores increased the risk of dying (hazard ratio=1.07, 95% confidence interval, 1.01, 1.15, P=0.032), which was moderated by social isolation scores (significant interaction term; hazard ratio = 0.985, 95% confidence interval, 0.973, 0.998; P=0.022). These findings were maintained in multivariate models controlling for covariates (P values 0.020–0.039). Actuarial 1‐year/5‐year survival was best for patients with low depression who were not socially isolated at waitlisting (86% after 1 year, 79% after 5 years). Survival of those who were either depressed, or socially isolated or both, was lower, especially 5 years posttransplant (56%, 60%, and 62%, respectively).ConclusionsLow depression in conjunction with social integration at time of waitlisting is related to enhanced chances for survival after HTx. Both factors should be considered for inclusion in standardized assessments and interventions for HTx candidates.

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“…High levels of support may protect patients from the negative prognostic consequences of depression because of improvements in depression symptoms [13]. To ensure that patients after AMI are able to return to previous levels of functioning, it is important to provide adequate health care, both in somatic and psychiatric aspects of treatment, as well as appropriate social support from the community, including the employment management.…”

Section: Discussionmentioning

confidence: 99%

The Course of Depression Following Myocardial Infarction and the Impact of the Social Neglect on the Recovery of the Patient

Hasanović¹

2017

JNSK

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Introduction:A number of studies have demonstrated a relationship between depression and low perceived social support and increased cardiac morbidity and mortality in patients with coronary heart disease. Depression increases the length of hospitalization, diagnostic procedures and the medical care cost.Case report: A 49 years old married male, unemployed construction technician, war veteran, suffered two episodes of depression after acute myocardial infarction (AMI). The first episode appeared one month after MI following the mistreatment by his employer. His employer dismissed him after he returned to his working place when he finished his sick leave. The second episode occurred with suicidal ideas and culminated with the attempt of suicide. He had individual Eye Movement Desensitization and Reprocessing (EMDR) psychotherapy, group psychotherapy with other war veterans and psycho-pharmacotherapy. He dismissed as recovered and stabilized on outpatient treatment and referred on Institution for Pension and Invalidity for assessment of remained working capacity.Discussion: High levels of social support predict improvements in depression symptoms over the first post-MI year in depressed patients. High levels of support may protect patients from the negative prognostic consequences of depression because of improvements in depression symptoms. To ensure that patients after AMI are able to return to previous levels of functioning, it is important to provide adequate health care, both in somatic and psychiatric aspects of treatment, as well as appropriate social support from the community, including the employment management. Conclusion:Due to social neglect by his employer in the time of recovery from acute MI, the patient suffered from two severe episodes of depression which had negative impact on his recovery. It is crucial for physicians to have an integrative and holistic, patient oriented approach in the treating of somatic diseases and include adequate psychological evaluation of the patients as well as the active participation of social community in the healing process. Keywords:

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Social Support, Depression, and Mortality During the First Year After Myocardial Infarction

Cited by 549 publications

References 25 publications

Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Associação entre depressão, níveis de dor e falta de apoio social em pacientes internados em enfermarias de clínica médica

Role of Depression and Social Isolation at Time of Waitlisting for Survival 8 Years After Heart Transplantation

The Course of Depression Following Myocardial Infarction and the Impact of the Social Neglect on the Recovery of the Patient

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