The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

Marchesi, Carlo; Ossola, Paolo; Scagnelli, F.; Mellini, Lorenzo; Tonna, Matteo; Ardissino, Diego; Panfilis, Chiara De

doi:10.1016/j.comppsych.2015.06.013

Cited by 7 publications

(3 citation statements)

References 80 publications

(89 reference statements)

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“…At baseline, 304 subjects completed all questionnaires. Data from the same sample, or part of it (i.e., completers at 1-year follow-up), were published in previous articles aimed at evaluating risk factors for the development of an incident depressive disorder (Marchesi et al, 2014a, 2014b, 2015; Ossola, De Panfilis, Tonna, Ardissino, & Marchesi, 2015; Ossola, Paglia, et al, 2015). The patients flowchart is detailed in Figure 1…”

Section: Resultsmentioning

confidence: 99%

Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome.

Ossola¹,

Gerra²,

Panfilis³

et al. 2018

Health Psychology

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Objective. Depression is an established risk factor for Acute Coronary Syndrome (ACS) with an impact on cardiac prognosis, nonetheless the literature disagrees on the role played by anxiety. No study evaluated this relationship in a cardiac population with no history of depression and after their first ACS. The aim of this study is to explore these associations without the confounding role of long-lasting heart disease or psychiatric illnesses. Methods. Two-hundred-sixty-six patients with no history of depression completed the Hospital Anxiety and Depression Scale and the PRIME-MD at baseline and at 1, 2, 4, 6, 9, 12 and 24 months follow-up after their first ACS. During the follow-up period, we collected information regarding the major adverse cardiac events. Results. Developing a first-ever depressive episode, in a proportional hazard model, was associated with almost three times the risk of a recurrent cardiac event (OR=2.590; 95%CI=1.321, 5.078; p=.006). Furthermore, a moderation analysis revealed that increasing levels of baseline anxiety had opposing effects on cardiac outcomes, being protective only in those who did not develop incident depression (B=-0.0824; 95%CI=-0.164,-0.005; p=.048). No dose-response effect between depressive or anxious symptoms and cardiac outcomes emerged. Conclusion. Our results confirm the detrimental effect of depression on cardiac prognosis in a selected population and suggest that anxiety after the first ACS might have different roles depending on the illness' course.

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Section: Resultsmentioning

confidence: 99%

Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome.

Ossola¹,

Gerra²,

Panfilis³

et al. 2018

Health Psychology

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“…However, several other studies have found that average reductions in alexithymia scores were independent of baseline clinical severity (Rufer et al, 2010) or reduction in clinical severity (Ogrodniczuk, Joyce, & Piper, 2013), and that reduction in clinical severity accounted for a nonsignificant amount of variance in reduction in alexithymia scores (de Timary, Luts, Hers, & Luminet, 2008;Luminet, Bagby, & Taylor, 2001;Melin et al, 2010;Ogrodniczuk, Sochting, Piper, & Joyce, 2012). In addition, while some longitudinal studies have found higher alexithymia scores to be associated with the development of psychiatric symptomatology in nonpsychiatric samples (McCaslin et al, 2006;Tolmunen et al, 2011), not all studies have found this (Marchesi et al, 2015).…”

Section: Introductionmentioning

confidence: 97%

Prevalence and Demographic Correlates of Alexithymia: A Comparison Between Australian Psychiatric and Community Samples

2016

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“…The present study is part of a more extensive investigation on never-depressed patients at their first ACS (Marchesi et al, 2014a(Marchesi et al, , 2014bMarchesi et al, 2015;Ossola et al, 2015aOssola et al, , 2015bOssola et al, , 2018.…”

Section: Resultsmentioning

confidence: 99%

Temperament and Depression After a First Acute Coronary Syndrome

et al. 2019

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Few studies assess the role of personality styles in predicting the onset of depression among cardiac patients. This study evaluates whether temperament and character can represent a risk factor for the development of incident first-ever depressive episodes in patients at their first acute coronary syndrome (ACS). Two hundred sixty-seven (72.1%) subjects (male) completed the Temperament and Character Inventory (TCI) a few days after the cardiac event. At baseline and after 1, 2, 4, 6, 9, 12, and 24 months of follow-up, the participants completed the Primary Care Evaluation of Mental Disorder (PRIME-MD) and the Hospital Anxiety and Depression Scale to establish the presence of a depressive episode and its severity. During the follow-up, 61 (22.8%) participants developed a depressive episode. Temperamental risk factors for incident depression were scored high on novelty seeking and harm avoidance at the TCI. Given the detrimental effect of depression on cardiac prognosis, clinicians should take temperament variables into account when determining the treatment plans of their patients with ACS.

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The role of alexithymia in predicting incident depression in patients at first acute coronary syndrome

Abstract: Our results do not support the hypothesis that alexithymia at TAS-20 is a risk factor for incident depression after acute coronary syndrome.

Cited by 7 publications

References 80 publications

Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome.

Anxiety, depression, and cardiac outcomes after a first diagnosis of acute coronary syndrome.

Prevalence and Demographic Correlates of Alexithymia: A Comparison Between Australian Psychiatric and Community Samples

Temperament and Depression After a First Acute Coronary Syndrome

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