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Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III Study.
Eur J Prev Cardiol 2013; 20(2):331-40EJ

Abstract

OBJECTIVE

To assess in coronary heart disease (CHD) patients: (1) differences in the prevalence of depression and anxiety between samples selected from 22 countries; (2) the association of depression and anxiety with age, education, diagnostic category, favourable behaviours, use of cardioprotective drugs, and reaching the secondary prevention treatment targets.

DESIGN

Cross-sectional study.

METHODS

The study group consisted of 8580 patients from 22 European countries examined at least 6 months after hospitalization due to CHD. Depression and anxiety were assessed using Hospital Anxiety and Depression Scale (HADS).

RESULTS

Prevalence of depression (HADS depression score ≥ 8) varied from 8.2% to 35.7% in men and from 10.3% to 62.5% in women. Prevalence of anxiety (HADS anxiety score ≥ 8) varied from 12.0% to 41.8% in men and from 21.5% to 63.7% in women. Older age, female sex, low education, and no history of invasive treatment were associated with more frequent depression and anxiety. Depression and anxiety were associated with less frequent modification of lifestyle. Depression was related with body mass index, waist circumference, fasting glucose, and more frequent self-reported diabetes but not with reaching the treatment targets for blood pressure and lipids.

CONCLUSIONS

High prevalence of depression and anxiety in CHD patients, and relation with less frequent lifestyle modification, call to integrate methods of identification and minimizing unfavourable effects of depression and anxiety into the cardiac rehabilitation and prevention programmes.

Authors+Show Affiliations

Department of Epidemiology and Population Studies, Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Kraków, Poland. mmpajak@cyf-kr.edu.plNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

22396247

Citation

Pająk, Andrzej, et al. "Depression, Anxiety, and Risk Factor Control in Patients After Hospitalization for Coronary Heart Disease: the EUROASPIRE III Study." European Journal of Preventive Cardiology, vol. 20, no. 2, 2013, pp. 331-40.
Pająk A, Jankowski P, Kotseva K, et al. Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III Study. Eur J Prev Cardiol. 2013;20(2):331-40.
Pająk, A., Jankowski, P., Kotseva, K., Heidrich, J., de Smedt, D., & De Bacquer, D. (2013). Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III Study. European Journal of Preventive Cardiology, 20(2), pp. 331-40. doi:10.1177/2047487312441724.
Pająk A, et al. Depression, Anxiety, and Risk Factor Control in Patients After Hospitalization for Coronary Heart Disease: the EUROASPIRE III Study. Eur J Prev Cardiol. 2013;20(2):331-40. PubMed PMID: 22396247.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Depression, anxiety, and risk factor control in patients after hospitalization for coronary heart disease: the EUROASPIRE III Study. AU - Pająk,Andrzej, AU - Jankowski,Piotr, AU - Kotseva,Kornelia, AU - Heidrich,Jan, AU - de Smedt,Delphine, AU - De Bacquer,Dirk, AU - ,, Y1 - 2012/03/06/ PY - 2012/3/8/entrez PY - 2012/3/8/pubmed PY - 2013/8/24/medline SP - 331 EP - 40 JF - European journal of preventive cardiology JO - Eur J Prev Cardiol VL - 20 IS - 2 N2 - OBJECTIVE: To assess in coronary heart disease (CHD) patients: (1) differences in the prevalence of depression and anxiety between samples selected from 22 countries; (2) the association of depression and anxiety with age, education, diagnostic category, favourable behaviours, use of cardioprotective drugs, and reaching the secondary prevention treatment targets. DESIGN: Cross-sectional study. METHODS: The study group consisted of 8580 patients from 22 European countries examined at least 6 months after hospitalization due to CHD. Depression and anxiety were assessed using Hospital Anxiety and Depression Scale (HADS). RESULTS: Prevalence of depression (HADS depression score ≥ 8) varied from 8.2% to 35.7% in men and from 10.3% to 62.5% in women. Prevalence of anxiety (HADS anxiety score ≥ 8) varied from 12.0% to 41.8% in men and from 21.5% to 63.7% in women. Older age, female sex, low education, and no history of invasive treatment were associated with more frequent depression and anxiety. Depression and anxiety were associated with less frequent modification of lifestyle. Depression was related with body mass index, waist circumference, fasting glucose, and more frequent self-reported diabetes but not with reaching the treatment targets for blood pressure and lipids. CONCLUSIONS: High prevalence of depression and anxiety in CHD patients, and relation with less frequent lifestyle modification, call to integrate methods of identification and minimizing unfavourable effects of depression and anxiety into the cardiac rehabilitation and prevention programmes. SN - 2047-4881 UR - https://www.unboundmedicine.com/medline/citation/22396247/Depression_anxiety_and_risk_factor_control_in_patients_after_hospitalization_for_coronary_heart_disease:_the_EUROASPIRE_III_Study_ L2 - http://journals.sagepub.com/doi/full/10.1177/2047487312441724?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -