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https://hdl.handle.net/2440/66963
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Type: | Journal article |
Title: | Cardiac morbidity risk and depression and anxiety: A disorder, symptom and trait analysis among cardiac surgery patients |
Author: | Tully, P. Pedersen, S. Winefield, H. Baker, R. Turnbull, D. Denollet, J. |
Citation: | Psychology, Health and Medicine, 2011; 16(3):333-345 |
Publisher: | Carfax Publishing Limited |
Issue Date: | 2011 |
ISSN: | 1354-8506 1465-3966 |
Statement of Responsibility: | Phillip J. Tully, Susanne S. Pedersen, Helen R. Winefield, Robert A. Baker, Deborah A. Turnbull and Johan Denollet |
Abstract: | The aim of this study was to examine depression and anxiety disorders and their characteristic symptoms (anhedonia/low positive affect and anxious arousal, respectively), along with measures of state negative affect (NA) and Type D personality, in relation to cardiac surgery related morbidity. Patients awaiting elective coronary artery bypass graft surgery (n ¼ 158; 20.9% female; 11.4% concomitant valve surgery; age M ¼ 64.7, SD ¼ 10.6) underwent the structured MINI International Neuropsychiatric Interview to determine current affective disorders. Patients also completed the Mood and Anxiety Symptom Questionnaire and a measure of Type D personality traits. Postoperative cardiac morbidity was confirmed after surgery during the index hospitalization and included stroke, renal failure, ventilation424 h, deep sternal wound infection, reoperation, arrhythmia and 30-day mortality at any location (n ¼ 59, 37.3% of total). After adjustment for age, recent myocardial infarction, heart failure, hypertension, urgency of surgery and time spent on cardiopulmonary bypass generalized anxiety disorder was associated with cardiac morbidity (odds ratio [OR] ¼ 3.26, 95% confidence interval [CI] 1.10–9.67, p ¼ 0.03). Adjusted analysis of personality traits revealed the NA component of Type D personality was associated with cardiac morbidity (OR ¼ 1.07, 95% CI 1.01–1.14, p ¼ 0.03). The Mood and Anxiety Symptom Questionnaire subscales were not associated with increased morbidity risk. Affective disorders, affective phenotypes, and personality traits were differentially associated with post-cardiac surgery morbidity outcomes independent of cardiac surgery morbidity risk factors. Concurrent investigation of depression and anxiety with respect to cardiac outcomes warrants further research. |
Keywords: | coronary heart disease major depression generalized anxiety panic disorder Type D negative affect |
Rights: | Copyright 2011 Taylor & Francis |
DOI: | 10.1080/13548506.2011.553960 |
Published version: | http://dx.doi.org/10.1080/13548506.2011.553960 |
Appears in Collections: | Aurora harvest Psychology publications |
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