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January 1, 1995Health Psychology401 citations

The impact of negative emotions on prognosis following myocardial infarction: Is it more than depression?

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NFNancy Frasure‐SmithFLFrançois LespéranceMTMario Talajic

Key Result

Depressive symptoms, anxiety, and history of major depression measured post-MI independently predicted cardiac events over 12 months, independent of each other and cardiac disease severity.

Study Design

Type

Cohort (n=222)

Structured PICO

Do negative emotions and psychosocial factors predict cardiac events in patients following a myocardial infarction?

P
Population
222 patients measured in the hospital after a myocardial infarction (MI)
I
Intervention
Presence of negative emotions (major depression symptoms, history of major depression, anxiety, anger-in, anger-out) and perceived social support
O
Outcome
Cardiac events over the subsequent 12 months, including recurrences of acute coronary syndromes (unstable angina admissions and survived and nonsurvived MI recurrences) and probable arrhythmic events (survived cardiac arrests and arrhythmic deaths)composite

Depressive symptoms, anxiety, and a history of major depression independently predict recurrent cardiac events in the 12 months following a myocardial infarction.

Abstract

This study examine the importance of major depression symptoms, history of major depression, anxiety, anger-in, anger-out, and perceived social support, measured in the hospital after a myocardial infarction (MI), in predicting cardiac events over the subsequent 12 months in a sample of 222 patients. Cardiac events included both recurrences of acute coronary syndromes (unstable angina admissions and survived and nonsurvived MI recurrences) and probable arrhythmic events (survived cardiac arrests and arrhythmic deaths). Major depression, depressive symptoms, anxiety, and history of major depression all significantly predicted cardiac events. Multivariate analyses showed that depressive symptoms, anxiety, and history of major depression each had an impact independent of each other, as well as of measures of cardiac disease severity.

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Cite This Study

Frasure‐Smith et al. (1995) conducted a cohort in Myocardial infarction (n=222). Negative emotions (depression, anxiety, anger) was evaluated on Cardiac events (recurrences of acute coronary syndromes and probable arrhythmic events). Depressive symptoms, anxiety, and history of major depression measured post-MI independently predicted cardiac events over 12 months, independent of each other and cardiac disease severity.

synapsesocial.com/papers/6a15c13b79ff98d0de4f14a1https://doi.org/10.1037//0278-6133.14.5.388
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Comparing symptoms of depression and anxiety as predictors of cardiac events and increased health care consumption after myocardial infarction2003 · 364 citations
  2. 2Depression and Anxiety As Predictors of Outcome After Myocardial Infarction2000 · 490 citations
  3. 3Depressive Symptoms Predict 12-month Prognosis in Elderly Patients with Acute Myocardial Infarction2002 · 89 citations
  4. 4Prognostic Association of Anxiety Post Myocardial Infarction With Mortality and New Cardiac Events: A Meta-Analysis2010 · 391 citations
  5. 5An increase in depressive symptoms after myocardial infarction predicts new cardiac events irrespective of depressive symptoms before myocardial infarction2011 · 35 citations