In patients with acute coronary syndrome undergoing PCI, baseline depression, increased illness uncertainty, and difficulty with tasks post-discharge are key predictors of depressive symptoms at 1 month.
Answers are grounded in this paper and cite their sources.
Supports monitoring baseline depression and illness uncertainty post-PCI; leaves open whether interventions reduce 1-month depressive symptoms.
AIM: To identify the association between possible factors and depression among post-percutaneous coronary intervention patients with acute coronary syndrome. DESIGN: Prospective cohort study. METHODS: Sixty-eight post-percutaneous coronary intervention patients with acute coronary syndrome were enrolled between January 2016 - June 2017. The Hospital Anxiety and Depression Scale scores at 1-3 months after discharge were regressed onto uncertainty in illness and other clinical factors based on the Roy Adaptation Model. RESULTS: Thirty-six patients were included in the final analysis. Higher baseline depression scores, higher changes in uncertainty in illness and feeling annoyed by troublesome tasks after discharge were associated with higher depressive scores at 1 month after discharge. Careful observation and support of patients' ineffective responses in self-concept mode may be effective in preventing depression.
No takes yet. Share an insight, caveat, or question.
Doi et al. (2018) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: