Key result
Post-MI depression and anxiety were directly related to poorer quality of life 10 years later, partly mediated by opposite associations with health behaviors at 5 years.
Why the study?
Do post-MI depression and anxiety affect future health behaviors and quality of life in patients after a first MI?
Cohort (n=540)
Do post-MI depression and anxiety affect future health behaviors and quality of life in patients after a first MI?
Highlights the differing impacts of post-MI anxiety and depression on health behaviors and long-term quality of life, emphasizing the need to address both emotional reactions.
Supports integrated post-MI psychological screening; extends behavioral mediation data to decade-long QoL but remains hypothesis-generating pending RCTs.
BACKGROUND: Post-myocardial infarction (MI) depression and anxiety were found to predict prognosis and quality of life. PURPOSE: The purpose of this study was to test a behavioral pathway from post-MI depression/anxiety to future quality of life. METHODS: This is a longitudinal cohort study. Five hundred forty patients (≤65 years old) filled out questionnaires after a first MI, including socio-demographics, pre-MI health status and behaviors, MI severity, social support, sense of coherence, depression, and anxiety. Reports of health behaviors were obtained 5 years and of quality of life 10 years later. RESULTS: A structural equations model confirmed that depression and anxiety were directly related to poorer quality of life 10 years later. These relationships were partly mediated by a positive association between anxiety and health behaviors at 5 years and a negative one between depression and health behaviors. CONCLUSIONS: The opposite effects of anxiety and depression underscore the need to attend to both emotional reactions to MI while encouraging preventive health behaviors.
No takes yet. Share an insight, caveat, or question.
Benyamini et al. (2013) conducted a cohort in Myocardial Infarction (n=540). Depression and anxiety was evaluated on Quality of life 10 years later. Post-MI depression and anxiety were directly related to poorer quality of life 10 years later, partly mediated by opposite associations with health behaviors at 5 years.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: