Key result
Acute myocardial infarction was followed by symptoms of anxiety and/or depression in 50% of patients at 5-7 days, with higher risk in females (p<0.02) and lower socioeconomic status (p<0.05).
Cross-Sectional (n=100)
No
Half of patients experience symptoms of depression and/or anxiety one week after an acute myocardial infarction, highlighting the need for routine psychological assessment in this population.
Answers are grounded in this paper and cite their sources.
Early post-MI anxiety/depression symptoms may warrant targeted assessment in females and lower-SES patients; leaves open whether screening improves outcomes.
OBJECTIVE: To assess the frequency of symptoms of depression and/or anxiety following acute myocardial infarction (AMI) and to analyse their association with demographic variables. DESIGN: A cross-sectional analytical, non-interventional hospital based study. PLACE AND DURATION OF STUDY: The study was carried out at Punjab Institute of Cardiology (PIC), Lahore, from January 2000 to January 2001. PATIENTS AND METHODS: A total number of 100 inpatients suffering from AMI were studied. After a careful selection of the subjects the Urdu version of Hospital Anxiety and Depression Scale (HADS) was administered to each patient during the period of 5-7 days following AMI to assess symptoms of depression and anxiety. A semi-structured clinical interview was also conducted which included demographic information, psychiatric history and other variables. Results were analyzed by using Statistical Package for Social Sciences (SPSS version 8.0). RESULTS: Out of 100 subjects, 80 (80%) were males and 20 (20%) were females. Their ages ranged from 30-60 years (mean age, 50.92+/-8.53). Overall, symptoms of anxiety and/or depression were found in 50 (50%) patients. More specifically, symptoms of depression were found in 14%, anxiety symptoms in 18% and mixed symptoms (anxiety and depression) in 18% of the patients. Results revealed that patients above 45 years of age (i.e. 46-60 years) were more likely to experience symptoms of depression and/ or anxiety following AMI. A significant association was also found between female sex (p <0.02), lower socioeconomic status (p <0.05) and symptoms of depression and/ or anxiety in these patients. However, no significant association was found in relation to educational status, marital status and origin (urban/rural). CONCLUSION: The high proportion of patients with AMI found to be suffering from symptoms of depression and/ or anxiety one week after AMI highlights the essential need to assess these symptoms in all such patients during the post-MI period as they merit appropriate treatment along with the other complications of AMI.
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Akhtar et al. (2004) conducted a cross-sectional in acute myocardial infarction (n=100). Acute myocardial infarction was evaluated on Symptoms of depression and/or anxiety. Acute myocardial infarction was followed by symptoms of anxiety and/or depression in 50% of patients at 5-7 days, with higher risk in females (p<0.02) and lower socioeconomic status (p<0.05).
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