Stronger perceptions of control were associated with lower anxiety and depression in patients undergoing CABG, who exhibited borderline or significant anxiety before surgery (38.7%).
Observational (n=155)
How do anxiety, depression, and perceived control change over time in patients undergoing coronary artery bypass grafts, and does perceived control influence these emotional states?
Patients undergoing CABG experience changes in anxiety, depression, and perceived control, with stronger perceived control associated with better emotional states, justifying routine assessment and intervention.
p-value: p=<0.001
TITLE: Anxiety, depression and perceived control in patients having coronary artery bypass grafts. AIM: This paper is a report of a study to determine (1) the course of anxiety, depression and perceptions of control, and (2) the influence of perceptions of control, in patients undergoing coronary artery bypass grafts before surgery, after surgery in hospital and 2 weeks after discharge. BACKGROUND: Anxiety and depression are common in patients undergoing coronary artery bypass graft surgery patients and predictive of worse outcomes. Few researchers have examined the influence of perceived control on these emotional states in the acute surgical period. METHODS: A prospective, descriptive design was used with a convenience sample of patients having coronary grafts (n = 155). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale and perceptions of control over their cardiac illness by the Control Attitudes Scale before surgery, after surgery during hospitalization and 2 weeks after hospital discharge. The data were collected in 2005. RESULTS: Patients had low levels of anxiety at each timepoint; however, borderline or clinically significant levels were common before surgery (38.7%) and after discharge. (38.6%). Depression levels were low, but increased over time (F = 27.03, P < 0.001). Patients had low to moderate perceptions of control over their illness before surgery, which increased over time (F = 25.51, P < 0.001). Those with stronger perceptions of control were less anxious or depressed at all times and those who were more anxious or depressed before surgery continued to be so afterwards. CONCLUSION: Routine assessment of anxiety, depression and perceptions of control are justified to identify patients at risk and to intervene to promote control perceptions.
Gallagher et al. (Fri,) conducted a observational in Coronary artery bypass grafts (n=155). Perceptions of control vs. Lower perceptions of control was evaluated on Anxiety, depression, and perceptions of control (p=<0.001). Stronger perceptions of control were associated with lower anxiety and depression in patients undergoing CABG, who exhibited borderline or significant anxiety before surgery (38.7%).