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Baradaran A, Ardakani MRK, Bateni FS, Asadian-Koohestani F, Vahedi M, Aein A, Shahmansouri N, Sadighi G. The effect of escitalopram in treating mild to moderate depressive disorder and improving the quality of life in patients undergoing coronary artery bypass grafting - a double-blind randomized clinical trial. Front Psychiatry 2024; 15:1342754. [PMID: 39006820 PMCID: PMC11240843 DOI: 10.3389/fpsyt.2024.1342754] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 05/31/2024] [Indexed: 07/16/2024] Open
Abstract
Introduction Chronic depression and anxiety can be a risk factor for coronary aArtery bypass grafting (CABG) and is an emerging factor after coronary artery disease when the patient is admitted to the hospital and after surgery. We aimed to assess the effect of Escitalopram in treating mild to moderate depressive disorder and improving the quality of life in patients undergoing CABG. Methods In this randomized clinical trial, 50 patients undergoing CABG referred to Tehran Heart Hospital from January 2021 to May 2021 and were suffering from mild to moderate depression were randomly assigned to one of the two groups of Escitalopram or placebo. The level of depression was assessed based on Beck's depression inventory and the quality-of-life status and its domains were assessed based on the SF-36 questionnaire in 2 groups. Measurements were obtained at baseline and at four and eight weeks after treatment. Chi-square, Fisher's exact, paired, and Wilcoxon tests or ANOVA were used as appropriate. Results There was no significant difference between the level of depression between the two study groups at baseline (P=0.312). There was no significant difference between the quality of life and its domains in the two study groups at baseline (P=0.607). However, the most important effect of Escitalopram was reducing depression scores in the intervention group at weeks 4 and 8 after treatment compared to the placebo group (P<0.001). The quality of life and its domains were significantly higher in the Escitalopram group eight weeks after treatment (P=0.004). The amount of drug side effects at 2 and 4 weeks after treatment had no significant difference between the groups (P>0.05). Conclusion Escitalopram was effective in treating mild to moderate depressive disorder and improving quality of life in patients undergoing CABG. Clinical trial registration https://irct.behdasht.gov.ir/, identifier IRCT20140126016374N2.
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Affiliation(s)
- Abdolvahab Baradaran
- Cardiovascular Department of Firouzabadi Hospital, Iran University of Medical Sciences, Tehran, Iran
| | | | - Fatemeh Sadat Bateni
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | | | - Mohsen Vahedi
- Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Afsaneh Aein
- Department of Health Promotion and Education, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
| | - Nazila Shahmansouri
- Psychosomatic research center, Tehran University of Medical Sciences, Tehran, Iran
| | - Gita Sadighi
- Psychosis Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Gharsalli H, Harizi C, Zaouche R, Sahnoun I, Saffar F, Maalej S, Douik El Gharbi L. Prevalence of depression and anxiety in obstructive sleep apnea. LA TUNISIE MEDICALE 2022; 100:525-533. [PMID: 36571741 PMCID: PMC9703910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
INTRODUCTION Organic comorbidities of obstructive sleep apnea (OSA) have been widely studied. However, psychiatric disorders, especially depression and anxiety, have not attracted so much attention. AIM The primary aim was to determine the prevalence and the predictive factors of depression and anxiety in OSA patients. The secondary aim was to investigate the association between OSA severity and these psychiatric disorders. METHODS A cross-sectional study including untreated OSA patients without mental illness history was conducted. Patients were administered the Hospital Anxiety (HADS-A) and Depression Scale (HADS-D). Depression and anxiety were diagnosed for HAD-D and HAD-A scores ≥ 8. RESULTS Eighty patients were included (mean age: 54.83 ± 13.12 yr; female: 52 (65%); mean Body mass index (BMI) :34.7±6.14 kg/m2). The prevalence of depression and anxiety was 35 % and 43.8% of patients respectively. Both depressive and anxious OSA patients had more libido disorder ( p=0.011, p=0.0007 ;respectively), anhedonia (p= 10-4, p= 10-4respectively ) and suicidal ideas(p= 0.002 ,p=0.019 respectively). Moreover, depressed OSA patients had lower socio-economic condition (p= 0.019), more coronary artery diseases (CAD) (p=0.019) and less cognitive disorder (p= 0.005). The HADS-D (r=0,095; p=0,404) and the HADS-A (r=0,212; p=0,059) were not correlated with the Apnea/Hyponea Index. The determinants of depressive and anxious mood were female-sex (p= 0.035, p=0.004 respectively) and libido disorder (p=0.040, p=0.02 respectively). Anhedonia (p=10-4) and CAD (p=0.010) were also identified as a predictive factors of depression. CONCLUSIONS In our study, the high prevalence of depression and axiety in apneic patients demonstrates the importance of the psychiatric component in the management of this disease. A collaboration between pneumologists and psychiatrists is necessary in order to improve the quality of life of these patients.
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Affiliation(s)
- Houda Gharsalli
- 1. Department of Pulmonology, A. Mami Hospital, Ariana, University Tunis El Manar, faculty of medicine of Tunis, Tunisia
| | - Chahida Harizi
- 2. Epidemiology Department, A. Mami Hospital, Ariana, Tunisia / University Tunis El Manar, faculty of medicine of Tunis, Tunisia
| | - Rania Zaouche
- 2. Epidemiology Department, A. Mami Hospital, Ariana, Tunisia / University Tunis El Manar, faculty of medicine of Tunis, Tunisia,3. El Razi Hospital for psychiatric disorders , Manouba, Tunisia
| | - Imen Sahnoun
- 1. Department of Pulmonology, A. Mami Hospital, Ariana, University Tunis El Manar, faculty of medicine of Tunis, Tunisia
| | - Farah Saffar
- 2. Epidemiology Department, A. Mami Hospital, Ariana, Tunisia / University Tunis El Manar, faculty of medicine of Tunis, Tunisia
| | - Sonia Maalej
- 2. Epidemiology Department, A. Mami Hospital, Ariana, Tunisia / University Tunis El Manar, faculty of medicine of Tunis, Tunisia
| | - Leila Douik El Gharbi
- 2. Epidemiology Department, A. Mami Hospital, Ariana, Tunisia / University Tunis El Manar, faculty of medicine of Tunis, Tunisia
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Job Stress and Subclinical Cardiovascular Disease: Cross-Sectional Results of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). J Occup Environ Med 2020; 62:1052-1058. [PMID: 33269898 DOI: 10.1097/jom.0000000000002052] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE We aimed to evaluate the relationship between job stress and subclinical cardiovascular disease at ELSA-Brasil. METHODS We considered job stress domains (demand, skill discretion, decision authority, and social support) as independent variables and coronary artery calcium (CAC more than 0) and carotid intima-media thickness (CIMT more than P75% as a continuous variable) as dependent ones. Odds ratio (OR) and 95% confidence interval (95% CI) were presented crude, with further adjustments for sociodemographic, cardiovascular risk factors, and lifestyle variables. Linear regression models were built for CIMT using the same covariates. RESULTS Although significant associations were observed in the crude models, after multivariate adjustment CAC and CIMT were not significantly associated with demand, skill discretion, decision authority, and social support. CONCLUSIONS Our results did not support an association between job stress and subclinical cardiovascular disease measured by CAC or CIMT.
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Sex and gender-stratified risks of psychological factors for adverse clinical outcomes in patients with ischemic heart disease: A systematic review and meta-analysis. Int J Cardiol 2020; 302:21-29. [DOI: 10.1016/j.ijcard.2019.12.014] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 11/20/2019] [Accepted: 12/09/2019] [Indexed: 12/12/2022]
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Gender differences in associations of depressive symptoms and anxiety with inflammatory markers in patients with non-obstructive coronary artery disease. J Psychosom Res 2019; 125:109779. [PMID: 31421324 DOI: 10.1016/j.jpsychores.2019.109779] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/23/2019] [Revised: 07/12/2019] [Accepted: 07/16/2019] [Indexed: 02/06/2023]
Abstract
OBJECTIVE The aim of this study was to examine gender differences of the associations between depressive symptoms and anxiety with inflammatory markers in patients with non-obstructive coronary artery disease (NOCAD). METHODS Depressive symptoms and anxiety (Beck Depression Inventory BDI and Hospital Anxiety and Depression Scale HADS) were examined in 524 patients with NOCAD (52% women, mean age 64 ± 9 years) as part of the TweeSteden Mild Stenosis (TWIST) observational cohort study. Blood samples were analyzed for neutrophil gelatinase-associated lipocalin (NGAL) levels, high-sensitive C-reactive protein (hsCRP), and leukocyte differentiation. Multivariate analysis for the inflammatory markers with main effects of depressive symptoms or anxiety, gender, and their interactions were observed. RESULTS Women had elevated levels of hsCRP, and a lower monocyte and eosinophil count than men, with small to medium effect sizes (range η(p)2 = 0.019-0.047). After Holm-Bonferroni correction depressive symptoms according to the BDI were associated with an overall elevated hsCRP level explaining 2.4% of the hsCRP variance. A significant positive association between BDI cognitive symptoms with elevated hsCRP level was observed in men (R2 = 0.045), but not in women (R2 < 0.001). Adjustment for age, body mass index, smoking, and physical activity attenuated this finding. CONCLUSION Small associations of inflammatory markers with depressive symptoms and anxiety were confounded by lifestyle factors, predominantly smoking. The interacting roles of gender, smoking, and psychological factors on inflammatory markers may point toward different behavioral and inflammatory pathways for women and men with NOCAD, which remains to be further explored. OBSERVATIONAL COHORT REGISTRATION ClinicalTrials.gov identifier: NCT01788241.
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Drudi LM, Ades M, Turkdogan S, Huynh C, Lauck S, Webb JG, Piazza N, Martucci G, Langlois Y, Perrault LP, Asgar AW, Labinaz M, Lamy A, Noiseux N, Peterson MD, Arora RC, Lindman BR, Bendayan M, Mancini R, Trnkus A, Kim DH, Popma JJ, Afilalo J. Association of Depression With Mortality in Older Adults Undergoing Transcatheter or Surgical Aortic Valve Replacement. JAMA Cardiol 2019; 3:191-197. [PMID: 29344620 DOI: 10.1001/jamacardio.2017.5064] [Citation(s) in RCA: 33] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
Importance Depression is increasingly recognized as a risk factor for adverse outcomes in cardiovascular disease. However, little is known about depression in older adults undergoing transcatheter (TAVR) or surgical (SAVR) aortic valve replacement. Objective To determine the prevalence of depression and its association with all-cause mortality in older adults undergoing TAVR or SAVR. Design, Setting, and Participants This preplanned analysis of the Frailty Aortic Valve Replacement (FRAILTY-AVR) prospective cohort study included 14 centers in 3 countries from November 15, 2011, through April 7, 2016. Individuals 70 years or older who underwent TAVR or SAVR were enrolled. Depressive symptoms were evaluated using the Geriatric Depression Scale Short Form at baseline and follow-up. Main Outcomes and Measures All-cause mortality at 1 and 12 months after TAVR or SAVR. Logistic regression was used to determine the association of depression with mortality after adjusting for confounders such as frailty and cognitive impairment. Results Among 1035 older adults (427 men [41.3%] and 608 women [58.7%]) with a mean (SD) age of 81.4 (6.1) years, 326 (31.5%) had a positive result of screening for depression, whereas only 89 (8.6%) had depression documented in their clinical record. After adjusting for clinical and geriatric confounders, baseline depression was found to be associated with mortality at 1 month (odds ratio [OR], 2.20; 95% CI, 1.18-4.10) and at 12 months (OR, 1.532; 95% CI, 1.03-2.24). Persistent depression, defined as baseline depression that was still present 6 months after the procedure, was associated with a 3-fold increase in mortality at 12 months (OR, 2.98; 95% CI, 1.08-8.20). Conclusions and Relevance One in 3 older adults undergoing TAVR or SAVR had depressive symptoms at baseline and a higher risk of short-term and midterm mortality. Patients with persistent depressive symptoms at follow-up had the highest risk of mortality.
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Affiliation(s)
- Laura M Drudi
- Centre for Clinical Epidemiology, Jewish General Hospital, Montreal, Quebec, Canada.,Division of Vascular Surgery, McGill University, Montreal, Quebec, Canada.,Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Matthew Ades
- Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Sena Turkdogan
- Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Caroline Huynh
- Faculty of Medicine, McGill University, Montreal, Quebec, Canada
| | - Sandra Lauck
- Centre for Heart Valve Innovation, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
| | - John G Webb
- Centre for Heart Valve Innovation, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada
| | - Nicolo Piazza
- Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Giuseppe Martucci
- Division of Cardiology, McGill University Health Centre, Montreal, Quebec, Canada
| | - Yves Langlois
- Division of Cardiac Surgery, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
| | - Louis P Perrault
- Division of Cardiac Surgery, Institut de Cardiologie de Montréal, Université de Montréal, Montreal, Quebec, Canada
| | - Anita W Asgar
- Division of Cardiology, Institut de Cardiologie de Montréal, Université de Montréal, Montreal, Quebec, Canada
| | - Marino Labinaz
- Division of Cardiology, University of Ottawa Heart Institute, Ottawa, Ontario, Canada
| | - Andre Lamy
- Division of Cardiac Surgery, Hamilton Health Sciences, Population Health Research Institute, McMaster University, Hamilton, Ontario, Canada
| | - Nicolas Noiseux
- Division of Cardiac Surgery, Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montreal, Quebec, Canada
| | - Mark D Peterson
- Division of Cardiac Surgery, St Michael's Hospital, University of Toronto, Toronto, Ontario, Canada
| | - Rakesh C Arora
- Division of Cardiac Surgery, St Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada
| | - Brian R Lindman
- Division of Cardiology, Washington University School of Medicine, St Louis, Missouri
| | - Melissa Bendayan
- Centre for Clinical Epidemiology, Jewish General Hospital, Montreal, Quebec, Canada.,Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada
| | - Rita Mancini
- Centre for Clinical Epidemiology, Jewish General Hospital, Montreal, Quebec, Canada
| | - Amanda Trnkus
- Centre for Clinical Epidemiology, Jewish General Hospital, Montreal, Quebec, Canada
| | - Dae H Kim
- Division of Gerontology, Beth Israel Deaconess Medical Center, Harvard University, Boston, Massachusetts
| | - Jeffrey J Popma
- Division of Cardiology, Beth Israel Deaconess Medical Center, Harvard University, Boston, Massachusetts
| | - Jonathan Afilalo
- Centre for Clinical Epidemiology, Jewish General Hospital, Montreal, Quebec, Canada.,Faculty of Medicine, McGill University, Montreal, Quebec, Canada.,Division of Experimental Medicine, McGill University, Montreal, Quebec, Canada.,Division of Cardiology, Jewish General Hospital, McGill University, Montreal, Quebec, Canada
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7
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Bahrami T, Rejeh N, Heravi-Karimooi M, Tadrisi SD, Vaismoradi M. The Effect of Foot Reflexology on Hospital Anxiety and Depression in Female Older Adults: a Randomized Controlled Trial. Int J Ther Massage Bodywork 2019; 12:16-21. [PMID: 31489059 PMCID: PMC6715326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Patients with cardiovascular diseases usually suffer from hospital anxiety and depression. AIM This study aimed to investigate the effect of foot reflexology massage on anxiety and depression in female older adults suffering from acute coronary syndrome. PARTICIPANTS Ninety older women with acute coronary syndrome were randomly assigned into intervention and control groups (n=45 in each group). RESEARCH DESIGN A randomized controlled trial. INTERVENTION The intervention and control groups received foot reflexology massage and routine care, respectively. MAIN OUTCOMES MEASURES The levels of anxiety and depression were evaluated using the hospital's anxiety and depression scale (HADS) before and immediately after foot reflexology massage. RESULTS Foot reflexology massage reduced both anxiety (F(1.44)=19.11, p = .001) and depression (F(1.44)=16.76, p = .001) in acute coronary patients relative to control patients. The intervention had a large effect on hospital anxiety and depression. CONCLUSIONS Foot reflexology massage is an efficient and safe intervention for alleviating psychological responses among female older adults suffering from acute coronary syndrome during hospitalization.
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Affiliation(s)
- Tahereh Bahrami
- Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
| | - Nahid Rejeh
- Elderly Care Research Center, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran,Corresponding author: Nahid Rejeh, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Opposite of Holy Shrine of Imam Khomeini-Khalij Fars Expressway, Postal/zip code: 3319118651, Tehran, Iran,
| | - Majideh Heravi-Karimooi
- Elderly Care Research Center, Department of Nursing, Faculty of Nursing and Midwifery, Shahed University, Tehran, Iran
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Ross J, Field C, Kaye S, Bowman J. Prevalence and correlates of low self-reported physical health status among prisoners in New South Wales, Australia. Int J Prison Health 2019; 15:192-206. [PMID: 31172857 DOI: 10.1108/ijph-06-2018-0039] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
PURPOSE The purpose of this paper is to examine the prevalence and predictors of low self-reported physical health status among NSW prison inmates. DESIGN/METHODOLOGY/APPROACH Cross-sectional random sample of 1,098 adult male and female prisoners, interviewed as part of the 2015 Justice Health and Forensic Mental Health Network Patient Health Survey. FINDINGS Almost a quarter of participants had "low self-reported physical health status". Independent predictors of "low health status" were having been in out of home care before the age of 16 years, being illiterate, smoking 20 or more cigarettes a day, not eating more than one serve of fruit a day, not being physically active in the 12 months before incarceration, higher body mass index score and low self-reported mental health status. Many of these predictors are modifiable risk factors for chronic disease, which could be targeted during incarceration. ORIGINALITY/VALUE This paper demonstrates the utility of a using a single item measure of self-reported physical health status among Australian prisoners, and helps to characterise those prisoners in greatest need of intervention for issues relating to their health.
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Affiliation(s)
- Joanne Ross
- Research Unit, Justice Health and Forensic Mental Health Network, Malabar, Australia
- National Drug and Alcohol Research Centre, University of New South Wales , Sydney, Australia
| | - Courtney Field
- Research Unit, Justice Health and Forensic Mental Health Network, Matraville, Australia
| | - Sharlene Kaye
- National Drug and Alcohol Research Centre, University of New South Wales , Sydney, Australia
- Research Unit, Justice Health and Forensic Mental Health Network, Matraville, Australia
| | - Julia Bowman
- Research Unit, Justice Health and Forensic Mental Health Network, Matraville, Australia
- Faculty of Health, University of Technology Sydney , Sydney, Australia
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9
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Achttien R, van Lieshout J, Wensing M, van der Sanden MN, Staal JB. Symptoms of depression are associated with physical inactivity but not modified by gender or the presence of a cardiovascular disease; a cross-sectional study. BMC Cardiovasc Disord 2019; 19:95. [PMID: 31023228 PMCID: PMC6482537 DOI: 10.1186/s12872-019-1065-8] [Citation(s) in RCA: 29] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2018] [Accepted: 03/24/2019] [Indexed: 12/13/2022] Open
Abstract
Background Depressive symptomatology may act as a barrier to enhance physical activity. This phenomenon is predominantly found in patients with an established cardiovascular disease (CVD) and in female patients. This cross-sectional study investigated (1) the association between symptoms of depression and physical inactivity, and (2) whether this association is different between primary and secondary prevention patients, and between men and women. Methods The study design concerns a secondary analysis of baseline data from a randomized clinical trial, including primary and secondary prevention patients (n = 2184; mean age 71.6 ± 8.94), from 34 general practitioner panels. The Rapid Assessment of Physical Activity questionnaire (RAPA) was used to measure patient reported activity levels. Symptoms of depression were determined using the Patient Health Questionnaire (PHQ-9). Multilevel linear regression analysis was used to explore the association between symptoms of depression and physical activity while adjusting for confounders. Gender and whether or not having a CVD were considered as potential effect modifiers for the association between symptoms of depression and inactivity. Results Symptoms of depression were associated with lower levels of physical activity. This association was neither different for men and women nor for primary and secondary prevention patients. Conclusion In primary care patients’ symptoms of depression were associated with physical inactivity. This association was not modified by gender or the presence of a CVD. Future research should focus on lifestyle interventions aiming at the increase of physical activity levels, while emphasizing on improving symptoms of depression in men, women, and patients both with and without a history of CVD.
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Affiliation(s)
- Retze Achttien
- Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, The Netherlands.
| | - Jan van Lieshout
- Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, The Netherlands
| | - Michel Wensing
- Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, The Netherlands.,Health services research and implementation science in healthcare, Heidelberg University, Heidelberg, Germany
| | - Maria Nijhuis van der Sanden
- Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, The Netherlands
| | - J Bart Staal
- Radboud Institute for Health Sciences, IQ healthcare, Radboud university medical center, Geert Grooteplein 21, 6500, HB, Nijmegen, The Netherlands.,Research group Musculoskeletal Rehabilitation, HAN University of Applied Sciences, Nijmegen, The Netherlands
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10
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Bacon SL. Stress, psychiatric disorders, and cardiovascular disease. BMJ : BRITISH MEDICAL JOURNAL 2019. [DOI: 10.1136/bmj.l1577] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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11
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Nie C, Li T, Guo X. Intensive Patients’ Education and Lifestyle Improving Program in CAD Patients. West J Nurs Res 2018; 41:1254-1269. [PMID: 30453852 DOI: 10.1177/0193945918810205] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
The objective of this article is to investigate the effects of intensive patients’ education and lifestyle improving program (IPEL) on anxiety, depression, and overall survival (OS) in coronary artery disease (CAD) patients with anxiety and depression. In all, 224 CAD patients with anxiety and depression were randomly assigned to IPEL or control group. In Stage I, the IPEL group received IPEL and usual care, while the control group only received usual care. In Stage II, patients were further followed up and OS analysis was performed. Hospital Anxiety and Depression Scale–anxiety (HADS-A) and HADS–depression (HADS-D) were used to assess anxiety and depression. IPEL reduced HADS-A score at Month 9 (M9)/M12, and the percentage of anxiety at M12 and HADS-A score changed. IPEL reduced HADS-D score at M12, and the percentage of depression at M12 and HADS-D score changed compared with control. Patients with nonanxiety/nondepression at M12 in the IPEL group showed better OS. IPEL reduces anxiety and depression and improves OS in CAD patients.
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Affiliation(s)
- Chunyan Nie
- Department of Geriatrics, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Tianzhu Li
- Department of General Surgery, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China
| | - Xiaoxia Guo
- Department of Nursing, The Fourth Affiliated Hospital of Harbin Medical University, Harbin, China
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12
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Geiser F, Urbach AS, Harbrecht U, Conrad R, Pötzsch B, Amann N, Kiesewetter K, Sieke A, Wolffs K, Skowasch D. Anxiety and depression in patients three months after myocardial infarction: Association with markers of coagulation and the relevance of age. J Psychosom Res 2017; 99:162-168. [PMID: 28712423 DOI: 10.1016/j.jpsychores.2017.06.015] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2017] [Revised: 06/06/2017] [Accepted: 06/18/2017] [Indexed: 01/04/2023]
Abstract
OBJECTIVE Anxiety and depression are associated with an activation of coagulation and an impairment of fibrinolysis, which may contribute to the increased cardiovascular risk associated with the two disorders. However, very few studies have examined the impact of psychological distress on coagulation factors in coronary artery disease patients. The aim of this study was to assess the correlation between anxiety/depression and factors of coagulation and fibrinolysis in patients who had suffered an acute MI three months prior. METHODS In 148 patients, anxiety and depression were assessed by the Hospital Anxiety and Depression Scale (HADS) shortly after MI and three months later. At the second time of assessment, plasma levels of fibrinogen, factor VII, factor VIII, von Willebrand factor, prothrombin-fragment 1 and 2, tissue-plasminogen-activator, plasminogen activator inhibitor-1, D-dimer, and homocysteine were measured. RESULTS In 32% of the patients, elevated levels of anxiety and depression were found three months after a MI. Multiple regression analyses showed that coagulation and fibrinolysis markers were not significantly associated with HADS anxiety and depression scores. We found that age, gender, BMI, and smoking status were significant predictors for haemostasis factors. A higher age was associated with a higher coagulability but lower anxiety levels. CONCLUSION We measured parameters of coagulation and fibrinolysis in patients three months after MI and found no predictive value of HADS anxiety and depression scores shortly after MI or at the time of blood sampling. The effects of age on the relationship between anxiety and haemostasis should be further investigated.
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Affiliation(s)
- Franziska Geiser
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany.
| | - Anne Sarah Urbach
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany
| | - Ursula Harbrecht
- Institute of Experimental Haematology and Transfusion Medicine, University of Bonn, Germany
| | - Rupert Conrad
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany
| | - Bernd Pötzsch
- Institute of Experimental Haematology and Transfusion Medicine, University of Bonn, Germany
| | - Nele Amann
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany
| | | | - Alexandra Sieke
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany
| | - Kyra Wolffs
- Clinic for Psychosomatic Medicine and Psychotherapy, University of Bonn, Germany
| | - Dirk Skowasch
- Medical Clinic II for Cardiology, Angiology and Pneumology, University of Bonn, Germany
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13
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Bahrami T, Rejeh N, Heravi-Karimooi M, Vaismoradi M, Tadrisi SD, Sieloff CL. Aromatherapy massage versus reflexology on female elderly with acute coronary syndrome. Nurs Crit Care 2017; 23:229-236. [DOI: 10.1111/nicc.12302] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2017] [Revised: 04/07/2017] [Accepted: 05/08/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Tahereh Bahrami
- Department of Nursing, Faculty of Nursing and Midwifery, Shahed University; Tehran Iran
| | - Nahid Rejeh
- Department of Nursing, Faculty of Nursing and Midwifery, Elderly Care Research Center, Shahed University; Tehran Iran
| | - Majideh Heravi-Karimooi
- Department of Nursing, Faculty of Nursing and Midwifery, Elderly Care Research Center, Shahed University; Tehran Iran
| | - Mojtaba Vaismoradi
- Faculty of Nursing and Health Sciences, Nord University; NO-8049, Bodø Norway
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Guo Y, Ledesma RA, Peng R, Liu Q, Xu D. The Beneficial Effects of Cardiac Rehabilitation on the Function and Levels of Endothelial Progenitor Cells. Heart Lung Circ 2016; 26:10-17. [PMID: 27614559 DOI: 10.1016/j.hlc.2016.06.1210] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/16/2015] [Revised: 04/08/2016] [Accepted: 06/06/2016] [Indexed: 12/19/2022]
Abstract
Cardiac rehabilitation (CR) is a comprehensive program, which mainly focusses on exercise training, disease evaluation, cardiovascular risk factors control, medication therapy, psychosocial intervention, and patient education. Although the beneficial properties of CR have been widely evidenced, its mechanism is still not completely clarified. To date, endothelial progenitor cells (EPCs) have been explored by emerging studies, and evidence has suggested that CR, especially exercise training, significantly increases the function and levels of EPCs, which is likely to elucidate the profiting mechanism of CR. Thus, this review summarises the potential relationship between CR and EPCs with an aim of providing novel directions for future CR research.
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Affiliation(s)
- Yuan Guo
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China
| | - Robert Andre Ledesma
- Department of Medicine, College of Physicians and Surgeons, Columbia University, New York, USA
| | - Ran Peng
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China
| | - Qiong Liu
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China
| | - Danyan Xu
- Department of Cardiovascular Medicine, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, China.
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