Hostname: page-component-cd9895bd7-gxg78 Total loading time: 0 Render date: 2024-12-22T21:43:26.109Z Has data issue: false hasContentIssue false
  • English
  • Français

Cardiac history, prior depression and personality predict course of depressive symptoms after myocardial infarction

Published online by Cambridge University Press:  17 September 2007

E. J. Martens ,
O. R. F. Smith ,
J. Winter ,
J. Denollet  and
S. S. Pedersen
E. J. Martens*
Affiliation:
CoRPS – Center of Research on Psychology in Somatic Diseases, Tilburg University, The Netherlands
O. R. F. Smith
Affiliation:
CoRPS – Center of Research on Psychology in Somatic Diseases, Tilburg University, The Netherlands
J. Winter
Affiliation:
Department of Cardiology, TweeSteden Hospital Tilburg, The Netherlands
J. Denollet
Affiliation:
CoRPS – Center of Research on Psychology in Somatic Diseases, Tilburg University, The Netherlands
S. S. Pedersen
Affiliation:
CoRPS – Center of Research on Psychology in Somatic Diseases, Tilburg University, The Netherlands
*
*Address for correspondence: E. J. Martens, Ph.D., CoRPS, Department of Medical Psychology, Tilburg University, PO Box 90153, 5000 LETilburg, The Netherlands. (Email: e.j.martens@uvt.nl)
Get access Rights & Permissions [Opens in a new window]

Abstract

Background

Although many studies have focused on post-myocardial infarction (MI) depression, there is limited information about the evolution and determinants of depressive symptoms in the first year post-MI. Therefore we examined (1) the course of depressive symptoms during the first year post-MI and (2) the predictors of these symptom trajectories.

Method

To assess depressive symptoms, 287 patients completed the Beck Depression Inventory during hospitalization for MI, and 2, and 12 months post-MI. Personality was assessed with the Type-D scale during hospitalization. We used latent class analysis to examine the evolution of depressive symptoms over a 1-year period and multinomial logit regression analyses to examine predictors of these symptom trajectories.

Results

The course of depressive symptoms was stable during the first year post-MI. Four groups were identified and classified as non-depressed [40%, intercept (IC) 2.52], mildly depressed (42%, IC 6.91), moderately depressed (14%, IC 13.73) or severely depressed (4%, IC 24.54). In multivariate analysis, cardiac history (log ORsevere 2.93, p=0.02; log ORmoderate 1.81, p=0.02; log ORmild 1.46, p=0.01), history of depression (log ORsevere 4.40, p<0.001; log ORmoderate 1.97, p=0.03) and Type-D personality (log ORsevere 4.22, p<0.001; log ORmoderate=4.17, p<0.001; log ORmild 1.66, p=0.02) were the most prominent risk factors for persistence of depressive symptoms during the first year post-MI.

Conclusions

Symptoms of depression tend to persist during the first year post-MI. Cardiac history, prior depression and Type-D personality were identified as independent risk factors for persistence of depressive symptoms. The results of this study strongly argue for routine psychological screening during hospitalization for acute MI in order to identify patients who are at risk for chronicity of depressive symptoms and its deleterious effects on prognosis.

Keywords

Chronicitydepressive symptomsmyocardial infarctionpersistenceType-D personality
Type
Original Articles
Information
Psychological Medicine , Volume 38 , Issue 2 , February 2008 , pp. 257 - 264
Copyright
Copyright © Cambridge University Press 2007

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

APA (1994). Diagnostic and Statistical Manual of Mental Disorders, 4th edn. American Psychiatric Association: Washington, DC.Google Scholar
Antman, EM, Anbe, DT, Armstrong, PW, Bates, ER, Green, LA, Hand, M, Hochman, JS, Krumholz, HM, Kushner, FG, Lamas, GA, Mullany, CJ, Ornato, JP, Pearle, DL, Sloan, MA, Smith, SC Jr., Alpert, JS, Anderson, JL, Faxon, DP, Fuster, V, Gibbons, RJ, Gregoratos, G, Halperin, JL, Hiratzka, LF, Hunt, SA, Jacobs, AK, Ornato, JP (2004). ACC/AHA guidelines for the management of patients with ST-elevation myocardial infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1999 Guidelines for the Management of patients with acute myocardial infarction). Journal of the American College of Cardiology 44, E1–E211.CrossRefGoogle Scholar
Barefoot, JC, Helms, MJ, Mark, DB (1996). Depression and long-term mortality risk in patients with coronary artery disease. American Journal of Cardiology 78, 613–617.CrossRefGoogle ScholarPubMed
Beck, AT, Steer, RA (1993). Manual for the revised Beck Depression Inventory. Psychological Corporation: San Antonio, USA.Google Scholar
Beck, AT, Steer, RA, Garbin, MC (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review 8, 77–100.CrossRefGoogle Scholar
Berkman, LF, Blumenthal, J, Burg, MM, Carney, RM, Catellier, D, Cowan, MJ, Czajkowski, SM, De Busk, R, Hosking, J, Jaffe, A, Kaufmann, PG, Mitchell, P, Norman, J, Powell, LH, Raczynski, JM, Schneidermann, N, Writing Committee for the ENRICHD Investigators (2003). Effects of treating depression and low perceived social support on clinical events after myocardial infarction: The Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. Journal of the American Medical Association 289, 3106–3116.Google ScholarPubMed
Davis, T, Jensen, L (1988). Identifying depression in medical patients. Journal of Nursing Scholarship 20 191–195.Google ScholarPubMed
De Backer, G, Ambrosioni, E, Borch-Johnsen, K, Brotons, C, Cifkova, R, Dallongeville, J, Embrahim, S, Faergeman, O, Graham, I, Mancia, G, Cats, VM, Orth-Gomer, K, Perk, J, Pyorala, K, Rodicio, JL, Sans, S, Sansoy, V, Sechtem, U, Silber, S, Thomsen, T, Wood, D (2003). European guidelines on cardiovascular disease prevention in clinical practice: Third Joint Task Force of European and other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of eight societies and by invited experts). European Heart Journal 24, 1601–1610.CrossRefGoogle Scholar
De Jonge, P, Spijkerman, T, Avan den, Brink RH, Ormel, J (2006). Depression after myocardial infarction is a risk factor for declining health related quality of life and increased disability and cardiac complaints at 12 months. Heart 92, 32–39.CrossRefGoogle ScholarPubMed
Denollet, J (2005). DS14. Standard assessment of negative affectivity, social inhibition, and Type D personality. Psychosomatic Medicine 67, 89–97.CrossRefGoogle ScholarPubMed
Denollet, J, Sys, SU, Stroobant, N, Rombouts, H, Gillebert, TC, Brutsaert, DL (1996). Personality as independent predictor of long-term mortality in patients with coronary heart disease. Lancet 347, 417–421.CrossRefGoogle ScholarPubMed
Denollet, J, Vaes, J, Brutsaert, DL (2000). Inadequate response to treatment in coronary heart disease: adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation 102, 630–635.CrossRefGoogle ScholarPubMed
Frasure-Smith, N, Lespérance, F, Juneau, M, Talajic, M, Bourassa, MG (1999). Gender, depression, and one-year prognosis after myocardial infarction. Psychosomatic Medicine 61, 26–37.CrossRefGoogle ScholarPubMed
Frasure-Smith, N, Lespérance, F, Talajic, M (1993). Depression following myocardial infarction: impact on 6-month survival. Journal of the American Medical Association 270, 1819–1825.CrossRefGoogle ScholarPubMed
Frasure-Smith, N, Lespérance, F, Talajic, M (1995). Depression and 18-month prognosis after myocardial infarction. Circulation 91, 999–1005.CrossRefGoogle ScholarPubMed
Glassman, AH, O'Connor, CM, Califf, RM, Swedberg, K, Schwartz, P, Bigger, JT Jr., Krishnan, KR, van Zyl, LT, Swenson, JR, Finkel, MS, Landau, C, Shapiro, PA, Pepine, CJ, Mardekian, J, Harrison, WM, Barton, D, Mclvor, M, for the Sertraline Antidepressant Heart Attack Randomized Trial (SADHART) Group (2002). Sertraline treatment of major depression in patients with acute MI or unstable angina. Journal of the American Medical Association 288, 701–709.CrossRefGoogle ScholarPubMed
Goyal, TM, Idler, EL, Krause, TJ, Contrada, RJ (2005). Quality of life following cardiac surgery: Impact of the severity and course of depressive symptoms. Psychosomatic Medicine 67, 759–765.CrossRefGoogle ScholarPubMed
Grace, SL, Abbey, SE, Kapral, MK, Fang, J, Nolan, RP, Stewart, DE (2005). Effect of depression on five-year mortality after an acute coronary syndrome. American Journal of Cardiology 96, 1179–1185.CrossRefGoogle ScholarPubMed
Jones, BL, Nagin, DS, Roeder, K (2001). A SAS procedure based on mixture models for estimating developmental trajectories. Sociological Methods & Research 29, 374–393.CrossRefGoogle Scholar
Kaptein, KI, de Jonge, P, van den Brink, RH, Korf, J (2006). Course of depressive symptoms after myocardial infarction and cardiac prognosis: a latent class analysis. Psychosomatic Medicine 68, 662–668.CrossRefGoogle ScholarPubMed
Krumholz, HM, Peterson, ED, Ayanian, JZ, Chin, MH, De Busk, RF, Goldman, L, Kiefe, CI, Powe, NR, Rumsfeld, JS, Spertus, JA, Weintraub, WS (2005). National Heart, Lung, and Blood Institute working group. Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular disease. Circulation 111, 3158–3166.CrossRefGoogle Scholar
Ladwig, KH, Roll, G, Breithardt, G (1994). Post-infarction depression and incomplete recovery 6 months after acute myocardial infarction. Lancet 343, 20–23.CrossRefGoogle ScholarPubMed
Lane, D, Carroll, D, Ring, C, Beevers, DG, Lip, GY (2002). The prevalence and persistence of depression and anxiety following myocardial infarction. British Journal of Health Psychology 7, 11–21.CrossRefGoogle ScholarPubMed
Lauzon, C, Beck, CA, Huynh, T, Dion, D, Racine, N, Carignan, S, Diodati, JG, Charbonneau, F, Dupuis, R, Pilote, L (2003). Depression and prognosis following hospital admission because of acute myocardial infarction. Canadian Medical Association Journal 168, 547–552.Google ScholarPubMed
Lespérance, F, Frasure-Smith, N, Talajic, M (1996). Major depression before and after myocardial infarction: its nature and consequences. Psychosomatic Medicine 58, 99–110.CrossRefGoogle ScholarPubMed
Lespérance, F, Frasure-Smith, N, Talajic, M, Bourassa, MG (2002). Five-year risk of cardiac mortality in relation to initial severity and one-year changes in depression symptoms after myocardial infarction. Circulation 105, 1049–1053.CrossRefGoogle ScholarPubMed
Murray, CJ, Lopez, AD (1996). The Global Burden of Disease. Harvard University Press: Cambridge, MA.Google ScholarPubMed
Murray, CJ, Lopez, AD (1997). Global mortality, disability, and the contribution of risk factors: Global Burden of Disease Study. Lancet 349, 1436–1442.CrossRefGoogle ScholarPubMed
Parashar, S, Rumsfeld, JS, Spertus, JA, Reid, KJ, Wenger, NK, Krumholz, HM, Amin, A, Weintraub, WS, Lichtman, J, Dawood, N, Vaccarino, V (2006). Time course of depression and outcome of myocardial infarction. Archives of Internal Medicine 166, 2035–2043.CrossRefGoogle ScholarPubMed
Pedersen, SS, Lemos, PA, van Vooren, PR, Liu, TK, Daemen, J, Erdman, RA, Smits, PC, Serruys, PW, van Domburg, RT (2004). Type D personality predicts death or myocardial infarction after bare metal stent or sirolimus-eluting stent implantation: a rapamycin-eluting stent evaluated at rotterdam cardiology hospital (RESEARCH) registry substudy. Journal of the American College of Cardiology 44, 997–1001.CrossRefGoogle ScholarPubMed
Pedersen, SS, Ong, AT, Sonnenschein, K, Serruys, PW, Erdman, RA, van Domburg, RT (2006). Type D personality and diabetes predict the onset of depressive symptoms in patients after percutaneous coronary intervention. American Heart Journal 151, 367E1–E6.CrossRefGoogle ScholarPubMed
Rumsfeld, JS, Havranek, E, Masoudi, FA, Peterson, ED, Jones, P, Tooley, JF, Krumholz, HM, Spertus, JA, Cardiovascular Outcomes Research Consortium (2003). Depressive symptoms are the strongest predictors of short-term declines in health status in patients with heart failure. Journal of the American College of Cardiology 42, 1811–1817.CrossRefGoogle ScholarPubMed
Schleifer, SJ, Macari-Hinson, MM, Coyle, DA, Slater, WR, Kahn, M, Gorlin, R, Zucker, HD (1989). The nature and course of depression following myocardial infarction. Archives of Internal Medicine 149, 1785–1789.CrossRefGoogle ScholarPubMed
Spertus, JA, McDonell, M, Woodman, CL, Fihn, SD (2000). Associations between depression and worse disease-specific functional status in outpatients with coronary artery disease. American Heart Journal 140, 105–110.CrossRefGoogle ScholarPubMed
Spijkerman, T, de Jonge, P, van den Brink, RHS, Jansen, JH, May, JF, Crijns, HJ, Ormel, J (2005 a). Depression following myocardial infarction: first-ever versus ongoing and recurrent episodes. General Hospital Psychiatry 27, 411–417.CrossRefGoogle ScholarPubMed
Spijkerman, T, van den Brink, RHS, Jansen, JHC, Crijns, HJ, Ormel, J (2005 b). Who is at risk of post-MI depressive symptoms? Journal of Psychosomatic Research 58, 425–432.CrossRefGoogle ScholarPubMed
Swenson, J, O'Connor, S, Barton, D, van Zyl, LT, Swedberg, K, Forman, LM, Gaffney, M, Glassman, AH (2003). Influence of depression and effect of treatment with sertraline on quality of life after hospitalization for acute coronary syndrome. American Journal of Cardiology 92, 1271–1276.CrossRefGoogle ScholarPubMed
Thombs, BD, Bass, EB, Ford, DE, Stewart, KJ, Tsilidis, KK, Patel, U, Fauerbach, JA, Bush, DE, Ziegelstein, RC (2006). Prevalence of depression in survivors of acute myocardial infarction. Review of the evidence. Journal of General and Internal Medicine 21, 30–38.CrossRefGoogle Scholar
Van Melle, JP, de Jonge, P, Kuyper, AMG, Honig, A, Schene, AH, Crijns, HJ, van den Berg, MP, van Veldhuisen, DJ, Ormel, J, MIND-IT Investigators (2006). Prediction of depressive disorder following myocardial infarction. Data from the Myocardial INfarction and Depression-Intervention Trial (MIND-IT). International Journal of Cardiology 109, 88–94.CrossRefGoogle ScholarPubMed
Von Känel, R, Begré, S (2006). Depression after myocardial infarction: Unraveling the mystery of poor cardiovascular prognosis and role of beta-blocker therapy. Journal of the American College of Cardiology 48, 2215–2217.CrossRefGoogle ScholarPubMed
Welch, G, Hall, A, Walkey, F (1990). The replicable dimensions of the Beck Depression Inventory. Journal of Clinical Psychology 46, 817–827.3.0.CO;2-#>CrossRefGoogle ScholarPubMed
WHO (1990). Composite International Diagnostic Interview (CIDI). World Health Organisation: Geneva, Switzerland.Google Scholar