Anxiety, depression and psychosocial stress in patients with cardiac events

Anne John Michael, Saroja Krishnaswamy, Tamil Selvan Muthusamy, Khalid Yusuf, Jamaludin Mohamed

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Stress tends to worsen the prognosis of patients with coronary heart disease. The aim of the study is to determine the relationship between stress related psychosocial factors like anxiety, depression and life events and temporally cardiac events specified as acute myocardial infarction and unstable angina 65 subjects with confirmed myocardial infarction or unstable angina were interviewed using 2 sets of questionnaire, the Hospital Anxiety and Depression Scale (HADS) and Life Changes Stress Test, a segment of the Rahe's Stress and Coping Inventory first at time of occurrence of their cardiac event and the second time was 6 months later. Anxiety, depression and life events scores were calculated for both and recurrence of cardiac event for the 6 month duration was also recorded. Patients who had significant levels of depression and or life events were ten times more likely to have recurrence of cardiac events as compared to those without risk for either of these psychological symptoms. Anxiety, depression and stress levels are significantly increased after the onset of ischemic heart disease and could be contributing or predisposing factors for the recurrence of cardiac events for these patients.

Original languageEnglish
Pages (from-to)57-63
Number of pages7
JournalMalaysian Journal of Medical Sciences
Volume12
Issue number1
Publication statusPublished - Jan 2005

Fingerprint

Anxiety
Depression
Unstable Angina
Recurrence
Myocardial Infarction
Psychology
Exercise Test
Psychological Stress
Causality
Myocardial Ischemia
Coronary Disease
Equipment and Supplies

Keywords

  • Acute myocardial infarction
  • Depression
  • Life events
  • Stress
  • Unstable angina

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Michael, A. J., Krishnaswamy, S., Muthusamy, T. S., Yusuf, K., & Mohamed, J. (2005). Anxiety, depression and psychosocial stress in patients with cardiac events. Malaysian Journal of Medical Sciences, 12(1), 57-63.

Anxiety, depression and psychosocial stress in patients with cardiac events. / Michael, Anne John; Krishnaswamy, Saroja; Muthusamy, Tamil Selvan; Yusuf, Khalid; Mohamed, Jamaludin.

In: Malaysian Journal of Medical Sciences, Vol. 12, No. 1, 01.2005, p. 57-63.

Research output: Contribution to journalArticle

Michael, AJ, Krishnaswamy, S, Muthusamy, TS, Yusuf, K & Mohamed, J 2005, 'Anxiety, depression and psychosocial stress in patients with cardiac events', Malaysian Journal of Medical Sciences, vol. 12, no. 1, pp. 57-63.
Michael, Anne John ; Krishnaswamy, Saroja ; Muthusamy, Tamil Selvan ; Yusuf, Khalid ; Mohamed, Jamaludin. / Anxiety, depression and psychosocial stress in patients with cardiac events. In: Malaysian Journal of Medical Sciences. 2005 ; Vol. 12, No. 1. pp. 57-63.
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