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Pre-surgical depression and anxiety and recovery following coronary artery bypass graft surgery.

Poole, L; Ronaldson, A; Kidd, T; Leigh, E; Jahangiri, M; Steptoe, A (2017) Pre-surgical depression and anxiety and recovery following coronary artery bypass graft surgery. J Behav Med, 40 (2). pp. 249-258. ISSN 1573-3521 https://doi.org/10.1007/s10865-016-9775-1
SGUL Authors: Jahangiri, Marjan

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Abstract

We aimed to explore the combined contribution of pre-surgical depression and anxiety symptoms for recovery following coronary artery bypass graft (CABG) using data from 251 participants. Participants were assessed prior to surgery for depression and anxiety symptoms and followed up at 12 months to assess pain and physical symptoms, while hospital emergency admissions and death/major adverse cardiac events (MACE) were monitored on average 2.68 years after CABG. After controlling for covariates, baseline anxiety symptoms, but not depression, were associated with greater pain (β = 0.231, p = 0.014) and greater physical symptoms (β = 0.194, p = 0.034) 12 months after surgery. On the other hand, after controlling for covariates, baseline depression symptoms, but not anxiety, were associated with greater odds of having an emergency admission (OR 1.088, CI 1.010-1.171, p = 0.027) and greater hazard of death/MACE (HR 1.137, CI 1.042-1.240, p = 0.004). These findings point to different pathways linking mood symptoms with recovery after CABG surgery.

Item Type: Article
Additional Information: © The Author(s) 2016 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
Keywords: Anxiety, Coronary artery bypass graft surgery, Depression, Longitudinal study, Major adverse cardiac events, Pain, Recovery, Depression, Anxiety, Coronary artery bypass graft surgery, Recovery, Major adverse cardiac events, Pain, Longitudinal study, Clinical Psychology, 11 Medical And Health Sciences, 17 Psychology And Cognitive Sciences
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Cardiac (INCCCA)
Journal or Publication Title: J Behav Med
ISSN: 1573-3521
Language: eng
Dates:
DateEvent
April 2017Published
23 August 2016Published Online
19 July 2016Accepted
Publisher License: Creative Commons: Attribution 4.0
Projects:
Project IDFunderFunder ID
UNSPECIFIEDBritish Heart Foundationhttp://dx.doi.org/10.13039/501100000274
PubMed ID: 27552993
Web of Science ID: WOS:000395620700003
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/109129
Publisher's version: https://doi.org/10.1007/s10865-016-9775-1

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