Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality
Background Patients with symptoms of depression and/or anxiety – emotional distress – after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well es...
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| Veröffentlicht in: | European journal of preventive cardiology 2019-09, Vol.26 (14), p.1510-1518 |
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| container_title | European journal of preventive cardiology |
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| creator | Lissåker, Claudia T Norlund, Fredrika Wallert, John Held, Claes Olsson, Erik MG |
| description | Background
Patients with symptoms of depression and/or anxiety – emotional distress – after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged |
| doi_str_mv | 10.1177/2047487319841475 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_swepu</sourceid><recordid>TN_cdi_swepub_primary_oai_swepub_ki_se_479371</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1177_2047487319841475</sage_id><sourcerecordid>2235067088</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-caba4a098f8ea79118d661cafa8300a5726988187663887a29d79b899ae8a4b73</originalsourceid><addsrcrecordid>eNp1kc1q3TAQhUVJaEKSfVdBy27cSpZtScsSmqQQSBfNWoztcVBqWzcaOeW-Rp64uj-9hEBnM8PhOwehw9gnKb5IqfXXUlS6MlpJaypZ6foDO91IRWWMPDrcWp2wC6InkacRZWnMR3aipKxtrcUpe_2JkTwlnBPHKSQfZhh5n5WIRByGhJEDH3ykVCQ_IZ_WoYPY-4z5eYDYbTwc5p77lA1EofOw1VLgIyTkWzy8AHXLCHGLzmEu3slTiAlGn9bn7HiAkfBiv8_Yw_X3X1e3xd39zY-rb3dFp3Sdsr2FCoQ1g0HQVkrTN43sYACjhIBal43NP2F00yhjNJS217Y11gIaqFqtzlixy6U_uFpat4p-grh2AbzbS7_zha7SVmmZ-c87fhXD84KU3OSpw3GEGcNCrixVLRotjMmo2KFdDEQRh0O4FG5TnntfXrZc7tOXdsL-YPhX1ZvnwiO6p7DE3BT9P_Av0GilOA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2235067088</pqid></control><display><type>article</type><title>Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality</title><source>Oxford University Press Journals All Titles (1996-Current)</source><source>MEDLINE</source><source>SAGE Complete</source><source>Alma/SFX Local Collection</source><creator>Lissåker, Claudia T ; Norlund, Fredrika ; Wallert, John ; Held, Claes ; Olsson, Erik MG</creator><creatorcontrib>Lissåker, Claudia T ; Norlund, Fredrika ; Wallert, John ; Held, Claes ; Olsson, Erik MG</creatorcontrib><description>Background
Patients with symptoms of depression and/or anxiety – emotional distress – after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged <75 years in Sweden.
Methods
We utilized data on 57,602 consecutive patients with a first-time MI from the national SWEDEHEART registers. Emotional distress was assessed using the anxiety/depression dimension of the European Quality of Life Five Dimensions questionnaire two and 12 months after the MI, combined into persistent (emotional distress at both time-points), remittent (emotional distress at the first follow-up only), new (emotional distress at the second-follow up only) or no distress. Data on cardiovascular and non-cardiovascular mortality were obtained until the study end-time. We used multiple imputation to create complete datasets and adjusted Cox proportional hazards models to estimate hazard ratios.
Results
Patients with persistent emotional distress were more likely to die from cardiovascular (hazard ratio: 1.46, 95% confidence interval: 1.16, 1.84) and non-cardiovascular causes (hazard ratio: 1.54, 95% confidence interval: 1.30, 1.82) than those with no distress. Those with remittent emotional distress were not statistically significantly more likely to die from any cause than those without emotional distress.
Discussion
Among patients who survive 12 months, persistent, but not remittent, emotional distress was associated with increased cardiovascular and non-cardiovascular mortality. This indicates a need to identify subgroups of individuals with emotional distress who may benefit from further assessment and specific treatment.</description><identifier>ISSN: 2047-4873</identifier><identifier>EISSN: 2047-4881</identifier><identifier>DOI: 10.1177/2047487319841475</identifier><identifier>PMID: 31159570</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Cause of Death ; Female ; Humans ; Male ; Middle Aged ; Myocardial Infarction - diagnosis ; Myocardial Infarction - mortality ; Myocardial Infarction - psychology ; Prognosis ; Psychological Distress ; Registries ; Risk Assessment ; Risk Factors ; Stress, Psychological - diagnosis ; Stress, Psychological - mortality ; Stress, Psychological - psychology ; Sweden - epidemiology ; Time Factors</subject><ispartof>European journal of preventive cardiology, 2019-09, Vol.26 (14), p.1510-1518</ispartof><rights>The European Society of Cardiology 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-caba4a098f8ea79118d661cafa8300a5726988187663887a29d79b899ae8a4b73</citedby><cites>FETCH-LOGICAL-c375t-caba4a098f8ea79118d661cafa8300a5726988187663887a29d79b899ae8a4b73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/2047487319841475$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/2047487319841475$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>230,314,776,780,881,21798,27901,27902,43597,43598</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31159570$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:141675284$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Lissåker, Claudia T</creatorcontrib><creatorcontrib>Norlund, Fredrika</creatorcontrib><creatorcontrib>Wallert, John</creatorcontrib><creatorcontrib>Held, Claes</creatorcontrib><creatorcontrib>Olsson, Erik MG</creatorcontrib><title>Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality</title><title>European journal of preventive cardiology</title><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><description>Background
Patients with symptoms of depression and/or anxiety – emotional distress – after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged <75 years in Sweden.
Methods
We utilized data on 57,602 consecutive patients with a first-time MI from the national SWEDEHEART registers. Emotional distress was assessed using the anxiety/depression dimension of the European Quality of Life Five Dimensions questionnaire two and 12 months after the MI, combined into persistent (emotional distress at both time-points), remittent (emotional distress at the first follow-up only), new (emotional distress at the second-follow up only) or no distress. Data on cardiovascular and non-cardiovascular mortality were obtained until the study end-time. We used multiple imputation to create complete datasets and adjusted Cox proportional hazards models to estimate hazard ratios.
Results
Patients with persistent emotional distress were more likely to die from cardiovascular (hazard ratio: 1.46, 95% confidence interval: 1.16, 1.84) and non-cardiovascular causes (hazard ratio: 1.54, 95% confidence interval: 1.30, 1.82) than those with no distress. Those with remittent emotional distress were not statistically significantly more likely to die from any cause than those without emotional distress.
Discussion
Among patients who survive 12 months, persistent, but not remittent, emotional distress was associated with increased cardiovascular and non-cardiovascular mortality. This indicates a need to identify subgroups of individuals with emotional distress who may benefit from further assessment and specific treatment.</description><subject>Aged</subject><subject>Cause of Death</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Myocardial Infarction - diagnosis</subject><subject>Myocardial Infarction - mortality</subject><subject>Myocardial Infarction - psychology</subject><subject>Prognosis</subject><subject>Psychological Distress</subject><subject>Registries</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Stress, Psychological - diagnosis</subject><subject>Stress, Psychological - mortality</subject><subject>Stress, Psychological - psychology</subject><subject>Sweden - epidemiology</subject><subject>Time Factors</subject><issn>2047-4873</issn><issn>2047-4881</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kc1q3TAQhUVJaEKSfVdBy27cSpZtScsSmqQQSBfNWoztcVBqWzcaOeW-Rp64uj-9hEBnM8PhOwehw9gnKb5IqfXXUlS6MlpJaypZ6foDO91IRWWMPDrcWp2wC6InkacRZWnMR3aipKxtrcUpe_2JkTwlnBPHKSQfZhh5n5WIRByGhJEDH3ykVCQ_IZ_WoYPY-4z5eYDYbTwc5p77lA1EofOw1VLgIyTkWzy8AHXLCHGLzmEu3slTiAlGn9bn7HiAkfBiv8_Yw_X3X1e3xd39zY-rb3dFp3Sdsr2FCoQ1g0HQVkrTN43sYACjhIBal43NP2F00yhjNJS217Y11gIaqFqtzlixy6U_uFpat4p-grh2AbzbS7_zha7SVmmZ-c87fhXD84KU3OSpw3GEGcNCrixVLRotjMmo2KFdDEQRh0O4FG5TnntfXrZc7tOXdsL-YPhX1ZvnwiO6p7DE3BT9P_Av0GilOA</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Lissåker, Claudia T</creator><creator>Norlund, Fredrika</creator><creator>Wallert, John</creator><creator>Held, Claes</creator><creator>Olsson, Erik MG</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope></search><sort><creationdate>20190901</creationdate><title>Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality</title><author>Lissåker, Claudia T ; Norlund, Fredrika ; Wallert, John ; Held, Claes ; Olsson, Erik MG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-caba4a098f8ea79118d661cafa8300a5726988187663887a29d79b899ae8a4b73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Cause of Death</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Myocardial Infarction - diagnosis</topic><topic>Myocardial Infarction - mortality</topic><topic>Myocardial Infarction - psychology</topic><topic>Prognosis</topic><topic>Psychological Distress</topic><topic>Registries</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Stress, Psychological - diagnosis</topic><topic>Stress, Psychological - mortality</topic><topic>Stress, Psychological - psychology</topic><topic>Sweden - epidemiology</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lissåker, Claudia T</creatorcontrib><creatorcontrib>Norlund, Fredrika</creatorcontrib><creatorcontrib>Wallert, John</creatorcontrib><creatorcontrib>Held, Claes</creatorcontrib><creatorcontrib>Olsson, Erik MG</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><jtitle>European journal of preventive cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lissåker, Claudia T</au><au>Norlund, Fredrika</au><au>Wallert, John</au><au>Held, Claes</au><au>Olsson, Erik MG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality</atitle><jtitle>European journal of preventive cardiology</jtitle><addtitle>Eur J Cardiovasc Prev Rehabil</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>26</volume><issue>14</issue><spage>1510</spage><epage>1518</epage><pages>1510-1518</pages><issn>2047-4873</issn><eissn>2047-4881</eissn><abstract>Background
Patients with symptoms of depression and/or anxiety – emotional distress – after a myocardial infarction (MI) have been shown to have worse prognosis and increased healthcare costs. However, whether specific subgroups of patients with emotional distress are more vulnerable is less well established. The purpose of this study was to identify the association between different patterns of emotional distress over time with late cardiovascular and non-cardiovascular mortality among first-MI patients aged <75 years in Sweden.
Methods
We utilized data on 57,602 consecutive patients with a first-time MI from the national SWEDEHEART registers. Emotional distress was assessed using the anxiety/depression dimension of the European Quality of Life Five Dimensions questionnaire two and 12 months after the MI, combined into persistent (emotional distress at both time-points), remittent (emotional distress at the first follow-up only), new (emotional distress at the second-follow up only) or no distress. Data on cardiovascular and non-cardiovascular mortality were obtained until the study end-time. We used multiple imputation to create complete datasets and adjusted Cox proportional hazards models to estimate hazard ratios.
Results
Patients with persistent emotional distress were more likely to die from cardiovascular (hazard ratio: 1.46, 95% confidence interval: 1.16, 1.84) and non-cardiovascular causes (hazard ratio: 1.54, 95% confidence interval: 1.30, 1.82) than those with no distress. Those with remittent emotional distress were not statistically significantly more likely to die from any cause than those without emotional distress.
Discussion
Among patients who survive 12 months, persistent, but not remittent, emotional distress was associated with increased cardiovascular and non-cardiovascular mortality. This indicates a need to identify subgroups of individuals with emotional distress who may benefit from further assessment and specific treatment.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31159570</pmid><doi>10.1177/2047487319841475</doi><tpages>9</tpages></addata></record> |
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| source | Oxford University Press Journals All Titles (1996-Current); MEDLINE; SAGE Complete; Alma/SFX Local Collection |
| subjects | Aged Cause of Death Female Humans Male Middle Aged Myocardial Infarction - diagnosis Myocardial Infarction - mortality Myocardial Infarction - psychology Prognosis Psychological Distress Registries Risk Assessment Risk Factors Stress, Psychological - diagnosis Stress, Psychological - mortality Stress, Psychological - psychology Sweden - epidemiology Time Factors |
| title | Persistent emotional distress after a first-time myocardial infarction and its association to late cardiovascular and non-cardiovascular mortality |
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