Post-acute myocardial infarction differences in physical activity behavior, anxiety, and depression levels (original) (raw)
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European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2017
The aim of the study was to assess the effectiveness of exercise training on depression, anxiety, physical capacity and sympatho-vagal balance in patients after myocardial infarction and compare differences between men and women. Thirty-two men aged 56.3±7.6 years and 30 women aged 59.2±8.1 years following myocardial infarction underwent an 8-week training programme consisting of 24 interval trainings on cycloergometer, three times a week. Before and after completing the training programme, patients underwent: depression intensity assessment with the Beck depression inventory; anxiety assessment with the state-trait anxiety inventory; a symptom-limited exercise test during which were analysed: maximal workload, duration, double product. In women the initial depression intensity was higher than in men, and decreased significantly after the training programme (14.8±8.7 vs. 10.5±8.8; P<0.01). The anxiety manifestation for state anxiety in women was higher than in men and decreased s...
Motivation, Psychological Distress and Exercise Adherence Following Myocardial Infarction
Australian Journal of Rehabilitation Counseling, 2007
F ifty patients with myocardial infarction were recruited from a hospital based Cardiac Education and Assessment Program (CEAP) in Sydney, Australia. The Exercise Motivation Inventory-2 (EMI-2) and the Depression, Anxiety and Stress Scale (DASS) were administered prior to commencement in the program and re-administered by telephone interview at 5-month followup. Four exercise adherence measures were completed: attendance, exercise stress test, self-report ratings and a 7-day activity recall interview. There was a 46% adherence rate for MI patients during the hospital based CEAP. Of those individuals who completed CEAP, 91% obtained functional improvement on the exercise stress test. For the 38 patients who were followed-up by telephone interview at 5 months, 71% were exercising according to CEAP prescription. Higher levels of anxiety were associated with lower levels of self-reported exercise adherence. The 3 strongest motivations for exercise in this group of MI patients were all health related; wanting to be free from illness, maintaining good health and recovering from the effects of coronary heart disease. The discussion highlights the implications of these findings for cardiac rehabilitation programs and the need for empirically driven guidelines for measuring exercise adherence.
American Heart Journal, 1996
To evaluate the effect of cardiac rehabilitation and exercise training on depression after major cardiac events, we studied 338 consecutive patients in whom a major cardiac event had occurred 4 to 6 weeks previously and who were participating in phase II cardiac rehabilitation consisting of 36 sessions over a 3-month period. Depressive symptoms and other behavioral characteristics and quality-of-life parameters were analyzed by validated questionnaire. Depression was prevalent in patients with coronary heart disease, occurring in 20% of the patients evaluated. At baseline, depressed patients had lower exercise capacity, reduced high-density lipoprotein cholesterol level, and higher triglyceride levels; had lower scores for mental health, energy or fatigue, general health, pain, overall function, well-being, and total quality of life; and had greater scores for somatization, anxiety, and hostility than those of nondepressed patients. After cardiac rehabilitation, depressed patients had marked improvements in depression scores and other behavioral parameters (anxiety, somatization, and hostility) and quality of life. Depressed patients also showed improved exercise capacity, percentage of body fat, and levels of triglycerides and high-density lipoprotein cholesterol. Depressed patients exhibited statistically greater improvements in certain behavioral and quality-of-life parameters than did nondepressed patients. Two thirds of the patients who were initially depressed resolved their symptoms by study completion. In conclusion, depression is reduced in patients with symptomatic coronary heart disease patients enrolled in cardiac rehabilitation. Greater emphasis is needed to ensure that depressed patients are referred to and attend formal cardiac rehabilitation programs after major cardiac events. (Am Heart J 1996;132:726-32.)
Monaldi Archives for Chest Disease
Research on heart disease have found a strong and consistent evidence of association between some psychosocial risk factors, including depression, anxiety, self-efficacy, lack of social support and outcome of disease. Depression increases the risk of cardiac death and is highly predictive of reduced adherence to recommended treatments; anxiety appears to be linked to adverse cardiac outcomes. It was demonstrated that Cardiac Rehabilitation (CR) leads to substantial improvements and positive outcomes because combines the prescription of physical activity with the modification of risk factors and aims to reduce symptoms related to the disease and the risk of new cardiovascular events. The main objective of this study is to determine if a short and intense CR program can produce a positive impact on anxious and depressive symptoms revealed in cardiac patients, confirming results of previous researches. The protocol was proposed to all patients referred for an outpatient CR after an acu...
The British Journal of Psychiatry, 2006
Background The extent to which depression impairs health-related quality of life (HRQoL) in the physically ill has not been clearly established. Aims To quantify the adverse influence of depression and anxiety assessed at the time of first myocardial infarction and 6 months later, on the physical aspect of HRQoL 12 months after the infarction. Method In all, 260 in-patients, admitted following first myocardial infarction, completed the Hospital Anxiety and Depression Scale and the Medical Outcomes Study SF–36 assessment before discharge and at 6- and 12-month follow-up. Results Depression and anxiety 6 months after myocardial infarction predicted subsequent impairment in the physical aspects of HRQoL (attributable adjusted R 2=9%, P<0.0005). These negative effects of depression and anxiety on outcome were mediated by feelings of fatigue. Depression and anxiety present before myocardial infarction did not predict HRQoL 12 months after myocardial infarction. Conclusions Detection a...
International Journal of Physiotherapy, 2015
Background: Anxiety and depression are proven independent predictors of mortality, disability, and reduced health related quality of life (HRQoL). Hence, this study was undertaken with aim to find the prevalence of anxiety and depression in patients following acute myocardial infarction (AMI) and to find out its association with various psychosocial factors. Methods: Stable patients admitted during 3 month period in Cardiology Intensive care unit of tertiary care Hospital with the diagnosis of acute myocardial infarction were included in this cross sectional study. Data was collected using a Semi-structured questionnaire. Anxiety and depression were assessed using Hospital Anxiety and Depression Scale (HADS) .Scores were analyzed using SPSS version 16. Results: A total of 75 patients (73.3% men and 26.7% women) with mean age 54.86 ± 9.91 years were included. Mean scores of anxiety and depression were 4.49 and 4.0 out of 21, respectively. Probable cases of anxiety and depression as per HADS were 29.33% and 21.33% respectively. There was a statistically significant association of Anxiety and depression with gender (P= 0.004(A), P= 0.002(D)]; education [P=0.018(A), P= 0.002 (D)]; and pre-existing known stressor [P=<0.001 (A) and P=0.002(D)]. The association of anxiety and depression with age, addiction, presence of co-morbidies and previous history of AMI / stroke was not statistically significant. Conclusion: Anxiety and depression are common after AMI. It was seen more in females, low literacy and those with pre-existing known cause of stress (stressor). Hence, psychological screening should be incorporated in routine assessment in patients with AMI during hospitalization to plan early intervention that could potentially improve recovery pattern.
The American Journal of Medicine, 2016
To study if physical activity within the recommended level over time was associated with risk of developing depression after the first myocardial infarction in older adults. Methods: Men (n= 143) and women (n=46) who had reached the age of 60 in 2006-08 who participated in the Nord-Trøndelag Health Study (HUNT1; 1984-86, HUNT2; 1995-97, HUNT3; 2006-08) without any mental illness or cardiovascular disease at baseline in HUNT2 and who experienced their first myocardial infarction before HUNT3 were included. Based on the patterns of physical activity from HUNT1 to HUNT2, the sample was divided into four groups: persistently inactive, from active to inactive, from inactive to active, and persistently active. The primary outcome, post myocardial infarction depression symptoms, was measured with the Hospital, Anxiety and Depression scale (HADS) in HUNT3. Results: In HUNT3, 11 % of participants had depression. After multivariable adjustment those who were persistently active had significantly lower odds of being depressed (OR 0.28; 95% CI 0.08-0.98) compared with those who were persistently inactive. Additionally, a significant test for trend (P= .033) of lowering odds of depression was observed across all four categories of physical activity patterns at baseline. Conclusions: In this small sample of initial healthy adults we observed a long-term protective effect of regular physical activity on the development of depression following myocardial infarction.
Investigación y Educación en Enfermería
Objective. To assess prevalence of depression and its relationship with physical activity among individuals who haveexperienced a cardiac event. Methods. This descriptive study involved 196 cardiac patients receiving treatment at selected cardiac hospitals of Punjab (India). Subjects were chosen using purposive sampling technique. After getting informed written consents from the participants the data was collected using International Physical Activity Questionnaire (IPAQ) and Beck Depression Inventory-II (BDI-II). Results. The results showed that majority (62.2%) of the cardiac patients had moderate clinical depression and 11.2% of patients had severe depression. 86.7% of the patients had low level of physical activity (<600 MET min/week). There was also a significant negative correlation between the depression and physical activity depicting the higher the physical activity, lower was the depression score and vice-versa (p<0.05). Moreover, study results revealed that physical...
2008
Objective: To study factors associated with symptoms of depression and/or anxiety following acute myocardial infarction (AMI) Methodology: This Cross-sectional analytical, non-interventional, hospital based study was carried out at Punjab Institute of Cardiology (P.I.C) and Services Hospital, Lahore. One hundred consecutive inpatients with AMI diagnosed using WHO criteria, with the age range of 30-60 years (who were without physical complications) were included in the study. The Urdu version of Hospital Anxiety and Depression Scale (HADS) was administered to each patient during the period of 5-7 days following AMI. A semi structured clinical interview was also conducted which included demographic information, psychiatric assessment and risk factors related to AMI especially psychosocial factors. Results were analyzed using Statistical Package for Social Sciences (SPSS). Results: Out of 100 subjects, 80 (80%) were males and 20 (20%) were females. The age range was between 30-60 years...