Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease
Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective stu...
Ausführliche Beschreibung
Autor*in: |
Anja Schaich [verfasserIn] Anna L. Westermair [verfasserIn] Matthias Munz [verfasserIn] Stefan Nitsche [verfasserIn] Bastian Willenborg [verfasserIn] Christina Willenborg [verfasserIn] Heribert Schunkert [verfasserIn] Jeanette Erdmann [verfasserIn] Ulrich Schweiger [verfasserIn] |
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E-Artikel |
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Sprache: |
Englisch |
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2018 |
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Übergeordnetes Werk: |
In: Frontiers in Psychiatry - Frontiers Media S.A., 2010, 9(2018) |
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Übergeordnetes Werk: |
volume:9 ; year:2018 |
Links: |
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DOI / URN: |
10.3389/fpsyt.2018.00338 |
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Katalog-ID: |
DOAJ007123132 |
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520 | |a Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. | ||
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10.3389/fpsyt.2018.00338 doi (DE-627)DOAJ007123132 (DE-599)DOAJ08369bca2d08403b90fc5d91af350080 DE-627 ger DE-627 rakwb eng RC435-571 Anja Schaich verfasserin aut Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. coronary artery disease psychosocial functioning mental disorders mental health prevalence rates Psychiatry Anna L. Westermair verfasserin aut Matthias Munz verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Bastian Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Heribert Schunkert verfasserin aut Heribert Schunkert verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Ulrich Schweiger verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 9(2018) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:9 year:2018 https://doi.org/10.3389/fpsyt.2018.00338 kostenfrei https://doaj.org/article/08369bca2d08403b90fc5d91af350080 kostenfrei https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2018 |
spelling |
10.3389/fpsyt.2018.00338 doi (DE-627)DOAJ007123132 (DE-599)DOAJ08369bca2d08403b90fc5d91af350080 DE-627 ger DE-627 rakwb eng RC435-571 Anja Schaich verfasserin aut Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. coronary artery disease psychosocial functioning mental disorders mental health prevalence rates Psychiatry Anna L. Westermair verfasserin aut Matthias Munz verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Bastian Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Heribert Schunkert verfasserin aut Heribert Schunkert verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Ulrich Schweiger verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 9(2018) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:9 year:2018 https://doi.org/10.3389/fpsyt.2018.00338 kostenfrei https://doaj.org/article/08369bca2d08403b90fc5d91af350080 kostenfrei https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2018 |
allfields_unstemmed |
10.3389/fpsyt.2018.00338 doi (DE-627)DOAJ007123132 (DE-599)DOAJ08369bca2d08403b90fc5d91af350080 DE-627 ger DE-627 rakwb eng RC435-571 Anja Schaich verfasserin aut Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. coronary artery disease psychosocial functioning mental disorders mental health prevalence rates Psychiatry Anna L. Westermair verfasserin aut Matthias Munz verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Bastian Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Heribert Schunkert verfasserin aut Heribert Schunkert verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Ulrich Schweiger verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 9(2018) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:9 year:2018 https://doi.org/10.3389/fpsyt.2018.00338 kostenfrei https://doaj.org/article/08369bca2d08403b90fc5d91af350080 kostenfrei https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2018 |
allfieldsGer |
10.3389/fpsyt.2018.00338 doi (DE-627)DOAJ007123132 (DE-599)DOAJ08369bca2d08403b90fc5d91af350080 DE-627 ger DE-627 rakwb eng RC435-571 Anja Schaich verfasserin aut Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. coronary artery disease psychosocial functioning mental disorders mental health prevalence rates Psychiatry Anna L. Westermair verfasserin aut Matthias Munz verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Bastian Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Heribert Schunkert verfasserin aut Heribert Schunkert verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Ulrich Schweiger verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 9(2018) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:9 year:2018 https://doi.org/10.3389/fpsyt.2018.00338 kostenfrei https://doaj.org/article/08369bca2d08403b90fc5d91af350080 kostenfrei https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2018 |
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10.3389/fpsyt.2018.00338 doi (DE-627)DOAJ007123132 (DE-599)DOAJ08369bca2d08403b90fc5d91af350080 DE-627 ger DE-627 rakwb eng RC435-571 Anja Schaich verfasserin aut Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. coronary artery disease psychosocial functioning mental disorders mental health prevalence rates Psychiatry Anna L. Westermair verfasserin aut Matthias Munz verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Stefan Nitsche verfasserin aut Bastian Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Christina Willenborg verfasserin aut Heribert Schunkert verfasserin aut Heribert Schunkert verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Jeanette Erdmann verfasserin aut Ulrich Schweiger verfasserin aut In Frontiers in Psychiatry Frontiers Media S.A., 2010 9(2018) (DE-627)631498796 (DE-600)2564218-2 16640640 nnns volume:9 year:2018 https://doi.org/10.3389/fpsyt.2018.00338 kostenfrei https://doaj.org/article/08369bca2d08403b90fc5d91af350080 kostenfrei https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full kostenfrei https://doaj.org/toc/1664-0640 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 9 2018 |
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Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease |
abstract |
Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. |
abstractGer |
Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. |
abstract_unstemmed |
Background: Psychological problems are common in patients with coronary artery disease (CAD) and are associated with poor outcome. However, data on the prevalence of distinct mental disorders and their relevance to patients' functioning in daily life are scarce.Method: In this retrospective study, a total of 514 German patients with CAD as diagnosed by cardiac catheterization were assessed using the Mini International Neuropsychiatric Interview 5.0.0 (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment of Functioning (GAF) scale.Results: Twenty-nine percent of the participants suffered from at least one mental disorder after the onset of their CAD (mean time since onset = 10.86 years, SD = 8.15). In comparison to the period before onset of CAD, elevated prevalence rates were found for severe depressive episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of mental disorders after the onset of CAD were female gender, younger age at onset of CAD as well as mental disorders and low GAF scores before onset. GAF scores decreased after the onset of CAD, recovered only partially, and were influenced by mental disorders before onset in women but not in men.Conclusions: Mental disorders—especially depression and agoraphobia—are frequent in patients with CAD, with women, patients with a younger age at onset of CAD and patients with any history of mental disorders especially at risk. Regardless of whether patients meet any specific diagnostic criteria, psychosocial functioning is markedly impaired after the onset of CAD, underscoring the need for specific mental health programs for this patient population. Future research, ideally using a prospective design, is necessary to confirm these findings and to further the knowledge of prevalence rates of mental disorders and of modifiable risk factors for the development of mental disorders in patients with CAD. |
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title_short |
Mental Health and Psychosocial Functioning Over the Lifespan of German Patients Undergoing Cardiac Catheterization for Coronary Artery Disease |
url |
https://doi.org/10.3389/fpsyt.2018.00338 https://doaj.org/article/08369bca2d08403b90fc5d91af350080 https://www.frontiersin.org/article/10.3389/fpsyt.2018.00338/full https://doaj.org/toc/1664-0640 |
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author2 |
Anna L. Westermair Matthias Munz Stefan Nitsche Bastian Willenborg Christina Willenborg Heribert Schunkert Jeanette Erdmann Ulrich Schweiger |
author2Str |
Anna L. Westermair Matthias Munz Stefan Nitsche Bastian Willenborg Christina Willenborg Heribert Schunkert Jeanette Erdmann Ulrich Schweiger |
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10.3389/fpsyt.2018.00338 |
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up_date |
2024-07-04T00:21:56.793Z |
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