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01-12-2009

Negative emotions and quality of life six months after cardiac surgery: the dominant role of depression not anxiety symptoms

Auteurs: Phillip J. Tully, Robert A. Baker, Deborah A. Turnbull, Helen R. Winefield, John L. Knight

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2009

Abstract

The specific syndromal aspects of depression and anxiety have not been explored in relation to changes in health related quality of life (HRQOL) after cardiac surgery. The purpose of this study was to examine the impact of general stress, depression and anxiety on HRQOL after coronary artery bypass graft (CABG) surgery. Utilizing a tripartite conceptual model of depression and anxiety, it was hypothesized that general stress symptoms, rather than unique depressive or anxiogenic symptoms, would be associated with lower HRQOL 6 months after CABG surgery. Elective CABG patients (n = 226) completed baseline and postoperative self-report measures of negative emotions and HRQOL, and 193 patients completed these measures at 6-month follow-up. Multiple linear regression analyses and logit link analyses were performed to test the hypothesis. Elevated depression symptoms before and after surgery showed an association with lower and worse HRQOL for vitality and social role functioning and physical and general health. This study adds to previous research by outlining discrete associations between specific HRQOL domains, and is perhaps the first to test a theoretical model of depression and anxiety in relation to cardiac CABG patients’ perceptions of HRQOL. These findings encourage further research on negative emotions and HRQOL in cardiac surgery patients and the practical implications of these findings are discussed.

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Al-Ruzzeh, S., Athanasiou, T., Mangoush, O., Wray, T., Modine, T., George, S., et al. (2005). Predictors of poor mid-term health related quality of life after primary isolated coronary artery bypass grafting surgery. Heart, 91, 1557–1562.CrossRefPubMed

Andrew, M. J., Baker, R. A., Kneebone, A. C., & Knight, J. L. (2000). Mood state as a predictor of neuropsychological deficits following cardiac surgery. Journal of Psychosomatic Research, 48(6), 537–546.CrossRefPubMed

Appels, A., van Elderen, T., Bar, F., van der Pol, G., Erdman, R. A., Assman, M., et al. (2006). Effects of a behavioural intervention on quality of life and related variables in angioplasty patients: Results of the EXhaustion intervention trial. Journal of Psychosomatic Research, 61(1), 1–10.CrossRefPubMed

Ballenger, J. C., Davidson, J. R., Lecrubier, Y., Nutt, D. J., Roose, S. P., & Sheps, D. S. (2001). Consensus statement on depression, anxiety, and cardiovascular disease. Journal of Clinical Psychiatry, 62(Suppl 8), 24–27.PubMed

Barth, J., & Martin, C. R. (2005). Factor structure of the hospital anxiety and depression scale (HADS) in German coronary heart disease patients. Health and Quality of Life Outcomes, 3, 15.CrossRefPubMed

Beck, C. A., Joseph, L., Belisle, P., & Pilote, L. (2001). Predictors of quality of life 6 months and 1 year after acute myocardial infarction. American Heart Journal, 142(2), 271–279.CrossRefPubMed

Bosworth, H. B., Siegler, I. C., Olsen, M. K., Brummett, B. H., Barefoot, J. C., Williams, R. B., et al. (2000). Social support and quality of life in patients with coronary artery disease. Quality of Life Research, 9(7), 829–839.CrossRefPubMed

Boudrez, H., & De Backer, G. (2001). Psychological status and the role of coping style after coronary artery bypass graft surgery. Results of a prospective study. Quality of Life Research, 10(1), 37–47.CrossRefPubMed

Brothers, B. M., & Andersen, B. L. (2009). Hopelessness as a predictor of depressive symptoms for breast cancer patients coping with recurrence. Psychooncology, 18(3), 267–275.CrossRefPubMed

Brown, T. A., Chorpita, B. F., Korotitsch, W., & Barlow, D. H. (1997). Psychometric properties of the depression anxiety stress scales (DASS) in clinical samples. Behavior Research and Therapy, 35(1), 79–89.CrossRef

Caci, H., Baylé, F. J., Dossios, C., Robert, P., & Boyer, P. (2003). The Spielberger trait anxiety inventory measures more than anxiety. European Psychiatry, 18, 394–400.CrossRefPubMed

Chida, Y., & Steptoe, A. (2009). The association of anger and hostility with future coronary heart disease: A meta-analytic review of prospective evidence. Journal of the American College of Cardiology, 53(11), 936–946.CrossRefPubMed

Chocron, S., Etievent, J. P., Viel, J. F., Dussaucy, A., Clement, F., Kaili, D., et al. (2000). Preoperative quality of life as a predictive factor of 3-year survival after open heart operations. Annals of Thoracic Surgery, 69(3), 722–727.CrossRefPubMed

Christensen, A. J., Edwards, D. L., Moran, P. J., Burke, R., Lounsbury, P., & Gordon, E. E. I. (1999). Cognitive distortion and functional impairment in patients undergoing cardiac rehabilitation. Cognitive Therapy and Research, 23(2), 159–168.CrossRef

Clara, I. P., Cox, B. J., & Enns, M. W. (2001). Confirmatory factor analysis of the depression-anxiety-stress scales in depressed and anxious patients. Journal of Psychopathology and Behavioral Assessment, 23(1), 61–67.CrossRef

Clark, L. A., & Watson, D. (1991). Tripartite model of anxiety and depression: Psychometric evidence and taxonomic implications. Journal of Abnormal Psychology, 100(3), 316–336.CrossRefPubMed

Cook, J. M., Orvaschel, H., Simco, E., Hersen, M., & Joiner, T. (2004). A test of the tripartite model of depression and anxiety in older adult psychiatric outpatients. Psychology and Aging, 19(3), 444–451.CrossRefPubMed

Crawford, J. R., & Henry, J. D. (2003). The depression anxiety stress scales (DASS): Normative data and latent structure in a large non-clinical sample. British Journal of Clinical Psychology, 42, 111–131.CrossRefPubMed

Davidson, K. W., Kupfer, D. J., & Bigger, J. T. (2006). Assessment and treatment of depression in patients with cardiovascular disease: National heart, lung, and blood institute working group report. Psychosomatic Medicine, 68, 645–650.CrossRefPubMed

de Jonge, P., Spijkerman, T. A., van den Brink, R. H., & Ormel, J. (2006). Depression after myocardial infarction is a risk factor for declining health related quality of life and increased disability and cardiac complaints at 12 months. Heart, 92(1), 32–39.CrossRefPubMed

Dempster, M., & Donnelly, M. (2000). Measuring the health related quality of life of people with ischaemic heart disease. Heart, 83(6), 641–644.CrossRefPubMed

Denollet, J., Vaes, J., & Brutsaert, D. L. (2000). Inadequate response to treatment in coronary heart disease: Adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation, 102(6), 630–635.PubMed

Doering, L. V., Cross, R., Vredevoe, D., Martinez-Maza, O., & Cowan, M. J. (2007). Infection, depression, and immunity in women after coronary artery bypass: A pilot study of cognitive behavioral therapy. Alternative Therapies in Health and Medicine, 13(3), 18–21.PubMed

Dreher, H. (2004). Psychosocial factors in heart disease: A process model. Advances in Mind Body Medicine, 20(3), 20–31.PubMed

Duits, A. A., Boeke, S., Taams, M. A., Passchier, J., & Erdman, R. A. (1997). Prediction of quality of life after coronary artery bypass graft surgery: A review and evaluation of multiple, recent studies. Psychosomatic Medicine, 59(3), 257–268.PubMed

Duits, A. A., Duivenvoorden, H. J., Boeke, S., Taams, M. A., Mochtar, B., Krauss, X. H., et al. (1999). A structural modeling analysis of anxiety and depression in patients undergoing coronary artery bypass graft surgery: A model generating approach. Journal of Psychosomatic Research, 46(2), 187–200.CrossRefPubMed

Eagle, K. A., Guyton, R. A., Davidoff, R., Edwards, F. H., Ewy, G. A., Gardner, T. J., et al. (2004). ACC/AHA 2004 guideline update for coronary artery bypass graft surgery: Summary article. A report of the American college of cardiology/American heart association task force on practice guidelines (Committee to update the 1999 guidelines for coronary artery bypass graft surgery). Journal of the American College of Cardiology, 44(5), e213–e310.CrossRefPubMed

Falcoz, P. E., Chocron, S., Stoica, L., Kaili, D., Puyraveau, M., Mercier, M., et al. (2003). Open heart surgery: One-year self-assessment of quality of life and functional outcome. Annals of Thoracic Surgery, 76(5), 1598–1604.CrossRefPubMed

Frasure-Smith, N., & Lesperance, F. (2005). Reflections on depression as a cardiac risk factor. Psychosomatic Medicine, 67(Suppl 1), S19–S25.CrossRefPubMed

Gehi, A., Haas, D., Pipkin, S., & Whooley, M. A. (2005). Depression and medication adherence in outpatients with coronary heart disease: Findings from the heart and soul study. Archives of Internal Medicine, 165(21), 2508–2513.CrossRefPubMed

Goyal, T. M., Idler, E. L., Krause, T. J., & Contrada, R. J. (2005). Quality of life following cardiac surgery: Impact of the severity and course of depressive symptoms. Psychosomatic Medicine, 67(5), 759–765.CrossRefPubMed

Hawkes, A. L., & Mortensen, O. S. (2006). Up to one-third of individual cardiac patients have a decline in quality of life post-intervention. Scandinavian Cardiovascular Journal, 40, 214–218.CrossRefPubMed

Hawkes, A. L., Nowak, M., Bidstrup, B., & Speare, R. (2006). Outcomes of coronary artery bypass graft surgery. Vascular Health Risk Management, 2(4), 477–484.CrossRef

Hemingway, H., & Marmot, M. (1999). Evidence based cardiology: Psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. British Medical Journal, 318(7196), 1460–1467.PubMed

Höfer, S., Benzer, W., Alber, H., Ruttmann, E., Kopp, M., Schussler, G., et al. (2005). Determinants of health-related quality of life in coronary artery disease patients: A prospective study generating a structural equation model. Psychosomatics, 46(3), 212–223.CrossRefPubMed

Komorovsky, R., Desideri, A., Rozbowsky, P., Sabbadin, D., Celegon, L., & Gregori, D. (2008). Quality of life and behavioral compliance in cardiac rehabilitation patients: A longitudinal survey. International Journal of Nursing Studies, 45(7), 979–985.CrossRefPubMed

Kressin, N. R., Spiro, A. III, & Skinner, K. M. (2000). Negative affectivity and health-related quality of life. Medical Care, 38(8), 858–867.CrossRefPubMed

Kubzansky, L. D., Cole, S. R., Kawachi, I., Vokonas, P., & Sparrow, D. (2006). Shared and unique contributions of anger, anxiety, and depression to coronary heart disease: A prospective study in the normative aging study. Annals of Behavioral Medicine, 31(1), 21–29.CrossRefPubMed

Kubzansky, L. D., & Kawachi, I. (2000). Going to the heart of the matter: Do negative emotions cause coronary heart disease? Journal of Psychosomatic Research, 48(4–5), 323–337.CrossRefPubMed

Kudielka, B. M., von Kanel, R., Gander, M. L., & Fischer, J. E. (2004). The interrelationship of psychosocial risk factors for coronary artery disease in a working population: Do we measure distinct or overlapping psychological concepts? Behavioral Medicine, 30(1), 35–43.CrossRefPubMed

Lindsay, G. M., Hanlon, P., Smith, L. N., & Wheatley, D. J. (2000). Assessment of changes in general health status using the short-form 36 questionnaire 1 year following coronary artery bypass grafting. European Journal of Cardiothoracic Surgery, 18(5), 557–564.CrossRefPubMed

Lovibond, P. F. (1998). Long-term stability of depression, anxiety, and stress syndromes. Journal of Abnormal Psychology, 107(3), 520–526.CrossRefPubMed

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales. Sydney: Psychology Foundation Monograph.

Lynam, D. R., Hoyle, R. H., & Newman, J. P. (2006). The perils of partialling: Cautionary tales from aggression and psychopathy. Assessment, 13(3), 328–341.CrossRefPubMed

Mallik, S., Krumholz, H. M., Lin, Z. Q., Kasl, S. V., Mattera, J. A., Roumains, S. A., et al. (2005). Patients with depressive symptoms have lower health status benefits after coronary artery bypass surgery. Circulation, 111(3), 271–277.CrossRefPubMed

Marshall, G. N., Sherbourne, C. D., Meredeth, L. S., Camp, P., & Hays, R. D. (2003). The tripartite model of anxiety and depression: Symptom structure in depressive and hypertensive patient groups. Journal of Personality Assessment, 80(2), 139–153.CrossRefPubMed

Martens, E. J., Denollet, J., Pedersen, S. S., Scherders, M., Griez, E., Widdershoven, J., et al. (2006). Relative lack of depressive cognitions in post-myocardial infarction depression. Journal of Affective Disorders, 94(1–3), 231–237.CrossRefPubMed

Martin, C. R., Lewin, R. J., & Thompson, D. R. (2003). A confirmatory factor analysis of the hospital anxiety and depression scale in coronary care patients following acute myocardial infarction. Psychiatry Research, 120(1), 85–94.CrossRefPubMed

McHorney, C. A., Ware, J. E., & Raczek, A. E. (1993). The MOS 36-item short-form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs. Medical Care, 31(3), 247–263.CrossRefPubMed

Mineka, S., Watson, D., & Clark, L. A. (1998). Comorbidity of anxiety and unipolar mood disorders. Annual Review of Psychology, 49(1), 377–412.CrossRefPubMed

Moore, M., Hofer, S., McGee, H., & Ring, L. (2005). Can the concepts of depression and quality of life be integrated using a time perspective? Health and Quality of Life Outcomes, 3, 1.CrossRefPubMed

Morrow, D. A., Gersh, B. J., & Braunwald, E. (2005). Chronic coronary artery disease. In D. P. Zipes, P. Libby, R. O. Bonow, & E. Braunwald (Eds.), Braunwald’s heart disease: A textbook of cardiovascular medicine (7th ed., Vol. 2, pp. 1281–1354). Philadelphia: Elsevier Saunders.

Murray, C. J. L., & Lopez, A. D. (1997). Alternative projections of mortality and disability by cause 1990–2020: Global burden of disease study. The Lancet, 349(9061), 1496–1504.CrossRef

Nelson, F. V., Zimmerman, L., Barnason, S., Nieveen, J., & Schmaderer, M. (1998). The relationship and influence of anxiety on postoperative pain in the coronary artery bypass graft patient. Journal of Pain Symptom Management, 15(2), 102–109.

Panagopoulou, E., Montgomery, A., & Benos, A. (2006). Quality of life after coronary artery bypass grafting: Evaluating the influence of preoperative physical and psychosocial functioning. Journal of Psychosomatic Research, 60(6), 639–644.CrossRefPubMed

Perski, A., Feleke, E., Anderson, G., Samad, B. A., Westerlund, H., Ericsson, C. G., et al. (1998). Emotional distress before coronary bypass grafting limits the benefits of surgery. American Heart Journal, 136(3), 510–517.CrossRefPubMed

Rothenbacher, D., Hahmann, H., Wüsten, B., Koenig, W., & Brenner, H. (2007). Symptoms of anxiety and depression in patients with stable coronary heart disease: Prognostic value and consideration of pathogenic links. European Journal of Cardiovascular Prevention and Rehabilitation, 14, 547–554.CrossRefPubMed

Rozanski, A., Blumenthal, J. A., Davidson, K. W., Saab, P. G., & Kubzansky, L. (2005). The epidemiology, pathophysiology, and management of psychosocial risk factors in cardiac practice: The emerging field of behavioral cardiology. Journal of the American College of Cardiology, 45(5), 637–651.CrossRefPubMed

Rumsfeld, J. S., Ho, P. M., Magid, D. J., McCarthy, M., Jr., Shroyer, A. L., MaWhinney, S., et al. (2004). Predictors of health-related quality of life after coronary artery bypass surgery. Annals of Thoracic Surgery, 77(5), 1508–1513.CrossRefPubMed

Ruo, B., Rumsfeld, J. S., Hlatky, M. A., Liu, H., Browner, W. S., & Whooley, M. A. (2003). Depressive symptoms and health-related quality of life: The heart and soul study. Journal of the American Medical Association, 290(2), 215–221.CrossRefPubMed

Schroter, S., & Lamping, D. L. (2006). Responsiveness of the coronary revascularisation outcome questionnaire compared with the SF-36 and Seattle Angina Questionnaire. Quality of Life Research, 15, 1069–1078.CrossRefPubMed

Stafford, L., Berk, M., Reddy, P., & Jackson, H. J. (2007). Comorbid depression and health-related quality of life in patients with coronary artery disease. Journal of Psychosomatic Research, 62, 401–410.CrossRefPubMed

Stafford, L., Jackson, H. J., & Berk, M. (2009). Cognitive-personality style as vulnerability to depression in patients with coronary artery disease: Roles of sociotropy and autonomy. Psychosomatic Medicine, 71(1), 63–69.CrossRefPubMed

Stoll, C., Schelling, G., Goetz, A. E., Kilger, E., Bayer, A., Kapfhammer, H. P., et al. (2000). Health-related quality of life and post-traumatic stress disorder in patients after cardiac surgery and intensive care treatment. Journal of Thoracic and Cardiovascular Surgery, 120(3), 505–512.CrossRefPubMed

Suls, J., & Bunde, J. (2005). Anger, anxiety, and depression as risk factors for cardiovascular disease: The problems and implications of overlapping affective dispositions. Psychological Bulletin, 131(2), 260–300.CrossRefPubMed

Teachman, B. A., Siedlecki, K. L., & Magee, J. C. (2007). Aging and symptoms of anxiety and depression: Structural invariance of the tripartite model. Psychology and Aging, 22(1), 160–170.CrossRefPubMed

Tully, P. J., Baker, R. A., Kneebone, A. C., & Knight, J. L. (2008a). Neuropsychologic and quality of life outcomes following coronary artery bypass surgery with and without cardiopulmonary bypass: A prospective randomized trial. Journal of Cardiothoracic and Vascular Anaesthesia, 22(4), 515–521.CrossRef

Tully, P. J., Baker, R. A., & Knight, J. L. (2008b). Anxiety and depression as risk factors for mortality after coronary artery bypass surgery. Journal of Psychosomatic Research, 64(3), 285–290.CrossRefPubMed

Tully, P. J., Baker, R. A., Turnbull, D., & Winefield, H. (2008c). The role of depression and anxiety symptoms and hospital readmissions after cardiac surgery. Journal of Behavioral Medicine, 31(4), 281–290.CrossRefPubMed

Tully, P. J., Zajac, I. T., & Venning, A. J. (2009). The structure of anxiety and depression in a normative sample of younger and older Australian adolescents. Journal of Abnormal Child Psychology, 37(5), 171–726.CrossRef

Ware, J. (1993). SF-36 health survey manual and interpretation guide. Boston: Nimrod Press.

Watson, D. (2000). Mood and temperament. New York: The Guilford Press.

Watson, D. (2009). Locating anger in the hierarchical structure of affect: Comment on Carver and Harmon-Jones (2009). Psychological Bulletin, 135(2), 205–208. discussion 215–207.CrossRefPubMed

Watson, D., Clark, L. A., Weber, K., Assenheimer, J. S., Strauss, M. E., & McCormick, R. A. (1995a). Testing a tripartite model: II. Exploring the symptom structure of anxiety and depression in student, adult, and patient samples. Journal of Abnormal Psychology, 104(1), 15–25.CrossRefPubMed

Watson, D., Weber, K., Assenheimer, J. S., Clark, L. A., Strauss, M. E., & McCormick, R. A. (1995b). Testing a tripartite model: I. Evaluating the convergent and discriminant validity of anxiety and depression symptom scales. Journal of Abnormal Psychology, 104(1), 3–14.CrossRefPubMed

WHOQOL Group. (1993). Study protocol for the World Health Organisation project to develop a quality of life assessment instrument (WHOQOL). Quality of Life Research, 2, 153–159.CrossRef

Wilson, I. B., & Cleary, P. D. (1995). Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. Journal of the American Medical Association, 273(1), 59–65.CrossRefPubMed

Wray, J., Al-Ruzzeh, S., Mazrani, W., Nakamura, K., George, S., Ilsley, C., et al. (2004). Quality of life and coping following minimally invasive direct coronary artery bypass (MIDCAB) surgery. Quality of Life Research, 13(5), 915–924.CrossRefPubMed

Titel: Negative emotions and quality of life six months after cardiac surgery: the dominant role of depression not anxiety symptoms
Auteurs: Phillip J. Tully
Robert A. Baker
Deborah A. Turnbull
Helen R. Winefield
John L. Knight
Publicatiedatum: 01-12-2009
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 6/2009
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-009-9225-4

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Negative emotions and quality of life six months after cardiac surgery: the dominant role of depression not anxiety symptoms

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