| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
ORIGINAL ARTICLES |
From the VA Connecticut Healthcare System (M.M.B., M.C.B., R.R., R.S.), West Haven Campus, West Haven; and the Section of Cardiovascular Medicine (M.M.B., R.S.), Yale University School of Medicine, New Haven, Connecticut.
Address reprint requests to: Matthew M. Burg, PhD, VA Connecticut Healthcare System/116B4, 950 Campbell Ave., West Haven, CT 06516. Email: mburg{at}attglobal.net
OBJECTIVE: Depression has been related to poor medical prognosis in patients with coronary artery disease and to diminished quality of life after coronary artery bypass graft surgery (CABG). However, prior studies have not fully examined the impact of depression on medical outcomes after CABG. The purpose of this study was to determine the independent contribution of presurgical depression to short-term medical outcome after CABG.
METHODS: Medical, surgical, and psychosocial risk factors were assessed before surgery in 89 male veterans undergoing CABG. In addition, patients completed the Beck Depression Inventory. Medical, surgical, and psychological/quality-of-life outcomes were determined at 6 months of follow-up by telephone interview and review of medical records.
RESULTS: Of the 89 patients studied, 25 scored 10 or greater on the Beck Depression Inventory. The study population was dichotomized on the basis of this cutoff point. A medical prediction model was developed for each outcome of interest, based on the range of medical, surgical, and psychosocial risk indices assessed. The dichotomized depression index was added to these prediction models as a final step. This depression index was found to independently predict cardiac hospitalizations at 6 months (
2 = 4.24, p < .04), continued surgical pain at 6 months (2 = 6.36, p < .01), and failure to return to previous activity at 6 months (2 = 15.04, p < .0001). Presurgical depression also predicted depressed affect at 6 months (2 = 13.16, p < .0003).
CONCLUSIONS: Depression is an important independent contributor to medical and psychosocial morbidity up to 6 months after CABG. These findings warrant replication with larger and more diverse populations.
Key Words: depression • coronary artery bypass graft surgery • prognosis.
Abbreviations: BDI = Beck Depression Inventory; CABG = coronary artery bypass graft surgery; CAD = coronary artery disease; CES-D = Center for Epidemiological Studies Depression Scale; CHF = congestive heart failure; MI = myocardial infarction.
This article has been cited by other articles:
 |
|
 |
|
  K. E. Freedland, J. A. Skala, R. M. Carney, E. H. Rubin, P. J. Lustman, V. G. Davila-Roman, B. C. Steinmeyer, and C. W. Hogue Jr Treatment of Depression After Coronary Artery Bypass Surgery: A Randomized Controlled Trial Arch Gen Psychiatry, April 1, 2009; 66(4): 387 - 396. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 D. S. Bass, D. K. Attix, B. Phillips-Bute, and T. G. Monk An Efficient Screening Tool for Preoperative Depression: The Geriatric Depression Scale-Short Form Anesth. Analg., March 1, 2008; 106(3): 805 - 809. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Oxlad and T. D. Wade Longitudinal Risk Factors for Adverse Psychological Functioning Six Months after Coronary Artery Bypass Graft Surgery J Health Psychol, January 1, 2008; 13(1): 79 - 92. [Abstract] [PDF]
|
|
|
|
 |
|
 C. Rafanelli, R. Roncuzzi, and Y. Milaneschi Minor Depression as a Cardiac Risk Factor After Coronary Artery Bypass Surgery Psychosomatics, August 1, 2006; 47(4): 289 - 295. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. H. Rosenberger, P. Jokl, and J. Ickovics Psychosocial factors and surgical outcomes: an evidence-based literature review. J. Am. Acad. Ortho. Surg., July 1, 2006; 14(7): 397 - 405. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Mallik, J. A. Spertus, K. J. Reid, H. M. Krumholz, J. S. Rumsfeld, W. S. Weintraub, P. Agarwal, M. Santra, S. Bidyasar, J. H. Lichtman, et al. Depressive Symptoms After Acute Myocardial Infarction: Evidence for Highest Rates in Younger Women. Arch Intern Med, April 24, 2006; 166(8): 876 - 883. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. M. Goyal, E. L. Idler, T. J. Krause, and R. J. Contrada Quality of Life Following Cardiac Surgery: Impact of the Severity and Course of Depressive Symptoms Psychosom Med, September 1, 2005; 67(5): 759 - 765. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 P. M. Ho, F. A. Masoudi, J. A. Spertus, P. N. Peterson, A. L. Shroyer, M. McCarthy Jr, F. L. Grover, K. E. Hammermeister, and J. S. Rumsfeld Depression Predicts Mortality Following Cardiac Valve Surgery Ann. Thorac. Surg., April 1, 2005; 79(4): 1255 - 1259. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Mallik, H. M. Krumholz, Z. Q. Lin, S. V. Kasl, J. A. Mattera, S. A. Roumains, and V. Vaccarino Patients With Depressive Symptoms Have Lower Health Status Benefits After Coronary Artery Bypass Surgery Circulation, January 25, 2005; 111(3): 271 - 277. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. M. Burg, M. C. Benedetto, and R. Soufer Depressive Symptoms and Mortality Two Years After Coronary Artery Bypass Graft Surgery (CABG) in Men Psychosom Med, July 1, 2003; 65(4): 508 - 510. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
