Anxiety and depression after coronary artery bypass graft surgery: most get better, some get worse

• DOI: 10.1097/hjr.0b013e3282fbc945
• Publication Date: 2009-03-05T21:11:49Z
• Authors: Barbara M. Murphy; Peter C. Elliott; Rosemary O. Higgins; Michael R. Le Grande; Marian U.C. Worce...; Alan J. Goble; James Tatoulis
• Keywords: Depression

To target interventions, patients at risk for poor outcomes after a cardiac event need to be identified. We investigated trajectories of anxiety and depression coronary artery bypass graft surgery (CABGS) identified persistent or worsening depression.A consecutive sample 184 on the waiting list CABGS The Royal Melbourne Hospital completed self-report questionnaires before surgery, 2 6 months postsurgery. Anxiety were measured using Depression Scale. Growth mixture modelling depression.Two possible emerged anxiety, whereas three depression. Most (92%) followed trajectory minor presurgical that remitted in CABGS, with remainder (8%) following major same period. Minor was also common (72% patients). Two less indicated unresolved One began partially by (14% patients) other worsened Unpartnered patients, smokers, those high cholesterol, angina, more severe disease having repeat increased trajectory.Although initial resolved lessened most some experienced CABGS. Interventions can targeted toward 'at risk' patients.