Document Type

Article

Publication Date

1-9-2007

Keywords

Acute Coronary Syndrome, Adult, Anxiety, Depression, Family Practice, Female, Health Status, Health Surveys, Humans, Male, Mental Health

Comments

The original publication is available at www.springerlink.com

Abstract

BACKGROUND: General practitioners (GPs) are often the first to assess mental health difficulties after acute coronary syndrome (ACS). AIMS: To determine whether GPs observed an increase in mental health difficulties one-year post-hospitalisation for ACS. METHODS: Postal survey. RESULTS: GPs rated patients (n = 442) as having probable (GP assessed 10%) or definite (formally assessed 7%) mental health difficulties pre-hospitalisation. Post-hospitalisation the prevalence of probable cases increased significantly to 19% (OR = 4.3, 95% CI 2.1-10.2, P < 0.001). In multivariate analysis, only smoking at index hospitalisation was associated with being assessed as a new case of probable/formal mental health difficulties (RR = 2.1, 95% CI 1.3-3.4, P = 0.003). Forty-seven percent of cases were prescribed some medication for this problem. CONCLUSIONS: GPs recorded a significant increase in mental health difficulties in ACS patients 12 months after hospitalisation, with smoking used as an indicator of new cases.

Disciplines

Psychology

Citation

Doyle F, McGee HM, Conroy RM, Shelley E, De La Harpe D. Increase in observed mental health difficulties one year after acute coronary syndrome: general practitioner survey. Irish Journal of Medical Science 2007;176(3):205-9.

PubMed ID

17701436

DOI Link

10.1007/s11845-007-0078-y

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Psychology Commons

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