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KMID : 0605720090150020166
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Journal of the Korean Society of Biological Therapies in Psychiatry
2009 Volume.15 No. 2 p.166 ~ p.173
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Predictors of Depression After Acute Coronary Artery Syndrome
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Park Sang-Wook
Bae Kyung-Yeol
Kim Seon-Young
Yoo Joon-An
Yang Su-Jin
Kim Sung-Wan
Kim Jae-Min
Shin Il-Seon
Hong Young-Joon
Ahn Young-Keun
Jeong Myung-Ho
Yoon Jin-Sang
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Abstract
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Objectives: Depression after acute coronary artery syndrome(ACS) is common and associated with higher mortality, while little is known about predictors of the onset of depression. This study aimed to investigate the incidence and predictors of depression at the points of first hospitalization and 12 month after ACS.
Methods: Eighty one patients with ACS were recruited from the heart center of a university hospital. Depression was categorized using Hamilton Depression Rating Scale(HAMD)＞7. Data on sociodemographic characteristics (age, gender, education, marital state, religion, accommodation and occupation), severity of ACS(Global Registry of Acute Coronary Events risk score), disability(World Health Organization Disability Assessment Schedule Ⅱ-12), and personality(Big Five Inventory) were obtained.
Results: Incident rates of depression were 25% and 23% at the first hospitalization and at 12 months after ACS, respectively. Predictors of depression were disability at the first hospitalization and neuroticism at 12 months after ACS.
Conclusion: Depression was common after ACS in this sample. More intensive psychiatric care and intervention is needed for the high risk groups of depression.
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KEYWORD
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Acute coronary artery syndrome, Depression, Incidence, Predictive factor, Disability, Personality
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