PMID- 30100883
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20200930
IS  - 1664-0640 (Print)
IS  - 1664-0640 (Electronic)
IS  - 1664-0640 (Linking)
VI  - 9
DP  - 2018
TI  - Mental Health and Psychosocial Functioning Over the Lifespan of German Patients 
      Undergoing Cardiac Catheterization for Coronary Artery Disease.
PG  - 338
LID - 10.3389/fpsyt.2018.00338 [doi]
LID - 338
AB  - Background: Psychological problems are common in patients with coronary artery 
      disease (CAD) and are associated with poor outcome. However, data on the 
      prevalence of distinct mental disorders and their relevance to patients' 
      functioning in daily life are scarce. Method: In this retrospective study, a 
      total of 514 German patients with CAD as diagnosed by cardiac catheterization 
      were assessed using the Mini International Neuropsychiatric Interview 5.0.0 
      (M.I.N.I.) and psychosocial functioning was evaluated using the Global Assessment 
      of Functioning (GAF) scale. Results: Twenty-nine percent of the participants 
      suffered from at least one mental disorder after the onset of their CAD (mean 
      time since onset = 10.86 years, SD = 8.15). In comparison to the period before 
      onset of CAD, elevated prevalence rates were found for severe depressive 
      episodes, agoraphobia, dysthymia, panic disorder, and hypochondria. Predictors of 
      mental disorders after the onset of CAD were female gender, younger age at onset 
      of CAD as well as mental disorders and low GAF scores before onset. GAF scores 
      decreased after the onset of CAD, recovered only partially, and were influenced 
      by mental disorders before onset in women but not in men. Conclusions: Mental 
      disorders-especially depression and agoraphobia-are frequent in patients with 
      CAD, with women, patients with a younger age at onset of CAD and patients with 
      any history of mental disorders especially at risk. Regardless of whether 
      patients meet any specific diagnostic criteria, psychosocial functioning is 
      markedly impaired after the onset of CAD, underscoring the need for specific 
      mental health programs for this patient population. Future research, ideally 
      using a prospective design, is necessary to confirm these findings and to further 
      the knowledge of prevalence rates of mental disorders and of modifiable risk 
      factors for the development of mental disorders in patients with CAD.
FAU - Schaich, Anja
AU  - Schaich A
AD  - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, 
      Germany.
FAU - Westermair, Anna L
AU  - Westermair AL
AD  - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, 
      Germany.
FAU - Munz, Matthias
AU  - Munz M
AD  - Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany.
FAU - Nitsche, Stefan
AU  - Nitsche S
AD  - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, 
      Germany.
AD  - Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany.
AD  - University Heart Center, University of Lubeck, Lubeck, Germany.
AD  - DZHK, German Centre for Cardiovascular Research, Partner site Hamburg, Kiel, 
      Lubeck, Germany.
FAU - Willenborg, Bastian
AU  - Willenborg B
AD  - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, 
      Germany.
FAU - Willenborg, Christina
AU  - Willenborg C
AD  - Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany.
AD  - University Heart Center, University of Lubeck, Lubeck, Germany.
AD  - DZHK, German Centre for Cardiovascular Research, Partner site Hamburg, Kiel, 
      Lubeck, Germany.
FAU - Schunkert, Heribert
AU  - Schunkert H
AD  - Deutsches Herzzentrum Munchen (German Heart Center Munich), Fakultat fur Medizin, 
      Technische Universitat Munchen, Munich, Germany.
AD  - Deutsches Zentrum fur Herz-Kreislaufforschung e.V. Partner site Munich, Munich, 
      Germany.
FAU - Erdmann, Jeanette
AU  - Erdmann J
AD  - Institute for Cardiogenetics, University of Lubeck, Lubeck, Germany.
AD  - University Heart Center, University of Lubeck, Lubeck, Germany.
AD  - DZHK, German Centre for Cardiovascular Research, Partner site Hamburg, Kiel, 
      Lubeck, Germany.
FAU - Schweiger, Ulrich
AU  - Schweiger U
AD  - Department of Psychiatry and Psychotherapy, University of Lubeck, Lubeck, 
      Germany.
LA  - eng
PT  - Journal Article
DEP - 20180727
PL  - Switzerland
TA  - Front Psychiatry
JT  - Frontiers in psychiatry
JID - 101545006
PMC - PMC6072862
OTO - NOTNLM
OT  - coronary artery disease
OT  - mental disorders
OT  - mental health
OT  - prevalence rates
OT  - psychosocial functioning
EDAT- 2018/08/14 06:00
MHDA- 2018/08/14 06:01
PMCR- 2018/07/27
CRDT- 2018/08/14 06:00
PHST- 2018/03/12 00:00 [received]
PHST- 2018/07/05 00:00 [accepted]
PHST- 2018/08/14 06:00 [entrez]
PHST- 2018/08/14 06:00 [pubmed]
PHST- 2018/08/14 06:01 [medline]
PHST- 2018/07/27 00:00 [pmc-release]
AID - 10.3389/fpsyt.2018.00338 [doi]
PST - epublish
SO  - Front Psychiatry. 2018 Jul 27;9:338. doi: 10.3389/fpsyt.2018.00338. eCollection 
      2018.