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Type: Journal article
Title: Depression, anxiety, and cardiac morbidity outcomes after coronary artery bypass surgery: a contemporary and practical review
Author: Tully, P.
Baker, R.
Citation: Journal of Geriatric Cardiology, 2012; 9(2):197-208
Publisher: Chinese P L A General Hospital * Institute of Geriatric Cardiology
Issue Date: 2012
ISSN: 1671-5411
Abstract: Research to date indicates that the number of coronary artery bypass graft (CABG) surgery patients affected by depression (i.e., major, minor, dysthymia) approximates between 30% and 40% of all cases. A longstanding empirical interest on psychosocial factors in CABG surgery patients highlights an association with increased risk of morbidity in the short and longer term. Recent evidence suggests that both depression and anxiety increase the risk for mortality and morbidity after CABG surgery independent of medical factors, although the behavioral and biological mechanisms are poorly understood. Though neither depression nor anxiety seem to markedly affect neuropsychological dysfunction, depression confers a risk for incident delirium. Following a comprehensive overview of recent literature, practical advice is described for clinicians taking into consideration possible screening aids to improve recognition of anxiety and depression among CABG surgery patients. An overview of contemporary interventions and randomized, controlled trials are described, along with suggestions for future CABG surgery research.
Keywords: Depression; depressive disorder; coronary artery bypass; coronary artery disease; antidepressive agents; anxiety
Rights: © 2012 JGC All rights reserved
RMID: 0020120767
DOI: 10.3724/SP.J.1263.2011.12221
Appears in Collections:Psychology publications

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