Please use this identifier to cite or link to this item:
https://hdl.handle.net/1959.11/51833
Title: | The importance of depression and alcohol use in coronary artery bypass graft surgery patients: risk factors for delirium and poorer quality of life |
Contributor(s): | Humphreys, Joanne M (author); Denson, Linley A (author); Baker, Robert A (author) ; Tully, Phillip J (author) |
Publication Date: | 2016 |
Early Online Version: | 2016-01-15 |
Open Access: | Yes |
Handle Link: | https://hdl.handle.net/1959.11/51833 |
Open Access Link: | http://www.jgc301.com/en/article/doi/10.11909/j.issn.1671-5411.2016.01.010 |
Abstract: | | Objective To investigate whether depression, anxiety and stress increase the risk for delirium and poor quality of life (QOL) after coronary artery bypass (CABG) surgery. Methods A total of 180 CABG patients (mean age of 63.5 ± 10.1 years, 82.2% males) completed baseline and postoperative self-report questionnaires to assess distress and QOL. Incident delirium was diagnosed postoperatively with a structured clinical interview and patients were monitored every day post-operatively for confusion and disturbance in consciousness. Results Delirium developed in 63 persons (35% of sample). After adjustment for covariates, delirium was significantly associated with depression [odds ratio (OR): 1.08; 95% confidence interval (CI): 1.03-1.13, P = 0.003], anxiety (OR: 1.07; 95% CI: 1.02-1.13, P = 0.01) and stress (OR: 1.05; 95% CI: 1.00-1.09, P = 0.03). Preoperative depression scores were associated with poorer QOL including bodily pain (β = -0.39, P = 0.013), vitality (β=-0.32, P = 0.020), social functioning (β = -0.51, P ≤ 0.001), emotional role function (β = -0.44, P = 0.003) and general health (β = -0.33, P = 0.038). Among the covariates, harmful levels of alcohol use was consistently associated with poorer QOL. Conclusions Depression and harmful levels of alcohol use were consistently associated with poorer QOL whereas depression, anxiety and stress were associated with delirium risk. These findings point to further research examining depression and harmful levels of alcohol use in coronary heart disease populations undergoing coronary revascularization.
Publication Type: | Journal Article |
Grant Details: | NHMRC/1053578 |
Source of Publication: | Journal of Geriatric Cardiology, 13(1), p. 51-57 |
Publisher: | Chinese P L A General Hospital, Institute of Geriatric Cardiology |
Place of Publication: | China |
ISSN: | 1671-5411 |
Fields of Research (FoR) 2020: | 520304 Health psychology 520302 Clinical psychology |
Socio-Economic Objective (SEO) 2020: | 200502 Health related to ageing 200409 Mental health |
Peer Reviewed: | Yes |
HERDC Category Description: | C1 Refereed Article in a Scholarly Journal |
Publisher/associated links: | http://www.jgc301.com/en/article/doi/10.11909/j.issn.1671-5411.2016.01.010 |
Appears in Collections: | Journal Article School of Psychology
|
Files in This Item:
2 files
File |
Description |
Size | Format | |
Show full item record