Mental health is a risk factor for poor outcomes in cardiac patients: Findings from the national DenHeart survey

Selina Kikkenborg Berg; Trine Bernholdt Rasmussen; Lars Thrysoee; Charlotte Brun Thorup; Britt Borregaard; Anne Vinggaard Christensen; Rikke Elmose Mols; Knud Juel; Ola Ekholm

doi:10.1016/j.jpsychores.2018.07.002

Mental health is a risk factor for poor outcomes in cardiac patients: Findings from the national DenHeart survey

Selina Kikkenborg Berg^*, Trine Bernholdt Rasmussen, Lars Thrysoee, Charlotte Brun Thorup, Britt Borregaard, Anne Vinggaard Christensen, Rikke Elmose Mols, Knud Juel, Ola Ekholm

^*Corresponding author for this work

Department of Clinical Medicine

6 Citations (Scopus)

Abstract

Objective: To explore (i) the prevalence of cardiac risk factors (obesity, smoking, excessive alcohol consumption and medication non-adherence) among cardiac patients with depression and anxiety, (ii) associations between depression and anxiety scores and cardiac risk factors and (iii) the association of depression and anxiety and cardiac risk factors with mortality, and their population attributable risk. Methods: A national cross-sectional study using patient-reported outcomes at discharge and national register data. For one year (April 15th 2013 to April 15th 2014) all patients discharged or transferred from the five Danish Heart Centres were included in the study. A total of 14,239 patients answered the HADS questionnaire, response rate 51%. Results: Mean age was 64.8 years and 69% were male. Patients with depression or anxiety (HADS-D or HADS-A score ≥ 8) had 30% and 45%, respectively, higher odds of being current smokers; 19% and 37% higher odds of being obese and 31% and 24% higher odds of excessive alcohol consumption. Depressive patients had 34% higher odds of being non-adherent to their medication. At one-year follow-up, patients with depression (HADS-D score ≥ 11) had the highest attributable risk associated with mortality followed by: smoking, ischemic heart disease, anxiety, diabetes, hypertension chronic obstructive pulmonary disease and excessive alcohol consumption. Conclusion: Depression and anxiety in patients with cardiac disease is associated with cardiac risk behaviour such as smoking, obesity, excessive alcohol consumption and medication non-adherence. Depression and anxiety have an attributable risk associated with mortality that is comparable to other well-known risk factors such as smoking.

Original language	English
Journal	Journal of Psychosomatic Research
Volume	112
Pages (from-to)	66-72
Number of pages	7
ISSN	0022-3999
DOIs	https://doi.org/10.1016/j.jpsychores.2018.07.002
Publication status	Published - 2018

Keywords

Anxiety
Cardiac patients
Depression
Mortality
Risk behaviour

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jpsychores.2018.07.002

Cite this

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title = "Mental health is a risk factor for poor outcomes in cardiac patients: Findings from the national DenHeart survey",

abstract = "Objective: To explore (i) the prevalence of cardiac risk factors (obesity, smoking, excessive alcohol consumption and medication non-adherence) among cardiac patients with depression and anxiety, (ii) associations between depression and anxiety scores and cardiac risk factors and (iii) the association of depression and anxiety and cardiac risk factors with mortality, and their population attributable risk. Methods: A national cross-sectional study using patient-reported outcomes at discharge and national register data. For one year (April 15th 2013 to April 15th 2014) all patients discharged or transferred from the five Danish Heart Centres were included in the study. A total of 14,239 patients answered the HADS questionnaire, response rate 51%. Results: Mean age was 64.8 years and 69% were male. Patients with depression or anxiety (HADS-D or HADS-A score ≥ 8) had 30% and 45%, respectively, higher odds of being current smokers; 19% and 37% higher odds of being obese and 31% and 24% higher odds of excessive alcohol consumption. Depressive patients had 34% higher odds of being non-adherent to their medication. At one-year follow-up, patients with depression (HADS-D score ≥ 11) had the highest attributable risk associated with mortality followed by: smoking, ischemic heart disease, anxiety, diabetes, hypertension chronic obstructive pulmonary disease and excessive alcohol consumption. Conclusion: Depression and anxiety in patients with cardiac disease is associated with cardiac risk behaviour such as smoking, obesity, excessive alcohol consumption and medication non-adherence. Depression and anxiety have an attributable risk associated with mortality that is comparable to other well-known risk factors such as smoking.",

keywords = "Anxiety, Cardiac patients, Depression, Mortality, Risk behaviour",

author = "Berg, {Selina Kikkenborg} and Rasmussen, {Trine Bernholdt} and Lars Thrysoee and Thorup, {Charlotte Brun} and Britt Borregaard and Christensen, {Anne Vinggaard} and Mols, {Rikke Elmose} and Knud Juel and Ola Ekholm",

year = "2018",

doi = "10.1016/j.jpsychores.2018.07.002",

language = "English",

volume = "112",

pages = "66--72",

journal = "Journal of Psychosomatic Research",

issn = "0022-3999",

publisher = "Elsevier",

}

TY - JOUR

T1 - Mental health is a risk factor for poor outcomes in cardiac patients

T2 - Findings from the national DenHeart survey

AU - Berg, Selina Kikkenborg

AU - Rasmussen, Trine Bernholdt

AU - Thrysoee, Lars

AU - Thorup, Charlotte Brun

AU - Borregaard, Britt

AU - Christensen, Anne Vinggaard

AU - Mols, Rikke Elmose

AU - Juel, Knud

AU - Ekholm, Ola

PY - 2018

Y1 - 2018

N2 - Objective: To explore (i) the prevalence of cardiac risk factors (obesity, smoking, excessive alcohol consumption and medication non-adherence) among cardiac patients with depression and anxiety, (ii) associations between depression and anxiety scores and cardiac risk factors and (iii) the association of depression and anxiety and cardiac risk factors with mortality, and their population attributable risk. Methods: A national cross-sectional study using patient-reported outcomes at discharge and national register data. For one year (April 15th 2013 to April 15th 2014) all patients discharged or transferred from the five Danish Heart Centres were included in the study. A total of 14,239 patients answered the HADS questionnaire, response rate 51%. Results: Mean age was 64.8 years and 69% were male. Patients with depression or anxiety (HADS-D or HADS-A score ≥ 8) had 30% and 45%, respectively, higher odds of being current smokers; 19% and 37% higher odds of being obese and 31% and 24% higher odds of excessive alcohol consumption. Depressive patients had 34% higher odds of being non-adherent to their medication. At one-year follow-up, patients with depression (HADS-D score ≥ 11) had the highest attributable risk associated with mortality followed by: smoking, ischemic heart disease, anxiety, diabetes, hypertension chronic obstructive pulmonary disease and excessive alcohol consumption. Conclusion: Depression and anxiety in patients with cardiac disease is associated with cardiac risk behaviour such as smoking, obesity, excessive alcohol consumption and medication non-adherence. Depression and anxiety have an attributable risk associated with mortality that is comparable to other well-known risk factors such as smoking.

AB - Objective: To explore (i) the prevalence of cardiac risk factors (obesity, smoking, excessive alcohol consumption and medication non-adherence) among cardiac patients with depression and anxiety, (ii) associations between depression and anxiety scores and cardiac risk factors and (iii) the association of depression and anxiety and cardiac risk factors with mortality, and their population attributable risk. Methods: A national cross-sectional study using patient-reported outcomes at discharge and national register data. For one year (April 15th 2013 to April 15th 2014) all patients discharged or transferred from the five Danish Heart Centres were included in the study. A total of 14,239 patients answered the HADS questionnaire, response rate 51%. Results: Mean age was 64.8 years and 69% were male. Patients with depression or anxiety (HADS-D or HADS-A score ≥ 8) had 30% and 45%, respectively, higher odds of being current smokers; 19% and 37% higher odds of being obese and 31% and 24% higher odds of excessive alcohol consumption. Depressive patients had 34% higher odds of being non-adherent to their medication. At one-year follow-up, patients with depression (HADS-D score ≥ 11) had the highest attributable risk associated with mortality followed by: smoking, ischemic heart disease, anxiety, diabetes, hypertension chronic obstructive pulmonary disease and excessive alcohol consumption. Conclusion: Depression and anxiety in patients with cardiac disease is associated with cardiac risk behaviour such as smoking, obesity, excessive alcohol consumption and medication non-adherence. Depression and anxiety have an attributable risk associated with mortality that is comparable to other well-known risk factors such as smoking.

KW - Anxiety

KW - Cardiac patients

KW - Depression

KW - Mortality

KW - Risk behaviour

U2 - 10.1016/j.jpsychores.2018.07.002

DO - 10.1016/j.jpsychores.2018.07.002

M3 - Journal article

C2 - 30097138

AN - SCOPUS:85049977992

SN - 0022-3999

VL - 112

SP - 66

EP - 72

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

ER -

Mental health is a risk factor for poor outcomes in cardiac patients: Findings from the national DenHeart survey

Abstract

Keywords

UN SDGs

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