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  • Title: Depression, anxiety and stress in women following acute coronary syndrome: implications for secondary prevention.
    Author: DiGiacomo M, Davidson PM, Vanderpluym A, Snell R, Worrall-Carter L.
    Journal: Aust Crit Care; 2007 May; 20(2):69-76. PubMed ID: 17568535.
    Abstract:
    OBJECTIVE: To document incidence of depression, anxiety, and stress in women more than 6 months following an acute coronary syndrome. DESIGN: Participants were identified from a coronary care unit database. The Depression Anxiety Stress Scales 21 (DASS 21) was sent to potential participants via postal survey. SETTING: A metropolitan teaching hospital in Melbourne, Australia. PARTICIPANTS: The cohort of women was aged between 55 and 70 years. They had been admitted to hospital with a diagnosis of acute coronary syndrome (ACS) between 6 and 14 months prior to participating in this study. MAIN OUTCOME MEASURES: Scores on Depression, Anxiety, and Stress Scale (DASS 21). RESULTS: Of the 117 posted questionnaires, 39 women with a mean age of 63 (S.D. 4.97) responded to the survey, representing a response rate of 33.3%. Most participants scored within normal levels of depression (66.7%), anxiety (60.5%), and stress (70.3%), however, mild to extremely severe levels of each construct (33.4%, 39.6%, and 29.7%, respectively) were found. CONCLUSIONS: The reporting of elevated levels of depression, anxiety and stress in a subset of women more than 6 months following an ACS event underscores the importance of ongoing screening for risk factors impacting on psychological well-being and the inclusion of this information in education and counseling strategies in both the inpatient and outpatient settings. Based on these pilot data, consideration of a screening system in the immediate post discharge period for women at risk and an education or support service are recommended.
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