Classes of Depression, Anxiety, and Functioning in Acute Coronary Syndrome Patients

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Abstract:

Objectives: To describe change in subgroups characterized by patterns of depression, anxiety, and functional impairment; examine treatment effects on subgroup membership; examine effects of sex and age on subgroup membership. Methods: Latent class models were used to meet the first 2 objectives using 79 patients with depression/anxiety. Generalized estimating equations were used to meet the third objective. Results: Three subgroups characterized by different combinations of psychiatric disorders and functioning were identified. Patients who received treatment were more likely to transition to a less impaired subgroup. Conclusions: Unique information about holistic treatment effects can be gained when multiple outcomes are considered simultaneously.

Keywords: ACUTE CORONARY SYNDROME; ANXIETY; DEPRESSION; LATENT CLASS ANALYSIS

Document Type: Research Article

DOI: http://dx.doi.org/10.5993/AJHB.36.1.3

Affiliations: 1: Project Director, Dissemination and Implementation Unit, Center for Health Policy and Research, Instructor, Department of Pediatrics, University of Massachusetts School of Medicine, Worcester MA; or mayratismi@gmail.com, Email: tisminetzky@umassmed.edu 2: Assistant Professor, Psychology Department, College of Science Virginia Tech, Blacksburg, VA 3: Department of Psychiatry UMASS Medical School; Department of Mental Health, Johns Hopkins School of Public Health, Baltimore, MD 4: Assistant Professor, Department of Pediatrics, University of Massachusetts School of Medicine, Worcester MA 5: Senior Lecturer in Ambulatory Care & Prevention, Harvard Medical School; Senior Director, Dissemination and Implementation Unit, Center for Health Policy and Research, Professor Department of Pediatrics and, Psychiatry, University of Massachusetts School of Medicine, Worcester MA

Publication date: January 1, 2012

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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