title: [Depression following a first heart infarct; similarities with and differences from 'ordinary' depression].
abstract: OBJECTIVE
  To determine frequency and clinical features of major depressive disorder according to DSM IV criteria in patients following a first myocardial infarction.
  
  
  METHODS
  Questionnaire.
  
  
  METHODS
  Departments of Cardiology and Psychiatry, University Hospital Maastricht, the Netherlands.
  
  
  METHODS
  Depression was assessed using the Zung 'Self-rating depression scale' (Zung-SDS) and the 'Symptom checklist' (SCL)-90 in 228 patients who filled the questionnaires out themselves (response: 60-70%), 1, 3, 6 en 12 months after their first heart attack. When the score on one or both lists was above threshold, the patient was invited for a clinical interview with a psychiatrist.
  
  
  RESULTS
  One month post infarction 10% were diagnosed with a major depressive episode, a percentage which increased to 34% one year post infarction. The clinical features of the depression in these patients were the same as in a matched sample of depressed psychiatric inpatients without a cardiac history, except that hostility was significantly increased in the post-infarction patients. There was no mortality.
  
  
  CONCLUSIONS
  Depressive disorder is a frequent comorbid disease after a first myocardial infarction.
authors.affiliation: Academisch Ziekenhuis, Maastricht, Afd. Psychiatrie.
authors.forename: A
authors.initials: A
authors.lastname: Honig
authors.forename: R
authors.initials: R
authors.lastname: Lousberg
authors.forename: F L
authors.initials: FL
authors.lastname: Wojciechowski
authors.forename: E C
authors.initials: EC
authors.lastname: Cheriex
authors.forename: H J
authors.initials: HJ
authors.lastname: Wellens
authors.forename: H M
authors.initials: HM
authors.lastname: van Praag
mesh_terms: D003863:Depression / Q000523:psychology; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology*; D006791:Hostility; D006801:Humans; D009203:Myocardial Infarction / Q000523:psychology*; D009483:Neuropsychological Tests
vernacular_title: Depressie na een eerste hartinfarct; overeenkomsten en verschillen met 'gewone' depressie.