title: Increase in observed mental health difficulties one year after acute coronary syndrome: general practitioner survey.
abstract: BACKGROUND
  General practitioners (GPs) are often the first to assess mental health difficulties after acute coronary syndrome (ACS).
  
  
  OBJECTIVE
  To determine whether GPs observed an increase in mental health difficulties one-year post-hospitalisation for ACS.
  
  
  METHODS
  Postal survey.
  
  
  RESULTS
  GPs rated patients (n = 442) as having probable (GP assessed 10%) or definite (formally assessed 7%) mental health difficulties pre-hospitalisation. Post-hospitalisation the prevalence of probable cases increased significantly to 19% (OR = 4.3, 95% CI 2.1-10.2, P < 0.001). In multivariate analysis, only smoking at index hospitalisation was associated with being assessed as a new case of probable/formal mental health difficulties (RR = 2.1, 95% CI 1.3-3.4, P = 0.003). Forty-seven percent of cases were prescribed some medication for this problem.
  
  
  CONCLUSIONS
  GPs recorded a significant increase in mental health difficulties in ACS patients 12 months after hospitalisation, with smoking used as an indicator of new cases.
authors: Department of Psychology, Royal College of Surgeons in Ireland, 123 St Stephen's Green, Dublin 2, Ireland. fdoyle4@rcsi.ie
authors: F
authors: F
authors: Doyle
authors: H M
authors: HM
authors: McGee
authors: R M
authors: RM
authors: Conroy
authors: E
authors: E
authors: Shelley
authors: D
authors: D
authors: De La Harpe
mesh_terms: D054058:Acute Coronary Syndrome / Q000523:psychology*; D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D005194:Family Practice; D005260:Female; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D008297:Male; D008603:Mental Health
references: Am J Geriatr Psychiatry. 2006 Jan;14(1):71-8
references: 16407584
references: BMC Health Serv Res. 2006 Feb 13;6:9
references: 16476160
references: J Psychosom Res. 2006 May;60(5):461-7
references: 16650586
references: BMC Cardiovasc Disord. 2005 Feb 11;5(1):5
references: 15707497
references: JAMA. 2003 Jun 18;289(23):3145-51
references: 12813120
references: BMJ. 1999 May 29;318(7196):1460-7
references: 10346775
references: Ir J Med Sci. 2004 Apr-Jun;173(2):72-4
references: 15540705
references: Psychosom Med. 2004 Jul-Aug;66(4):475-83
references: 15272091
references: Health Serv Res. 2001 Feb;35(6):1347-55
references: 11221823
references: BMJ. 2002 Nov 2;325(7371):1016-7
references: 12411363
references: BMJ. 1995 Nov 11;311(7015):1274-6
references: 7496238
references: J Psychosom Res. 2000 Apr-May;48(4-5):323-37
references: 10880655
references: Arch Gen Psychiatry. 1998 Jul;55(7):580-92
references: 9672048
references: Drug Alcohol Rev. 2004 Dec;23(4):455-62
references: 15763750
references: Behav Modif. 2003 Jan;27(1):83-102
references: 12587262
references: Scand J Psychol. 2001 Feb;42(1):57-69
references: 11273579
references: J Psychosom Res. 2005 Feb;58(2):153-61
references: 15820843
references: Psychosom Med. 2004 May-Jun;66(3):305-15
references: 15184688