The influence of depression on the quality of life of male patients post acute myocardial infarct.
OBJECTIVE
Assess the effect of depression on post-acute myocardial infarction (AMI) quality of life in male patients.


METHODS
We conducted a prospective cohort study on male patients presenting with AMI at the ICCU of Cipto Magunkusumo and Persahabatan Hospitals between October 2002 and August 2003. One day prior to hospital discharge, each respondent was requested to fill out th BDI and modified SF-36 questionnaires. Two months afterwards, each respondent was re-evaluated by filling out the same questionnaires. Bivariant analysis was performed to evaluate the correlation between depression, other determinants, and quality of life.


RESULTS
From 30 respondents (15 respondents with depression and 15 without depression), we found that 4 of the 15 patients form the non-depressed group (26.7%) developed depression 2 months post AMI. Depression 2 months post AMI has a statistically significant correlation with a reduced quality of life in male patients (RR=2.35; 95%CI = 1.04-5.35; p=0.030).


CONCLUSIONS
Post-AMI depression has a statistically significant correlation with a reduced quality of life among male patients. This finding supports the hypothesis that depression can have a negative influence on post-AMI patients.
Herry N
H R Kongko
HR
Department of Internal Medicine, Faculty of Medicine, University of Indonesia-Dr. Cipto Mangunkusumo Hospital, Jakarta.
Suryadipradja
H R Miftah
HR
Shatri
Hamzah
H
Prodjosudjadi
Wiguno
W
D003863:Depression / Q000453:epidemiology / Q000209:etiology / Q000523:psychology*; D018450:Disease Progression; D005500:Follow-Up Studies; D006801:Humans; D007214:Indonesia / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000523:psychology; D015995:Prevalence; D011379:Prognosis; D011446:Prospective Studies; D011788:Quality of Life; D011795:Surveys and Questionnaires