[Influence of psychological and coronary parameters on coronary patient rehospitalization].
BACKGROUND
Psychological reactions are often comorbid with coronary risk factors and could be important for a six-month outcome.


OBJECTIVE
Determination of anxiety level, depression and aggression, persistence of risk health behaviour, stress life events, and coronary risk factors after coronary event and a predictive value of those parameters for six-month rehospitalization.


METHODS
In the group with Angina Pectoris (E1=30) and the group with Acute Myocardial Infarction (E2=33), there were applied, at baseline and after 6 months, the following: Semistructured Clinical Interview based on ICD-10, for depressive episode and anxiety disorder, Hamilton Anxiety Scale (HAMA), Hamilton Depression Scale (HAMD), KON-6 sigma Scale for aggression, Holms-Rahe Scale (H-R) for stress events and Questionnaire for risk behaviour: alcohol consumption, smoking, lack of physical activity. Group differences were assessed by t-test and chi-square test, p < 0.05, regression analysis for assessing initial variables, a predictive value for six-month rehospitalization.


RESULTS
After acute coronary event, the anxiety and depression levels were mild and aggression was low in E1 and mild in E2. Stress event score was significantly higher in E2 (H-R = 115.18) than in E1 (H-R = 72.20), p < 0.05. After 6 months, the results were the same except for a significantly lower stress event score in E1 (H-R = 49.48), and in E2 (H-R = 91.65), but still significantly higher than in El. Coronary parameters were reduced, smokers' rate was increased in El. Alcohol consumption, hypercholesterolaemia and hereditary tendency were predictive for six- month rehospitalization.


CONCLUSIONS
After acute cardiac event, hospitalized coronary patients had a mild anxiety, depression and aggression level as well as after six months. The infarct patients had experienced more stress life events in the previous year than the angina patients. Risk health behaviour did not change in the following six months, with the increased smokers' rate in the angina group. Alcohol consumption, smoking and heredity were predictive for rehospitalization.
Nikolić
Gordana
G
Miljović
Srbobran
S
Stojković
Aleksandar
A
Manojlović
Snezana
S
Cirić
Zoran
Z
Zikić
Olivera
O
Vucurević
Mara
M
D000328:Adult; D000787:Angina Pectoris / Q000523:psychology*; D001007:Anxiety / Q000150:complications; D003863:Depression / Q000150:complications; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D010359:Patient Readmission; D012307:Risk Factors; D013315:Stress, Psychological