title: Is there any difference between the early age myocardial infarction and late age myocardial infarction in terms of psychiatric morbidity in patients who have survived acute myocardial infarction?
abstract: OBJECTIVE
  We aimed to compare the rates of psychiatric morbidity in patients who had early age and late age MI in patients who have survived acute myocardial infarction?
  
  
  METHODS
  One hundred sixteen patients who were hospitalized in the coronary care unit were included in the study. Psychiatric assessment of the patients was carried out within 1-6months post-MI. Psychiatric interviews were conducted with the Structured Clinical Interview for DSM-IV (SCID-I). Also used were the Beck Depression Inventory (BDI), Spielberger State-Trait Anxiety Inventory (STAI), and Health Anxiety Inventory (HAI).
  
  
  RESULTS
  A total of 116 patients were divided into two groups according to age as an early age myocardial infarction group (EA-MI) and a late age myocardial infarction group (LA-MI). The EA-MI group included 24 patients 45years of age and under. The LA-MI group included 92 patients over 45years of age. Current psychiatric disorders, lifetime psychiatric disorders and lifetime depressive disorders were significantly more frequent in the EA-MI group than in the LA-MI group.
  
  
  CONCLUSIONS
  EA-MI patients have experienced a depressive episode prior to the onset of the MI, whereas in the LA-MI group, the patients typically experienced depressive episodes after MI. Our findings suggest that depression may increase the risk of MI at an early age.
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Selcuk University, Konya 42075, Turkey. Electronic address: bilgeannagur@yahoo.com.
authors.forename: Bilge Burçak
authors.initials: BB
authors.lastname: Annagür
authors.affiliation: Faculty of Medicine, Selcuk University, Konya 42075Turkey. Electronic address: drahmetavci@yahoo.com.
authors.forename: Ahmet
authors.initials: A
authors.lastname: Avci
authors.affiliation: Faculty of Medicine, Selcuk University, Konya 42075Turkey. Electronic address: drkenan76@yahoo.com.
authors.forename: Kenan
authors.initials: K
authors.lastname: Demir
authors.affiliation: Department of Psychiatry, Faculty of Medicine, Selcuk University, Konya 42075, Turkey. Electronic address: ofuygur@hotmail.com.
authors.forename: Ömer Faruk
authors.initials: ÖF
authors.lastname: Uygur
mesh_terms: D000367:Age Factors; D000368:Aged; D001007:Anxiety / Q000453:epidemiology* / Q000209:etiology; D001008:Anxiety Disorders / Q000209:etiology; D003325:Coronary Care Units; D003863:Depression / Q000453:epidemiology* / Q000209:etiology; D003866:Depressive Disorder / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006760:Hospitalization; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011795:Surveys and Questionnaires