医学
心肌梗塞
萧条(经济学)
冠状动脉疾病
内科学
社会心理的
冠状动脉
心脏病学
感知压力量表
梗塞
物理疗法
动脉
压力(语言学)
精神科
语言学
哲学
经济
宏观经济学
作者
Anaïs Hausvater,Tanya M. Spruill,Yuhe Xia,Nathaniel R. Smilowitz,Milla Arabadjian,Binita Shah,Ki Park,Caitlin Giesler,Kevin Marzo,Dwithiya Thomas,Janet Wei,Jeffrey C. Trost,Puja K. Mehta,Bryan Har,Kevin R. Bainey,Judy Zhong,Judith S. Hochman,Harmony R. Reynolds
标识
DOI:10.1016/j.jacc.2023.08.028
摘要
Women with myocardial infarction (MI) are more likely to have elevated stress levels and depression than men with MI. We investigated psychosocial factors in women with myocardial infarction with nonobstructive coronary arteries (MINOCA) and those with MI and obstructive coronary artery disease (CAD). Women with MI enrolled in a multicenter study and completed measures of perceived stress (Perceived Stress Scale-4) and depressive symptoms (Patient Health Questionnaire-2) at the time of MI (baseline) and 2 months later. Stress, depression, and changes over time were compared between MI subtypes. We included 172 MINOCA and 314 MI-CAD patients. Women with MINOCA were younger (age 59.4 years vs 64.2 years; P < 0.001) and more diverse than those with MI-CAD. Women with MINOCA were less likely to have high stress (Perceived Stress Scale-4 ≥6) at the time of MI (51.0% vs 63.0%; P = 0.021) and at 2 months post-MI (32.5% vs 46.3%; P = 0.019) than women with MI-CAD. There was no difference in elevated depressive symptoms (Patient Health Questionnaire-2 ≥2) at the time of MI (36% vs 43%; P = 0.229) or at 2 months post-MI (39% vs 40%; P = 0.999). No differences in the rate of 2-month decline in stress and depression scores were observed between groups. Stress and depression are common among women at the time of and 2 months after MI. MINOCA patients were less likely to report high stress compared with MI-CAD patients, but the frequency of elevated depressive symptoms did not differ between the 2 groups. Stress and depressive symptoms decreased in both MI-CAD and MINOCA patients over time.
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