Positive affect moderates the effect of negative affect on cardiovascular disease-related hospitalizations and all-cause mortality after cardiac rehabilitation

Meyer, Fiorenza Angela; Känel, Roland von; Saner, Hugo; Schmid, Jean‐Paul; Stauber, Stefanie

doi:10.1177/2047487314549745

Cited by 18 publications

(12 citation statements)

References 38 publications

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“…Similarly to our study, five studies have observed that positive psychological well-being is generally protective of CVD mortality in healthy populations (Boehm & Kubzansky, 2012). More recently, it has been suggested that positive affect moderates the relation between negative affect and mortality in HF and CHD rehabilitation patients (Meyer, von Kanel, Saner, Schmid, & Stauber, 2015). The relations observed in our study between positive affect and somatic symptoms with mortality held when mutually adjusting for depressive symptom subdomains, including negative affect.…”

Section: Discussionsupporting

confidence: 88%

Depressive symptoms prior to and after incident cardiovascular disease and long-term survival. A population-based study of older persons

et al. 2017

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During 15 years follow-up in community-dwelling older adults, the relation between higher depressive symptoms measured before first incident CVD and mortality was not independent of health status. Whereas, higher depressive symptoms measured after CVD was associated with increased mortality, was not independent of pre-CVD depressive symptoms. Given the associations observed between positive affect and mortality, positive affect may be the reason we observed a relation between depressive symptoms and mortality.

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Section: Discussionsupporting

confidence: 88%

Depressive symptoms prior to and after incident cardiovascular disease and long-term survival. A population-based study of older persons

et al. 2017

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“…Similarly to our study, five studies have observed that positive psychological well-being is generally protective of CVD mortality in healthy populations [7]. More recently, it has been suggested that positive affect moderates the relation between negative affect and mortality in HF and CHD rehabilitation patients [45]. The relations observed in our study between positive affect and somatic symptoms with mortality held when mutually adjusting for depressive symptom subdomains, including negative affect.…”

Section: Discussionsupporting

confidence: 88%

Depressive Symptoms Prior to and after Incident Cardiovascular Disease and Long-term Survival A population-based Study of Older Persons

Freak‐Poli¹,

M²,

Franco³

et al. 2017

J Depress Anxiety

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Background: Depression after a CVD event is associated with increased mortality. However, little is known about how pre-existing depression affects survival after CVD incidence. Aim:To evaluate whether depressive symptoms measured preceding first incident CVD (pre-CVD), as well as measured after CVD (post-CVD), affect survival. Methods:From the Rotterdam Study, 6,932 persons aged 55+ and free of dementia and CVD completed the Center for Epidemiological Studies Depression (CES-D) scale every 4 to 5 years from 1993. CES-D subdomains were positive affect, negative affect, somatic symptoms and interpersonal affect. Persons were followed for mortality and CVD, defined as incident stroke, heart failure and coronary heart disease (CHD). Results:During 15-year follow-up, 22% of participants suffered their first incident CVD. Depressive symptoms measured ≈3 years prior to first incident CVD were not associated with mortality after adjustment for smoking status and physical function (HR per 10-point score: 1.04, 95%CI: 0.97-1.10). Higher pre-CHD somatic symptoms were associated with greater CHD mortality and higher pre-stroke positive affect was associated with less stroke mortality. After first incident CVD, depressive symptoms increased. Higher depressive symptoms measured after CVD was associated with an increased risk for mortality (HR: 1.09, 95%CI: 1.00, 1.19). Higher post-CVD positive affect was protective of both all-cause and CVD mortality. Conclusion:During 15-years follow-up in community-dwelling older adults, the relation between higher depressive symptoms measured before first incident CVD and mortality was not independent of health status. In contrast, higher depressive symptoms measured after CVD was associated with an increased risk for mortality.

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“…low mood and psychic anxiety) and the second include both the lack of positive affect and the anxious arousal. Moreover, this approach seems particularly relevant according recent literature both regarding cardiac prevention (Meyer et al, 2014) and in light of the recent debates concerning the ability of HADS in discerning depression and anxiety (Coyne and van Sonderen, 2012;Cosco et al, 2012;Norton et al, 2013;Burns et al, 2014).…”

Section: Baseline Depressive and Anxious Symptomsmentioning

confidence: 99%

Risk factors for incident depression in patients at first acute coronary syndrome

Ossola

Paglia

Pelosi

et al. 2015

Psychiatry Research

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The association between depression and acute coronary syndrome (ACS) is well-established and the first seems to impact meaningfully on cardiac prognosis. Nonetheless only a few studies have evaluated the relationship between incident depression, defined as new cases in patients with no history of depression, and ACS. Therefore the aim of this study is to analyse the risk factors of incident depression in a sample of patients who were presenting their first ACS. 304 consecutive patients were recruited. The presence of major (MD) and minor (md) depression was assessed with the Primary Care Evaluation of Mental Disorders (PRIME-MD), whereas its severity was evaluated with the Hospital Anxiety and Depression Scale (HADS). Evaluations were collected both at baseline and at 1, 2, 4, 6, 9 and 12 month follow ups. Out of 304 subjects (80.6% males), MD was diagnosed in 15 (4.9%) and md in 25 patients (8.2%). At baseline risk factors for a post-ACS depressive disorder were being women (MD only), widowed (md only) and having mild anhedonic depressive symptoms few days after the ACS. Clinicians should keep in mind these variables when facing a patient at his/her first ACS, given the detrimental effect of depression on cardiac prognosis.

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Positive affect moderates the effect of negative affect on cardiovascular disease-related hospitalizations and all-cause mortality after cardiac rehabilitation

Abstract: The combination of NA with low PA was particularly predictive of poor prognosis. Whether reduction of NA and increase of PA, particularly in those with high NA, improves outcome needs to be tested.

Cited by 18 publications

References 38 publications

Depressive symptoms prior to and after incident cardiovascular disease and long-term survival. A population-based study of older persons

Depressive symptoms prior to and after incident cardiovascular disease and long-term survival. A population-based study of older persons

Depressive Symptoms Prior to and after Incident Cardiovascular Disease and Long-term Survival A population-based Study of Older Persons

Risk factors for incident depression in patients at first acute coronary syndrome

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