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Depression, anxiety and stress in women following acute coronary syndrome: implications for secondary prevention

DiGiacomo, Michelle, Davidson, Patricia M, Vanderpluym, Anita, Snell, Rose and Worrall-Carter, Linda 2007, Depression, anxiety and stress in women following acute coronary syndrome: implications for secondary prevention, Australian critical care, vol. 20, no. 2, pp. 69-76, doi: 10.1016/j.aucc.2007.03.002.

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Title Depression, anxiety and stress in women following acute coronary syndrome: implications for secondary prevention
Author(s) DiGiacomo, Michelle
Davidson, Patricia M
Vanderpluym, Anita
Snell, Rose
Worrall-Carter, Linda
Journal name Australian critical care
Volume number 20
Issue number 2
Start page 69
End page 76
Publisher Elsevier Inc.
Place of publication New York, N.Y.
Publication date 2007
ISSN 1036-7314
1878-1721
Summary Objective
To document incidence of depression, anxiety, and stress in women more than 6 months following an acute coronary syndrome.

Design
Participants were identified from a coronary care unit database. The Depression Anxiety Stress Scales 21 (DASS 21) was sent to potential participants via postal survey.

Setting
A metropolitan teaching hospital in Melbourne, Australia.

Participants
The cohort of women was aged between 55 and 70 years. They had been admitted to hospital with a diagnosis of acute coronary syndrome (ACS) between 6 and 14 months prior to participating in this study.

Main outcome measures
Scores on Depression, Anxiety, and Stress Scale (DASS 21).

Results
Of the 117 posted questionnaires, 39 women with a mean age of 63 (S.D. 4.97) responded to the survey, representing a response rate of 33.3%. Most participants scored within normal levels of depression (66.7%), anxiety (60.5%), and stress (70.3%), however, mild to extremely severe levels of each construct (33.4%, 39.6%, and 29.7%, respectively) were found.

Conclusions
The reporting of elevated levels of depression, anxiety and stress in a subset of women more than 6 months following an ACS event underscores the importance of ongoing screening for risk factors impacting on psychological well-being and the inclusion of this information in education and counseling strategies in both the inpatient and outpatient settings. Based on these pilot data, consideration of a screening system in the immediate post discharge period for women at risk and an education or support service are recommended.
Language eng
DOI 10.1016/j.aucc.2007.03.002
Field of Research 111004 Clinical Nursing: Tertiary (Rehabilitative)
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2007, Australian College of Critical Care Nurses Ltd
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007739

Document type: Journal Article
Collection: School of Nursing and Midwifery
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