Peter de Jonge1, Marij Zuidersma2, Ute Bültmann3. 1. Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands. Electronic address: peter.de.jonge@umcg.nl. 2. Interdisciplinary Center Psychopathology and Emotion Regulation, Department of Psychiatry, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands. 3. Division of Community and Occupational Medicine, Department of Health Sciences, University Medical Center Groningen, University of Groningen, 9712 CP Groningen, The Netherlands.
Abstract
CONTEXT: No studies have evaluated whether the presence of a depressive episode is associated with an increased risk of not returning to work following myocardial infarction (MI). OBJECTIVES: To examine the prospective associations between depressive episode and anxiety disorders with return to work (RTW) after MI at 3 and 12 months based on International Classification of Diseases, 10th Revision. DESIGN: Prospective cohort study. SETTING: Four hospitals in the North of The Netherlands. PARTICIPANTS: From a sample of patients hospitalized for MI (n=487), we selected those who had a paid job at the time of the MI (N=200). MAIN EXPOSURE MEASURES: Presence of a depressive episode and presence of any anxiety disorder during the first 3 months post-MI. MAIN OUTCOME MEASURES: RTW at 12 months post-MI. RESULTS: Of the patients with work prior to MI, 75% had returned to work at 12 months. The presence of a depressive episode during the first 3 months (prevalence: 19.4%) was a significant predictor of no RTW at 12 months post-MI, also after controlling for confounders [odds ratio (OR) 3.48; 95% confidence interval (CI): 1.45-8.37]. The presence of an anxiety disorder (prevalence: 11.9%) had a borderline significant association with no RTW as well. This association remained after controlling for confounders (OR 2.90; 95% CI: 1.00-6.38) but diminished when controlling for depression. CONCLUSIONS: The presence of a depressive episode was associated with an increased risk of no RTW in MI patients. The association between anxiety and risk of no RTW could in part be explained by the presence of depression. Further studies may address the possibility of countering the effect of depression by effective treatment.
CONTEXT: No studies have evaluated whether the presence of a depressive episode is associated with an increased risk of not returning to work following myocardial infarction (MI). OBJECTIVES: To examine the prospective associations between depressive episode and anxiety disorders with return to work (RTW) after MI at 3 and 12 months based on International Classification of Diseases, 10th Revision. DESIGN: Prospective cohort study. SETTING: Four hospitals in the North of The Netherlands. PARTICIPANTS: From a sample of patients hospitalized for MI (n=487), we selected those who had a paid job at the time of the MI (N=200). MAIN EXPOSURE MEASURES: Presence of a depressive episode and presence of any anxiety disorder during the first 3 months post-MI. MAIN OUTCOME MEASURES: RTW at 12 months post-MI. RESULTS: Of the patients with work prior to MI, 75% had returned to work at 12 months. The presence of a depressive episode during the first 3 months (prevalence: 19.4%) was a significant predictor of no RTW at 12 months post-MI, also after controlling for confounders [odds ratio (OR) 3.48; 95% confidence interval (CI): 1.45-8.37]. The presence of an anxiety disorder (prevalence: 11.9%) had a borderline significant association with no RTW as well. This association remained after controlling for confounders (OR 2.90; 95% CI: 1.00-6.38) but diminished when controlling for depression. CONCLUSIONS: The presence of a depressive episode was associated with an increased risk of no RTW in MI patients. The association between anxiety and risk of no RTW could in part be explained by the presence of depression. Further studies may address the possibility of countering the effect of depression by effective treatment.
Authors: Annett Salzwedel; Rona Reibis; Karl Wegscheider; Sarah Eichler; Hermann Buhlert; Stefan Kaminski; Heinz Völler Journal: Clin Res Cardiol Date: 2015-09-16 Impact factor: 5.460
Authors: Terese Sara Hoej Joergensen; Solvej Maartensson; Else Helene Ibfelt; Martin Balslev Joergensen; Ida Kim Wium-Andersen; Marie Kim Wium-Andersen; Eva Prescott; Per Kragh Andersen; Merete Osler Journal: Soc Psychiatry Psychiatr Epidemiol Date: 2016-08-19 Impact factor: 4.328
Authors: D Ramya Shruthi; S Sunil Kumar; Nagaraj Desai; Rajesh Raman; T S Sathyanarayana Rao Journal: Indian J Psychiatry Date: 2018 Jan-Mar Impact factor: 1.759
Authors: Ruofei Du; Panpan Wang; Lixia Ma; Leon M Larcher; Tao Wang; Changying Chen Journal: Health Qual Life Outcomes Date: 2020-06-17 Impact factor: 3.186
Authors: Zihan Jiang; Rachel P Dreyer; John A Spertus; Frederick A Masoudi; Jing Li; Xin Zheng; Xi Li; Chaoqun Wu; Xueke Bai; Shuang Hu; Yun Wang; Harlan M Krumholz; Hong Chen Journal: JAMA Netw Open Date: 2018-11-02