Abstract

PEREZ, Glória Heloise; NICOLAU, José Carlos; ROMANO, Bellkiss Wilma  and  LARANJEIRA, Ronaldo. Depressão e síndromes isquêmicas miocárdicas instáveis: diferenças entre homens e mulheres. Psicol. hosp. (São Paulo) [online]. 2005, vol.3, n.1, pp. 41-58. ISSN 2175-3547.

Objective: To investigate patients with acute coronary syndromes (ACS) stratified by gender, if sociodemographic characteristics, clinical diagnostic, smoking, alcohol consumption and anxiety are associated with depression. Methods: Interviews were conducted with 348 consecutive in-patients with myocardial infarction (206) or unstable angina (139). Interviews included questions about demographic characteristics, smoking, depression (Prime-MD, BDI), state of anxiety, trait anxiety (STAI) and alcohol consumption (AUDIT). Results: In the global population, the presence of major depression correlated significantly with the female gender, below 50 years of age, and with higher trait anxiety and state anxiety scores. Depressed males (245) were more frequently younger than 50 years of age, were typically smokers, and showed scores of trait anxiety and state anxiety higher than the non depressed. Multivariate analysis showed that for males, depression was negatively associated with age (OR 0.9519, 95% IC 0.9261-0,9784) and positively associated with higher trait anxiety scores (OR 1.0691 95% IC 1.0375- 1.1017). Considering the female sample (100), the following was found: depressed women, relative to the non-depressed, showed higher trait and state anxiety scores. The multivariate analysis of the female sample showed that higher trait anxiety scores were independently associated with depression (OR 1.1267 95% IC 1.0632-1.1940). Conclusion: In ACS hospitalized patients, female gender, men younger than 50 years of age and those prone to anxiety, are more likely to present symptoms of depression.

Keywords : Depression; Myocardial Infarction; Angina; Unstable; Anxiety.

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