Anxiety, depression and perceived control in patients having coronary artery bypass grafts

Gallagher, R; McKinley, S

Anxiety, depression and perceived control in patients having coronary artery bypass grafts

Gallagher, R

McKinley, S

Permalink

Publication Type:: Journal Article
Citation:: Journal of Advanced Nursing, 2009, 65 (11), pp. 2386 - 2396
Issue Date:: 2009-11-01

Closed Access

	Filename	Description	Size
	2008006641OK.pdf		204.83 kB	Adobe PDF	View/Open

Copyright Clearance Process

Recently Added
In Progress
Closed Access

This item is closed access and not available.

Full metadata record

Field	Value	Language
dc.contributor.author	Gallagher, R https://orcid.org/0000-0001-5588-9351	en_US
dc.contributor.author	McKinley, S	en_US
dc.date.issued	2009-11-01	en_US
dc.identifier.citation	Journal of Advanced Nursing, 2009, 65 (11), pp. 2386 - 2396	en_US
dc.identifier.issn	0309-2402	en_US
dc.identifier.uri	http://hdl.handle.net/10453/9513
dc.description.abstract	Title. Anxiety, depression and perceived control in patients having coronary artery bypass grafts. Aim. This paper is a report of a study to determine (1) the course of anxiety, depression and perceptions of control, and (2) the influence of perceptions of control, in patients undergoing coronary artery bypass grafts before surgery, after surgery in hospital and 2 weeks after discharge. Background. Anxiety and depression are common in patients undergoing coronary artery bypass graft surgery patients and predictive of worse outcomes. Few researchers have examined the influence of perceived control on these emotional states in the acute surgical period. Methods. A prospective, descriptive design was used with a convenience sample of patients having coronary grafts (n = 155). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale and perceptions of control over their cardiac illness by the Control Attitudes Scale before surgery, after surgery during hospitalization and 2 weeks after hospital discharge. The data were collected in 2005. Results. Patients had low levels of anxiety at each timepoint; however, borderline or clinically significant levels were common before surgery (38·7%) and after discharge. (38·6%). Depression levels were low, but increased over time (F = 27·03, P < 0·001). Patients had low to moderate perceptions of control over their illness before surgery, which increased over time (F = 25·51, P < 0·001). Those with stronger perceptions of control were less anxious or depressed at all times and those who were more anxious or depressed before surgery continued to be so afterwards. Conclusion. Routine assessment of anxiety, depression and perceptions of control are justified to identify patients at risk and to intervene to promote control perceptions. © 2009 Blackwell Publishing Ltd.	en_US
dc.relation.ispartof	Journal of Advanced Nursing	en_US
dc.relation.isbasedon	10.1111/j.1365-2648.2009.05101.x	en_US
dc.subject.classification	Nursing	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Coronary Disease	en_US
dc.subject.mesh	Coronary Artery Bypass	en_US
dc.subject.mesh	Prospective Studies	en_US
dc.subject.mesh	Adaptation, Psychological	en_US
dc.subject.mesh	Stress, Psychological	en_US
dc.subject.mesh	Internal-External Control	en_US
dc.subject.mesh	Anxiety Disorders	en_US
dc.subject.mesh	Depressive Disorder	en_US
dc.subject.mesh	Psychiatric Status Rating Scales	en_US
dc.subject.mesh	Neuropsychological Tests	en_US
dc.subject.mesh	Adult	en_US
dc.subject.mesh	Aged	en_US
dc.subject.mesh	Middle Aged	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Male	en_US
dc.title	Anxiety, depression and perceived control in patients having coronary artery bypass grafts	en_US
dc.type	Journal Article
utslib.citation.volume	11	en_US
utslib.citation.volume	65	en_US
utslib.for	111003 Clinical Nursing: Secondary (Acute Care)	en_US
utslib.for	1110 Nursing	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	closed_access
pubs.issue	11	en_US
pubs.publication-status	Published	en_US
pubs.volume	65	en_US

Abstract:

Title. Anxiety, depression and perceived control in patients having coronary artery bypass grafts. Aim. This paper is a report of a study to determine (1) the course of anxiety, depression and perceptions of control, and (2) the influence of perceptions of control, in patients undergoing coronary artery bypass grafts before surgery, after surgery in hospital and 2 weeks after discharge. Background. Anxiety and depression are common in patients undergoing coronary artery bypass graft surgery patients and predictive of worse outcomes. Few researchers have examined the influence of perceived control on these emotional states in the acute surgical period. Methods. A prospective, descriptive design was used with a convenience sample of patients having coronary grafts (n = 155). Anxiety and depression were measured by the Hospital Anxiety and Depression Scale and perceptions of control over their cardiac illness by the Control Attitudes Scale before surgery, after surgery during hospitalization and 2 weeks after hospital discharge. The data were collected in 2005. Results. Patients had low levels of anxiety at each timepoint; however, borderline or clinically significant levels were common before surgery (38·7%) and after discharge. (38·6%). Depression levels were low, but increased over time (F = 27·03, P < 0·001). Patients had low to moderate perceptions of control over their illness before surgery, which increased over time (F = 25·51, P < 0·001). Those with stronger perceptions of control were less anxious or depressed at all times and those who were more anxious or depressed before surgery continued to be so afterwards. Conclusion. Routine assessment of anxiety, depression and perceptions of control are justified to identify patients at risk and to intervene to promote control perceptions. © 2009 Blackwell Publishing Ltd.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/9513