Classes of depression, anxiety, and functioning in acute coronary syndrome patients

Am J Health Behav. 2012 Jan;36(1):20-30. doi: 10.5993/ajhb.36.1.3.

Abstract

Objectives: To describe change in subgroups characterized by patterns of depression, anxiety, and functional impairment; examine treatment effects on subgroup membership; examine effects of sex and age on subgroup membership.

Methods: Latent class models were used to meet the first 2 objectives using 79 patients with depression/anxiety. Generalized estimating equations were used to meet the third objective.

Results: Three subgroups characterized by different combinations of psychiatric disorders and functioning were identified. Patients who received treatment were more likely to transition to a less impaired subgroup.

Conclusions: Unique information about holistic treatment effects can be gained when multiple outcomes are considered simultaneously.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Acute Coronary Syndrome / complications
  • Acute Coronary Syndrome / psychology*
  • Acute Coronary Syndrome / therapy*
  • Adaptation, Psychological
  • Age Factors
  • Anxiety / complications
  • Anxiety / diagnosis*
  • Cognitive Behavioral Therapy / methods
  • Cognitive Behavioral Therapy / statistics & numerical data*
  • Depression / complications
  • Depression / diagnosis*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Models, Psychological
  • Psychiatric Status Rating Scales / statistics & numerical data
  • Sex Factors