관상동맥질환자의 심질환 재발에 영향을 미치는 심리적 디스트레스에 대한 체계적 문헌고찰 = A Systematic Review of Psychological Distress as a Risk Factor for Recurrent Cardiac Events in Patients with Coronary Artery Disease

다국어 초록 (Multilingual Abstract)

Purpose: The purpose of this study was to determine whether psychological distress is an independent risk factor for recurrent cardiac events in patients with coronary artery disease (CAD). Methods: A prospective cohort of studies that measured psychological distress and the incidence of recurrent cardiac events in the adult population were included. Three computerized databases were assessed (PubMed, CINAHL, and PSYCINFO). Meta-analysis was conducted using a random-effects model to determine summary estimates of risks of major recurrent cardiac events associated with each psychological distress. Of 506 publications identified, 33 met inclusion criteria, and 24 studies were used to estimate effect size of psychological distress on recurrent cardiac events. Results: Mean number in the research sample was 736 and mean time of follow-up was 4.0 years. Depression, anxiety, anger, and hostility as psychological factors were studied. According to estimation of effect size using random model effect, depression (OR=1.39, 95% CI: 1.22-1.57), anxiety (OR=1.22, 95% CI: 0.96-1.56), and anger/hostility (OR=1.29, 95% CI: 1.07-1.57) CAD patients in significantly increased risk for recurrent cardiac events. Conclusion: Finding suggests that psychological distress in forms of depression, anxiety, anger, and hostility impact unfavorably on recurrent cardiac events in CAD patients.

참고문헌 (Reference)

1 임석태, "관상동맥질환의 예후 및 위험도 평가" 대한핵의학회 43 (43): 222-228, 2009

2 Chida, Y., "The association of anger and hostility with future coronary heart disease: A meta-analytic review of prospective evidence" 53 : 936-946, 2009

3 Song, E. K, "TRAIT ANGER, HOSTILITY, SERUM HOMOCYSTEINE, AND RECURRENT CARDIAC EVENTS AFTER PERCUTANEOUS CORONARY INTERVENTIONS" AMER ASSOC CRITICAL CARE NURSES 18 (18): 554-561, 2009

4 Egger, M, "Systematic reviews of observational studies in Systematic Reviews in Health Care: Meta-Analysis in Context (2nd ed.)" BMJ Books 2001

5 Martens, E. J, "Symptom dimensions of post-myocardial infarction depression, disease severity and cardiac prognosis" 40 : 807-814, 2010

6 de Jonge, P, "Symptom dimensions of depression following myocardial infarction and their relationship with somatic health status and cardiovascular prognosis" 163 : 138-144, 2006

7 Ziegelstein, R. C, "Routine screening for depression in patients with coronary heart disease, never mind" 54 : 886-890, 2009

8 Gorkin, L, "Psychosocial predictors of mortality in the Cardiac Arrhythmia Suppression Trial-1 (CAST-1)" 71 : 263-267, 1993

9 Everson-Rose, S. A, "Psychosocial factors and cardiovascular diseases" 26 : 459-500, 2005

10 Ridner, S. H, "Psychological distress: Concept analysis" 45 : 536-545, 2004

11 McCabe, P. J, "Psychological distress in patients diagnosed with atrial fibrillation: The state of the science" 25 : 40-51, 2010

12 Roest, A. M, "Prognostic association of anxiety post myocardial infarction with mortality and new cardiac events: A meta-analysis" 72 : 563-569, 2010

13 Thune, J. J, "Predictors and prognostic impact of recurrent myocardial infarction in patients with left ventricular dysfunction, heart failure, or both following a first myocardial infarction" 13 : 148-153, 2011

14 DerSimonian, R, "Meta-analysis in clinical trials" 7 : 177-188, 1986

15 Allison, T. G., "Medical and economic costs of psychologic distress in patients with coronary artery disease" 70 : 734-742, 1995

16 Higgins, J. P, "Measuring inconsistency in meta-analyses" 327 : 557-560, 2003

17 Lemesle, G, "High incidence of recurrent in stent thrombosis after successful treatment of a first in stent thrombosis" 72 : 470-478, 2008

18 Barth, J, "Depression as a risk factor for mortality in patients with coronary heart disease: A meta-analysis" 66 : 802-813, 2004

19 Kent, L. K., "Depression and related psychological factors in heart disease" 17 : 377-388, 2009

20 Frasure-Smith, N, "Depression and other psychological risks following myocardial infarction" 60 : 627-636, 2003

21 Mayou, R. A, "Depression and anxiety as predictors of outcome after myocardial infarction" 62 : 212-219, 2000

22 Pedersen, S. S, "Brief depression screening with the PHQ-2 associated with prognosis following percutaneous coronary intervention with paclitaxel-eluting stenting" 24 : 1037-1042, 2009

23 Sirois, B. C., "Biomedical and psychosocial predictors of anginal frequency in patients following angioplasty with and without coronary stenting" 26 : 535-551, 2003

24 Egger, M, "Bias in meta-analysis detected by a simple, graphical test" 315 : 629-634, 1997

25 Barlow, D. H, "Anxiety and its disorders (2nd ed.)" Guilford 2002

26 Leroy, M, "Anhedonia as predictor of clinical events after acute coronary syndromes: A 3-year prospective study" 51 (51): 8-14, 2009

27 Denollet, J, "Anger, suppressed anger, and risk of adverse events in patients with coronary artery disease" 105 : 1555-1560, 2010

28 Hopkins, W. G, "An introduction to meta-analysis" 8 : 20-24, 2004

29 Smith, S. C. Jr., "ACC guidelines for secondary prevention for patients with coronary and other atherosclerotic vascular disease: 2006 update" 113 : 2363-2372, 2006