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[Myocardial revascularization surgery, depressive symptoms and labeling effect]
Carla Costa Dias1, Pedro S Mateus, Carlos Mateus
1Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia.
Summary
Knowing they need coronary bypass surgery significantly increased depressive symptoms in patients. Early screening for depression in preoperative protocols can help identify patients needing intervention for better cardiac event outcomes.
Area of Science:
- Cardiology
- Psychiatry
Context:
- The "labeling effect" of disease awareness can negatively impact perceived health.
- Depression is linked to increased hospitalization and cardiac events in coronary artery bypass surgery patients.
Purpose:
- To assess how informing patients about the need for myocardial revascularization surgery affects their depressive symptoms.
Summary:
- Patients informed of impending coronary bypass surgery showed a significant increase in depressive symptoms compared to a control group.
- Beck Depression Inventory scores increased more in the group informed about surgery, indicating a "labeling effect."
- No significant differences were observed in final diagnosis or clinical evolution between groups.
Impact:
- Informing patients about necessary revascularization surgery can worsen depressive symptoms.
- Routine preoperative depression screening is recommended to identify patients who may benefit from therapeutic interventions.