Gender-Based Differences in Anxiety and Depression Following Acute Myocardial Infarction

Pranas Serpytis1,2,3, Petras Navickas1, Laura Lukaviciute1

  • 1Vilnius University - Faculty of Medicine, Vilnius - Lithuania.

Insights

Women are at higher risk for anxiety and depression after myocardial infarction (MI). Depression severity increased with age in men but not women, with specific risk factors varying by gender.

Area of Science:

  • Cardiology
  • Psychiatry
  • Epidemiology

Background:

  • Depression and anxiety are common in heart disease patients and are independent risk factors for cardiovascular disease progression.
  • Limited research exists on gender-specific differences in emotional disorders among cardiovascular patients.

Purpose of the Study:

  • To assess depression and anxiety levels in myocardial infarction (MI) patients within one month post-MI.
  • To examine associations between cardiovascular disease risk factors, demographics, and emotional disorders.
  • To identify gender-based differences in these associations.

Main Methods:

  • A survey collected demographic and clinical data, including cardiovascular disease risk factors.
  • The Hospital Anxiety and Depression Scale (HADS) was used to measure emotional disorders.
  • Statistical analyses, including two-sided tests, were performed with a significance level of p < 0.05.

Main Results:

  • Women showed higher rates of anxiety and/or depression (71.4%) compared to men (60.4%).
  • Women had a significantly higher risk of psychiatric disorders (OR 2.86) and higher depression scores (HADS-D: 8.66) than men (6.87).
  • Depression in men was associated with younger age, while in women, depression and anxiety severity were consistent across age groups post-MI.

Conclusions:

  • Women face an elevated risk of anxiety and/or depression post-MI compared to men.
  • Gender-specific patterns emerged regarding the relationship between emotional disorder severity, age, and risk factors like diabetes, inactivity, and smoking.
  • Hypercholesterolemia was linked to higher anxiety and depression scores in both genders.
Abstract

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