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Depressive Symptoms and Complications Early after Acute Myocardial Infarction: Gender Differences

Mohannad Eid AbuRuz1, Ghadeer Al-Dweik1

  • 1College of Nursing, Applied Science Private University, Amman, Jordan.

The Open Nursing Journal
|November 20, 2018
PubMed

Insights

Women experienced higher depression levels and more complications after acute myocardial infarction (AMI). Early depression assessment is crucial for managing AMI patients and preventing adverse outcomes.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Cardiovascular disease is a leading global cause of death, with acute myocardial infarction (AMI) as its primary manifestation.
  • Depression is a frequent complication post-AMI, yet gender differences in developing countries remain understudied.
  • Understanding these differences is vital for targeted patient care and improved health outcomes.

Purpose of the Study:

  • To investigate gender-based disparities in depression levels following AMI.
  • To compare the rates of post-AMI complications between men and women.
  • To determine if depression influences complication rates differently based on gender.

Main Methods:

  • A prospective comparative study involving 230 patients (150 men, 80 women) diagnosed with AMI.
  • Participants completed sociodemographic, clinical questionnaires, and the Hospital Anxiety and Depression Scale.
  • Clinical data were collected from medical records post-discharge.

Main Results:

  • 37.4% of participants developed complications; women reported higher depression scores (14.4±3.5 vs. 8.3±2.6) and more complications (1.9±0.9 vs. 0.8±0.5) than men.
  • Depressive symptoms independently predicted complications in both genders, increasing occurrence by 40% in women and 33% in men.
  • These findings highlight significant gender differences in post-AMI depression and complication rates.

Conclusions:

  • Depression is an independent predictor of complications after AMI in both sexes.
  • Integrating depression screening into AMI treatment protocols is strongly recommended for comprehensive patient management.
  • Addressing gender-specific mental health needs post-AMI can improve patient recovery and reduce adverse events.
Abstract

Keywords:
Acute myocardial infarctionCVDComplicationCoronary Heart Disease (CHD)Depressive symptomsDeveloping countries

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