Journal of General Internal Medicine

, Volume 21, Issue 1, pp 30–38

Prevalence of depression in survivors of acute myocardial infarction

Review of the evidence
  • Brett D. Thombs
  • Eric B. Bass
  • Daniel E. Ford
  • Kerry J. Stewart
  • Konstantinos K. Tsilidis
  • Udita Patel
  • James A. Fauerbach
  • David E. Bush
  • Roy C. Ziegelstein
Original Articles

DOI: 10.1111/j.1525-1497.2005.00269.x

Cite this article as:
Thombs, B.D., Bass, E.B., Ford, D.E. et al. J GEN INTERN MED (2006) 21: 30. doi:10.1111/j.1525-1497.2005.00269.x

Abstract

OBJECTIVES: To assess the prevalence and persistence of depression in patients with acute myocardial infarction (AMI) and the relationship between assessment modality and prevalence.

DATA SOURCES: MEDLINE®, Cochrane, CINAHL®, PsycINFO®, and EMBASE®.

REVIEW METHODS: A comprehensive search was conducted in March 2004 to identify original research studies published since 1980 that used a standardized interview or validated questionnaire to assess depression. The search was augmented by hand searching of selected journals from October 2003 through April 2004 and references of identified articles and reviews. Studies were excluded if only an abstract was provided, if not in English, or if depression was not measured by a validated method.

RESULTS: Major depression was identified in 19.8% (95% confidence interval [CI] 19.1% to 20.6%) of patients using structured interviews (N=10,785, 8 studies). The prevalence of significant depressive symptoms based on a Beck Depression Inventory score ≥10 was 31.1% (CI 29.2% to 33.0%; N=2,273, 6 studies), using a Hospital Anxiety and Depression Scale (HADS) score ≥8%, 15.5% (CI 13.2% to 18.0%; N=863, 4 studies), and with a HADS score ≥11%, 7.3% (CI 5.5% to 9.3%; N=830, 4 studies). Although a significant proportion of patients continued to be depressed in the year after discharge, the limited number of studies and variable follow-up times precluded specification of prevalence rates at given time points.

CONCLUSIONS: Depression is common and persistent in AMI survivors. Prevalence varies depending on assessment method, likely reflecting treatment of somatic symptoms.

Key Words

myocardial infarctiondepressionprevalencesystematic review

Copyright information

© Society of General Internal Medicine 2006

Authors and Affiliations

  • Brett D. Thombs
    • 1
    • 2
  • Eric B. Bass
    • 1
    • 3
    • 4
    • 5
  • Daniel E. Ford
    • 1
    • 2
    • 3
    • 4
    • 5
  • Kerry J. Stewart
    • 1
    • 3
  • Konstantinos K. Tsilidis
    • 1
    • 4
  • Udita Patel
    • 1
  • James A. Fauerbach
    • 1
    • 2
  • David E. Bush
    • 1
    • 3
  • Roy C. Ziegelstein
    • 1
    • 3
  1. 1.Johns Hopkins University Evidence-based Practice Center, Johns Hopkins University School of MediicineBaltimoreUSA
  2. 2.Department of Psychiatry and Behavioral SciencesJohns Hopkins University School of MedicineBaltimoreUSA
  3. 3.Department of MedicineJohns Hopkins University School of MedicineBaltimoreUSA
  4. 4.Department of EpidemiologyJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  5. 5.Department of Health Policy and ManagementJohns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  6. 6.Department of MedicineB-1-North, Johns Hopkins Bayview Medical CenterBaltimore