Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/63119
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dc.contributor.authorTully, P.en
dc.contributor.authorBennetts, J.en
dc.contributor.authorBaker, R.en
dc.contributor.authorMcGavigan, A.en
dc.contributor.authorTurnbull, D.en
dc.contributor.authorWinefield, H.en
dc.date.issued2011en
dc.identifier.citationHeart & Lung, 2011; 40(1):4-11en
dc.identifier.issn0147-9563en
dc.identifier.issn1527-3288en
dc.identifier.urihttp://hdl.handle.net/2440/63119-
dc.description.abstractObjective: We sought to determine whether preoperative and postoperative anxiety, depression, and stress symptoms were associated with atrial fibrillation (AF) after cardiac surgery. Methods: Two hundred and twenty-six cardiac surgery patients completed measures of depression, anxiety, and general stress before surgery, and 222 patients completed these measures after surgery. The outcome variable was new-onset AF, confirmed before the median day of discharge (day 5) after cardiac surgery during the index hospitalization. Results: Fifty-six (24.8%) patients manifested incident AF, and they spent more days in hospital (mean [M], 7.3; standard deviation [SD], 4.6) than patients without AF (M, 5.5; SD, 1.4; P < .001). No baseline psychological predictors were associated with AF. When postoperative distress measures were considered, anxiety was associated with increased odds of AF (odds ratio, 1.09; 95% confidence interval, 1.00 to 1.18; P = .05). This analysis also showed that age was significantly associated with AF (odds ratio, 1.07; 95% confidence interval, 1.03 to 1.12; P < .001). Analyses specific to the symptomatic expression of anxiety indicated that somatic (ie, autonomic arousal) and cognitive-affective (ie, subjective experiences of anxious affect) symptoms were associated with incident AF. Conclusion: Anxiety symptoms in the postoperative period were associated with AF. Hospital staff in acute cardiac care and cardiac rehabilitation settings should observe anxiety as related to AF after cardiac surgery. It is not clear how anxious cognitions influence the experience of AF symptoms, and whether symptoms of anxiety commonly precede AF.en
dc.description.statementofresponsibilityPhillip J. Tully, Jayme S. Bennetts, Robert A. Baker, Andrew D. McGavigan, Deborah A. Turnbull and Helen R. Winefielden
dc.language.isoenen
dc.publisherMosby Incen
dc.rightsCrown copyright © 2011 Published by Mosby, Inc.Copyright © 2011 Elsevier B.V. All rights reserved.en
dc.subjectAnxiety; Arrhythmia; Atrial fibrillation; Coronary artery bypass graft; Depression; Electrocardiogramen
dc.titleAnxiety, depression, and stress as risk factors for atrial fibrillation after cardiac surgeryen
dc.typeJournal articleen
dc.identifier.rmid0020097502en
dc.identifier.doi10.1016/j.hrtlng.2009.12.010en
dc.identifier.pubid34343-
pubs.library.collectionPsychology publicationsen
pubs.verification-statusVerifieden
pubs.publication-statusPublisheden
dc.identifier.orcidTully, P. [0000-0003-2807-1313]en
dc.identifier.orcidTurnbull, D. [0000-0002-7116-7073]en
dc.identifier.orcidWinefield, H. [0000-0002-4856-5727]en
Appears in Collections:Psychology publications

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