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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 3/2013

01-12-2013 | Original Article

Depression and Anxiety Following Myocardial Infarction and Their Inverse Associations with Future Health Behaviors and Quality of Life

Authors: Yael Benyamini, PhD, Ilan Roziner, MA, Uri Goldbourt, PhD, Yaacov Drory, MD, Yariv Gerber, PhD, For the Israel Study Group on First Acute Myocardial Infarction

Published in: Annals of Behavioral Medicine | Issue 3/2013

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Abstract

Background

Post-myocardial infarction (MI) depression and anxiety were found to predict prognosis and quality of life.

Purpose

The purpose of this study was to test a behavioral pathway from post-MI depression/anxiety to future quality of life.

Methods

This is a longitudinal cohort study. Five hundred forty patients (≤65 years old) filled out questionnaires after a first MI, including socio-demographics, pre-MI health status and behaviors, MI severity, social support, sense of coherence, depression, and anxiety. Reports of health behaviors were obtained 5 years and of quality of life 10 years later.

Results

A structural equations model confirmed that depression and anxiety were directly related to poorer quality of life 10 years later. These relationships were partly mediated by a positive association between anxiety and health behaviors at 5 years and a negative one between depression and health behaviors.

Conclusions

The opposite effects of anxiety and depression underscore the need to attend to both emotional reactions to MI while encouraging preventive health behaviors.
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Metadata
Title
Depression and Anxiety Following Myocardial Infarction and Their Inverse Associations with Future Health Behaviors and Quality of Life
Authors
Yael Benyamini, PhD
Ilan Roziner, MA
Uri Goldbourt, PhD
Yaacov Drory, MD
Yariv Gerber, PhD
For the Israel Study Group on First Acute Myocardial Infarction
Publication date
01-12-2013
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 3/2013
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-013-9509-3

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