Optimism and Death: Predicting the Course and Consequences of Depression Trajectories in Response to Heart Attack
Optimism and Death: Predicting the Course and Consequences of Depression Trajectories in Response to Heart Attack
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DOI：
10.1177/0956797614551750
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发表时间：
2014-12-01
影响因子：
8.2
通讯作者：
Bonanno, George A.
中科院分区：
文献类型：
--
作者：
Galatzer-Levy, Isaac R.;Bonanno, George A.
抑郁症与心肌梗死（MI）（通常称为心脏病发作）的关系以及死亡率的后果尚未得到很好的表征。此外，乐观可以预测MI对抑郁症的影响以及继发于MI的死亡率。在当前的研究中，我们使用了一个大型的基于人群的老年人前瞻性样本（N = 2,147），以确定从首次报告MI前6年到MI后4年的抑郁症的异质性轨迹。研究结果表明，当首次报告MI后出现抑郁症时，个体的死亡风险显著增加，与MI后抑郁症发病率没有显著升高的弹性个体相比。患有慢性抑郁症的个体和那些表现出事件前抑郁，随后在MI后恢复的个体的风险并没有增加。此外，乐观，MI前测量，前瞻性区分所有抑郁症患者的参与者谁是弹性。
The course of depression in relation to myocardial infarction (MI), commonly known as heart attack, and the consequences for mortality are not well characterized. Further, optimism may predict both the effects of MI on depression as well as mortality secondary to MI. In the current study, we utilized a large population-based prospective sample of older adults (N = 2,147) to identify heterogeneous trajectories of depression from 6 years prior to their first-reported MI to 4 years after. Findings indicated that individuals were at significantly increased risk for mortality when depression emerged after their first-reported MI, compared with resilient individuals who had no significant post-MI elevation in depression symptomatology. Individuals with chronic depression and those demonstrating pre-event depression followed by recovery after MI were not at increased risk. Further, optimism, measured before MI, prospectively differentiated all depressed individuals from participants who were resilient.