Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction

[EN] Anxiety and depression are common after a myocardial infarction (MI), so psychological and psychiatric mental health (MH) interventions are recommended during Cardiac Rehabilitation Programs (CRP). We aim to evaluate anxiety and depression symptoms and quality of life in MI sufferers followed i...

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Autores: C Bertolin-Boronat, Marcos-Garcés, Víctor, Merenciano-Gonzalez H, Martínez Mas, Maria Luz, Climent Alberola, Josefa Inés, Pérez, Nerea, Lopez Bueno, Laura, Esteban Argente, Maria Concepcion, Valls Reig, Maria, Arizon Benito, Ana, Paya Rubio, Alfonso, Rios-Navarro, César, De Dios, Elena, Gavara, Jose, Jiménez-Navarro, Manuel F.
Tipo de recurso: artículo
Fecha de publicación:2025
País:España
Institución:Universitat Politècnica de València (UPV)
Repositorio:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
Idioma:inglés
OAI Identifier:oai:riunet.upv.es:10251/230980
Acceso en línea:https://riunet.upv.es/handle/10251/230980
Access Level:acceso abierto
Palabra clave:Mental health
Myocardial infarction
Cardiac rehabilitation
Anxiety
Depression
Quality of life
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network_name_str España
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dc.title.none.fl_str_mv Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
title Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
spellingShingle Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
C Bertolin-Boronat
Mental health
Myocardial infarction
Cardiac rehabilitation
Anxiety
Depression
Quality of life
title_short Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
title_full Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
title_fullStr Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
title_full_unstemmed Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
title_sort Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial Infarction
dc.creator.none.fl_str_mv C Bertolin-Boronat
Marcos-Garcés, Víctor
Merenciano-Gonzalez H
Martínez Mas, Maria Luz
Climent Alberola, Josefa Inés
Pérez, Nerea
Lopez Bueno, Laura
Esteban Argente, Maria Concepcion
Valls Reig, Maria
Arizon Benito, Ana
Paya Rubio, Alfonso
Rios-Navarro, César
De Dios, Elena
Gavara, Jose
Jiménez-Navarro, Manuel F.
author C Bertolin-Boronat
author_facet C Bertolin-Boronat
Marcos-Garcés, Víctor
Merenciano-Gonzalez H
Martínez Mas, Maria Luz
Climent Alberola, Josefa Inés
Pérez, Nerea
Lopez Bueno, Laura
Esteban Argente, Maria Concepcion
Valls Reig, Maria
Arizon Benito, Ana
Paya Rubio, Alfonso
Rios-Navarro, César
De Dios, Elena
Gavara, Jose
Jiménez-Navarro, Manuel F.
author_role author
author2 Marcos-Garcés, Víctor
Merenciano-Gonzalez H
Martínez Mas, Maria Luz
Climent Alberola, Josefa Inés
Pérez, Nerea
Lopez Bueno, Laura
Esteban Argente, Maria Concepcion
Valls Reig, Maria
Arizon Benito, Ana
Paya Rubio, Alfonso
Rios-Navarro, César
De Dios, Elena
Gavara, Jose
Jiménez-Navarro, Manuel F.
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Generalitat Valenciana
Instituto de Salud Carlos III
European Regional Development Fund
Repositorio Institucional de la Universitat Politècnica de València Riunet
dc.subject.none.fl_str_mv Mental health
Myocardial infarction
Cardiac rehabilitation
Anxiety
Depression
Quality of life
topic Mental health
Myocardial infarction
Cardiac rehabilitation
Anxiety
Depression
Quality of life
description [EN] Anxiety and depression are common after a myocardial infarction (MI), so psychological and psychiatric mental health (MH) interventions are recommended during Cardiac Rehabilitation Programs (CRP). We aim to evaluate anxiety and depression symptoms and quality of life in MI sufferers followed in a CRP without dedicated MH resources. We prospectively included 164 MI patients in our CRP without dedicated MH resources. Patient Health Questionnaire 2-item (PHQ-2) and Generalized Anxiety Disorder 2-item (GAD-2) questionnaires for depression and anxiety screening (altered if >= 3 points) and the 36-Item Short Form Survey Instrument (SF-36) to analyze four MH components and Mental Component Summary (MCS) were assessed at the beginning and after CRP. The mean age was 61.35 +/- 10.76 years, and most patients were male (86.6%). A significant improvement in SF-36 mental components (from +5.94 +/- 27.98 to +8.31 +/- 25 points, p < 0.001) and SF-36-MCS (+1.85 +/- 10.23 points, p = 0.02) was noted, as well as a reduction in depression and anxiety symptoms in PHQ-2 and GAD-2 (p < 0.001). However, 33 (20.1%) patients showed a positive screening for depression and/or anxiety at the end of the program. These patients were younger (56.6 +/- 8.05 vs. 62.55 +/- 11.05 years, p = 0.004) and showed significantly worse initial scores of SF-36 mental components, PHQ-2, and GAD-2 (p < 0.001). We conclude that a Phase 2 CRP without dedicated MH resources can achieve significant improvements in MH well-being after MI. However, one-fifth of the population had substantial depression and/or anxiety symptoms at the end of the program. This subset, characterized by worse initial MH scores, may benefit from specific MH interventions during CRP.
publishDate 2025
dc.date.none.fl_str_mv 2025
2025-03-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
VoR
http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://riunet.upv.es/handle/10251/230980
url https://riunet.upv.es/handle/10251/230980
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.relation.none.fl_str_mv ISCIII ISCIII Plan Estatal de Investigación Científica, Técnica y de Innovación para el periodo 2021-2023 PI23%2F01150 Obstrucción microvascular tras un infarto de miocardio. Avances hacia una cuantificación automatizada, biomarcadores basados en técnicas ómicas y una estratificación de riesgo a largo plazo personalizada
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI20%2F00637 RESOLUCION DE LA OBSTRUCCION MICROVASCULAR TRAS UN INFARTO DE MIOCARDIO: EVALUACION DE LAS CONSECUENCIAS ESTRUCTURALES Y CLINICAS Y BUSQUEDA DE NUEVAS OPCIONES TERAPEUTICAS.
European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00420
European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00486
European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00479
Generalitat Valenciana https://doi.org/10.13039/501100003359 PROMETEO%2F2021%2F008
Generalitat Valenciana https://doi.org/10.13039/501100003359 CIAPOS%2F2023%2F247
Generalitat Valenciana https://doi.org/10.13039/501100003359 CIAPOS2023%2F248
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM21%2F00175
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM23%2F00246
Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 JR23%2F00032
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
Reconocimiento (by)
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI AG
publisher.none.fl_str_mv MDPI AG
dc.source.none.fl_str_mv reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
instname:Universitat Politècnica de València (UPV)
instname_str Universitat Politècnica de València (UPV)
reponame_str RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
collection RiuNet. Repositorio Institucional de la Universitat Politécnica de Valéncia
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spelling Depression, Anxiety, and Quality of Life in a Cardiac Rehabilitation Program Without Dedicated Mental Health Resources Post-Myocardial InfarctionC Bertolin-BoronatMarcos-Garcés, VíctorMerenciano-Gonzalez HMartínez Mas, Maria LuzCliment Alberola, Josefa InésPérez, NereaLopez Bueno, LauraEsteban Argente, Maria ConcepcionValls Reig, MariaArizon Benito, AnaPaya Rubio, AlfonsoRios-Navarro, CésarDe Dios, ElenaGavara, JoseJiménez-Navarro, Manuel F.Mental healthMyocardial infarctionCardiac rehabilitationAnxietyDepressionQuality of life[EN] Anxiety and depression are common after a myocardial infarction (MI), so psychological and psychiatric mental health (MH) interventions are recommended during Cardiac Rehabilitation Programs (CRP). We aim to evaluate anxiety and depression symptoms and quality of life in MI sufferers followed in a CRP without dedicated MH resources. We prospectively included 164 MI patients in our CRP without dedicated MH resources. Patient Health Questionnaire 2-item (PHQ-2) and Generalized Anxiety Disorder 2-item (GAD-2) questionnaires for depression and anxiety screening (altered if >= 3 points) and the 36-Item Short Form Survey Instrument (SF-36) to analyze four MH components and Mental Component Summary (MCS) were assessed at the beginning and after CRP. The mean age was 61.35 +/- 10.76 years, and most patients were male (86.6%). A significant improvement in SF-36 mental components (from +5.94 +/- 27.98 to +8.31 +/- 25 points, p < 0.001) and SF-36-MCS (+1.85 +/- 10.23 points, p = 0.02) was noted, as well as a reduction in depression and anxiety symptoms in PHQ-2 and GAD-2 (p < 0.001). However, 33 (20.1%) patients showed a positive screening for depression and/or anxiety at the end of the program. These patients were younger (56.6 +/- 8.05 vs. 62.55 +/- 11.05 years, p = 0.004) and showed significantly worse initial scores of SF-36 mental components, PHQ-2, and GAD-2 (p < 0.001). We conclude that a Phase 2 CRP without dedicated MH resources can achieve significant improvements in MH well-being after MI. However, one-fifth of the population had substantial depression and/or anxiety symptoms at the end of the program. This subset, characterized by worse initial MH scores, may benefit from specific MH interventions during CRP.This research was funded by Instituto de Salud Carlos III, Fondos Europeos de Desarrollo Regional FEDER and Fondo Social Europeo Plus (FSE+) (grant numbers PI20/00637, PI23/01150, CIBERCV16/11/00486, CIBERCV16/11/00420, CIBERCV16/11/00479 and postgraduate contracts CM21/00175 and CM23/00246) and by Conselleria de Educacion of the Generalitat Valenciana (PROMETEO/2021/008). Dr. Marcos-Garces acknowledges funding from the Instituto de Salud Carlos III and co-funding from Fondo Social Europeo Plus (FSE+) (grant JR23/00032). Drs. Rios-Navarro and Gavara acknowledge funding from the Conselleria de Educacion-Generalitat Valenciana and co-funding from Fondo Social Europeo Plus (grant numbers CIAPOS/2023/247, and CIAPOS2023/248).MDPI AGGeneralitat ValencianaInstituto de Salud Carlos IIIEuropean Regional Development FundRepositorio Institucional de la Universitat Politècnica de València Riunet20252025-03-01journal articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://riunet.upv.es/handle/10251/230980reponame:RiuNet. Repositorio Institucional de la Universitat Politécnica de Valénciainstname:Universitat Politècnica de València (UPV)InglésengISCIII ISCIII Plan Estatal de Investigación Científica, Técnica y de Innovación para el periodo 2021-2023 PI23%2F01150 Obstrucción microvascular tras un infarto de miocardio. Avances hacia una cuantificación automatizada, biomarcadores basados en técnicas ómicas y una estratificación de riesgo a largo plazo personalizadaInstituto de Salud Carlos III https://doi.org/10.13039/501100004587 Plan Estatal de Investigación Científica y Técnica y de Innovación 2017-2020 (ISCIII) PI20%2F00637 RESOLUCION DE LA OBSTRUCCION MICROVASCULAR TRAS UN INFARTO DE MIOCARDIO: EVALUACION DE LAS CONSECUENCIAS ESTRUCTURALES Y CLINICAS Y BUSQUEDA DE NUEVAS OPCIONES TERAPEUTICAS.European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00420European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00486European Regional Development Fund https://doi.org/10.13039/501100008530 CIBERCV16%2F11%2F00479Generalitat Valenciana https://doi.org/10.13039/501100003359 PROMETEO%2F2021%2F008Generalitat Valenciana https://doi.org/10.13039/501100003359 CIAPOS%2F2023%2F247Generalitat Valenciana https://doi.org/10.13039/501100003359 CIAPOS2023%2F248Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM21%2F00175Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 CM23%2F00246Instituto de Salud Carlos III https://doi.org/10.13039/501100004587 JR23%2F00032open accesshttp://purl.org/coar/access_right/c_abf2Reconocimiento (by)http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:riunet.upv.es:10251/2309802026-06-13T07:49:27Z
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