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ISSN: 2167-1044

Journal of Depression and Anxiety
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Research Article

Six Months Post Myocardial Infarction Depression: Is Acute PTSD a Predisposing Condition?

Christophe Fortin1*, Gilles Dupuis2, André Marchand3 and Bianca D’Antono4
1Department of Psychology, Université du Québec à Montréal, Montreal, Quebec, Canada
2Department of Psychology (C.F., G.D., A.M., B.D.A.), Université du Québec à Montréal, Montreal, Quebec, Canada
3Department of Psychosomatic Medicine (C.F., G.D., B.D.A.), Montreal Heart Institute, Montreal, Quebec, Canada
4Psychiatry Department, Université de Montréal (BDA) Montreal, Quebec, Canada
*Corresponding Author : Christophe Fortin
Department of Psychology
Université du Québec à Montréal
Montreal, Quebec, Canada
Tel: 1-450-477-6933
Fax: 1-514-987-7953
E-mail: [email protected]
Received June 30, 2013; Accepted September 10, 2013; Published September 13, 2013
Citation: Fortin C, Dupuis G, Marchand A, D’Antono B (2013) Six Months Post Myocardial Infarction Depression: Is Acute PTSD a Predisposing Condition? J Depress Anxiety S4:005. doi:10.4172/2167-1044.S4-005
Copyright: © 2013 Fortin C, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Depression has been recognized has one of the most critical psychological issues following a Myocardial Infarction (MI), its presence associated with readmissions and death, augments healthcare costs and increases utilisation of services. For theoretical and clinical reasons,  Post-traumatic Stress Disorder (PTSD) should be considered as a predisposing psychological condition for depression. However, its impact on depression’s intensity and presence 6 months after a MI has not been clearly assess.
Methods: Out of the 870 eligible patients in three Canadian hospitals, 339 completed the research protocol. Patients completed a depression (BDI-II) and a PTSD (MPSS-SR) inventory 48 hours to 14 days post MI to assess the prevalence both disorders. They again completed the BDI-II six months after their MI to investigate the predisposing effect of PTSD on depression.
Results: Based on the symptomatology cut-off point of their respective measurement instruments, the prevalence of comorbid PTSD-depression was 11.5%. Patients with PTSD symptomatology one month post-MI report high level of depression symptomatology 6 months after the MI. The level of depression at 6 months for comorbid patients was not different from the depressed or traumatized patients’ level at 1 month.
Conclusion: The results suggest that the presence of PTSD symptomatology at 1 month is a  predisposing condition for the development of depression and its evaluation in a post MI investigation routine is recommended.

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