Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016)
Objectives The increased survival rate of cardiovascular disease (CVD) implies a higher proportion of individuals who live with CVD. Using data from the Tromsø Study, we aimed to investigate mental health symptom trajectories before and after myocardial infarction, atrial fibrillation or stroke in a...
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crjcrbmj:10.1136/bmjopen-2021-052948 2024-06-23T07:57:13+00:00 Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) Lorem, Geir Fagerjord Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla Regional Health Authority 2022 http://dx.doi.org/10.1136/bmjopen-2021-052948 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2021-052948 en eng BMJ http://creativecommons.org/licenses/by-nc/4.0/ BMJ Open volume 12, issue 4, page e052948 ISSN 2044-6055 2044-6055 journal-article 2022 crjcrbmj https://doi.org/10.1136/bmjopen-2021-052948 2024-06-06T04:15:20Z Objectives The increased survival rate of cardiovascular disease (CVD) implies a higher proportion of individuals who live with CVD. Using data from the Tromsø Study, we aimed to investigate mental health symptom trajectories before and after myocardial infarction, atrial fibrillation or stroke in a general population and to explore factors that contribute to the association. Design Cohort study. Setting Sample drawn from inhabitants of the municipality of Tromsø, Norway, who participated in the Tromsø Study (1994–2016). Participants A total of 18 719 participants (52.3% women) were included, and of these 2098 (32.9% women) were diagnosed with myocardial infarction, 1896 (41.9% women) with atrial fibrillation and 1263 (42.9% women) with stroke. Primary outcome measures Mental health symptoms were assessed using the Hopkins Symptom Checklist-10 and the Conor Mental Health Index. Results The participants who were diagnosed with either myocardial infarction or stroke had a significant monotonous increase in mental health symptoms before myocardial infarction (p=0.029) and stroke (p=0.029) that intensified at the time of diagnosis. After the event, the study found a higher prevalence of mental health symptoms with a decline in symptom levels over time for myocardial infarction (p<0.001) and stroke (p=0.004), but not for atrial fibrillation (before: p=0.180, after: p=0.410). The risk of elevated mental health symptoms with myocardial infarction, atrial fibrillation and stroke was associated with sex (p<0.001), age (p<0.01), physical activity (p<0.001), diabetes (p<0.05) and other comorbidities (p<0.001). Conclusion The study indicates that mental health problems among individuals with myocardial infarction, atrial fibrillation and stroke may have started to develop several years before the cardiovascular event and suggests that successful CVD rehabilitation may need to consider previous life factors. Future research is recommended to examine whether health promotion measures in a general population ... Article in Journal/Newspaper Tromsø The BMJ Norway Tromsø BMJ Open 12 4 e052948 |
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English |
description |
Objectives The increased survival rate of cardiovascular disease (CVD) implies a higher proportion of individuals who live with CVD. Using data from the Tromsø Study, we aimed to investigate mental health symptom trajectories before and after myocardial infarction, atrial fibrillation or stroke in a general population and to explore factors that contribute to the association. Design Cohort study. Setting Sample drawn from inhabitants of the municipality of Tromsø, Norway, who participated in the Tromsø Study (1994–2016). Participants A total of 18 719 participants (52.3% women) were included, and of these 2098 (32.9% women) were diagnosed with myocardial infarction, 1896 (41.9% women) with atrial fibrillation and 1263 (42.9% women) with stroke. Primary outcome measures Mental health symptoms were assessed using the Hopkins Symptom Checklist-10 and the Conor Mental Health Index. Results The participants who were diagnosed with either myocardial infarction or stroke had a significant monotonous increase in mental health symptoms before myocardial infarction (p=0.029) and stroke (p=0.029) that intensified at the time of diagnosis. After the event, the study found a higher prevalence of mental health symptoms with a decline in symptom levels over time for myocardial infarction (p<0.001) and stroke (p=0.004), but not for atrial fibrillation (before: p=0.180, after: p=0.410). The risk of elevated mental health symptoms with myocardial infarction, atrial fibrillation and stroke was associated with sex (p<0.001), age (p<0.01), physical activity (p<0.001), diabetes (p<0.05) and other comorbidities (p<0.001). Conclusion The study indicates that mental health problems among individuals with myocardial infarction, atrial fibrillation and stroke may have started to develop several years before the cardiovascular event and suggests that successful CVD rehabilitation may need to consider previous life factors. Future research is recommended to examine whether health promotion measures in a general population ... |
author2 |
Regional Health Authority |
format |
Article in Journal/Newspaper |
author |
Lorem, Geir Fagerjord Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla |
spellingShingle |
Lorem, Geir Fagerjord Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
author_facet |
Lorem, Geir Fagerjord Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla |
author_sort |
Lorem, Geir Fagerjord |
title |
Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
title_short |
Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
title_full |
Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
title_fullStr |
Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
title_full_unstemmed |
Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994–2016) |
title_sort |
assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in tromsø, norway (tromsø study, 1994–2016) |
publisher |
BMJ |
publishDate |
2022 |
url |
http://dx.doi.org/10.1136/bmjopen-2021-052948 https://syndication.highwire.org/content/doi/10.1136/bmjopen-2021-052948 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
BMJ Open volume 12, issue 4, page e052948 ISSN 2044-6055 2044-6055 |
op_rights |
http://creativecommons.org/licenses/by-nc/4.0/ |
op_doi |
https://doi.org/10.1136/bmjopen-2021-052948 |
container_title |
BMJ Open |
container_volume |
12 |
container_issue |
4 |
container_start_page |
e052948 |
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1802650756631756800 |