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...
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Online Access: | https://hdl.handle.net/10037/26487 https://doi.org/10.1136/bmjopen-2021-052948 |
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ftunivtroemsoe:oai:munin.uit.no:10037/26487 2023-05-15T18:34:16+02:00 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 F Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla 2022-04-01 https://hdl.handle.net/10037/26487 https://doi.org/10.1136/bmjopen-2021-052948 eng eng BMJ Publishing Group BMJ Open Lorem, Opdal, Wilsgaard, Schirmer, Løchen, Olsen, Steigen, Rognmo. 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). BMJ Open. 2022;12(4):e052948 FRIDAID 2018783 doi:10.1136/bmjopen-2021-052948 2044-6055 https://hdl.handle.net/10037/26487 openAccess Copyright 2022 The Author(s) Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1136/bmjopen-2021-052948 2022-08-31T23:00:12Z 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 ... Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Norway Tromsø BMJ Open 12 4 e052948 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
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 ... |
format |
Article in Journal/Newspaper |
author |
Lorem, Geir F Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla |
spellingShingle |
Lorem, Geir F 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 F Opdal, Ida Marie Wilsgaard, Tom Schirmer, Henrik Løchen, Maja-Lisa Olsen, Ingrid Petrikke Steigen, Terje Rognmo, Kamilla |
author_sort |
Lorem, Geir F |
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 Publishing Group |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/26487 https://doi.org/10.1136/bmjopen-2021-052948 |
geographic |
Norway Tromsø |
geographic_facet |
Norway Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
BMJ Open Lorem, Opdal, Wilsgaard, Schirmer, Løchen, Olsen, Steigen, Rognmo. 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). BMJ Open. 2022;12(4):e052948 FRIDAID 2018783 doi:10.1136/bmjopen-2021-052948 2044-6055 https://hdl.handle.net/10037/26487 |
op_rights |
openAccess Copyright 2022 The Author(s) |
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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1766218930281512960 |