Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study
Aim. To study the associations of subclinical and clinical anxiety and depression, assesed by the Hospital Anxiety and Depression Scale (HADS), ≥8 points and ≥11 points, respectively, with all-cause mortality and cardiovascular mortality, as well as with the total number of nonfatal cardiovascular e...
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| Language: | Russian |
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«SILICEA-POLIGRAF» LLC
2021-09-01
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| Series: | Кардиоваскулярная терапия и профилактика |
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| Online Access: | https://cardiovascular.elpub.ru/jour/article/view/3009 |
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| author | S. E. Evstifeeva S. A. Shalnova Yu. K. Makarova E. B. Yarovaya Yu. A. Balanova A. E. Imaeva A. V. Kapustina G. A. Muromtseva S. A. Maksimov N. S. Karamnova G. V. Artamonova O. A. Belova Yu. I. Grinshtein М. M. Petrova D. V. Duplyakov A. Yu. Efanov N. V. Kulakova R. A. Libis T. M. Chernykh O. P. Rotar I. A. Trubacheva A. A. Shabunova A. O. Konradi S. A. Boytsov O. M. Drapkina |
| author_facet | S. E. Evstifeeva S. A. Shalnova Yu. K. Makarova E. B. Yarovaya Yu. A. Balanova A. E. Imaeva A. V. Kapustina G. A. Muromtseva S. A. Maksimov N. S. Karamnova G. V. Artamonova O. A. Belova Yu. I. Grinshtein М. M. Petrova D. V. Duplyakov A. Yu. Efanov N. V. Kulakova R. A. Libis T. M. Chernykh O. P. Rotar I. A. Trubacheva A. A. Shabunova A. O. Konradi S. A. Boytsov O. M. Drapkina |
| author_sort | S. E. Evstifeeva |
| collection | DOAJ |
| description | Aim. To study the associations of subclinical and clinical anxiety and depression, assesed by the Hospital Anxiety and Depression Scale (HADS), ≥8 points and ≥11 points, respectively, with all-cause mortality and cardiovascular mortality, as well as with the total number of nonfatal cardiovascular events (CVEs) in Russia.Material and methods. The study included male and female population aged 25-64 years from the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) study who signed an informed consent. The study included 16941 people (men, 6811 (40,2%)). To assess the anxiety and depression, HADS scale was used. The statistical analysis included individuals with subclinical/clinical (HADS ≥8) and clinical (HADS ≥11) anxiety and depression (HADS-A and HADS-D). The median of prospective follow-up was 5,5 years (from 2012 to 2019). The composite endpoint (CE) (cardiovascular death and nonfatal CVE occurred in 268 (4,2%) men and 203 (2,1%) women, while all-cause — in 220 (3,2%) men and 152 (1,5%) women.Results. The results obtained showed that the survival rate of men and women with varying degrees of anxiety (HADS-A ≥8 and ≥11) was associated with all-cause mortality and CE in women. However, this relationship has not been confirmed in multivariate models. In the multivariate Cox proportional hazards model 1 (M1), a significant association of depression with all-cause mortality in women was revealed — HADS-D ≥8: relative risk (RR), 2,22; 95% confidence interval (CI): 1,56-3,15 and ≥11: RR, 2,43; 95% CI: 1,65-3,59 (p<0,005), as well as in men — HADS-D ≥8: RR, 1,51; 95% CI: 1,10-2,08 (p=0,01). In model 2 (M2), when added to M1 as a predictor of prior cardiovascular disease (≥3), depression was significantly associated with all-cause mortality only in women — HADS-D ≥8: RR, 2,23; 95% CI: 1,53-3,24 (p<0,005); HADS-D ≥11: RR, 2,61; 95% CI: 1,74-3,92 (p=0,01). In addition, only in women, subclinical/clinical depression (HADS-D ≥8) was significantly associated with fatal and non-fatal CVE — HADS-D ≥8: RR, 1,46; 95% CI: 1,08-1,98 (p=0,02).Conclusion. Depression (HADS-D ≥8 and ≥11) in Russian women was significantly associated with all-cause mortality and CE (HADS-D ≥8). In men, depression (HADS-D ≥8) was significantly associated with allcause mortality when only conventional risk factors were included in the model, without taking into account prior cardiovascular disease. Anxiety in multivariate models was not associated with all-cause mortality and CE in both sex groups. |
| first_indexed | 2024-04-10T03:34:20Z |
| format | Article |
| id | doaj.art-ad8e927977c545b7b17541707c3b6099 |
| institution | Directory Open Access Journal |
| issn | 1728-8800 2619-0125 |
| language | Russian |
| last_indexed | 2024-04-10T03:34:20Z |
| publishDate | 2021-09-01 |
| publisher | «SILICEA-POLIGRAF» LLC |
| record_format | Article |
| series | Кардиоваскулярная терапия и профилактика |
| spelling | doaj.art-ad8e927977c545b7b17541707c3b60992023-03-13T07:23:31Zrus«SILICEA-POLIGRAF» LLCКардиоваскулярная терапия и профилактика1728-88002619-01252021-09-0120510.15829/1728-8800-2021-30092322Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF studyS. E. Evstifeeva0S. A. Shalnova1Yu. K. Makarova2E. B. Yarovaya3Yu. A. Balanova4A. E. Imaeva5A. V. Kapustina6G. A. Muromtseva7S. A. Maksimov8N. S. Karamnova9G. V. Artamonova10O. A. Belova11Yu. I. Grinshtein12М. M. Petrova13D. V. Duplyakov14A. Yu. Efanov15N. V. Kulakova16R. A. Libis17T. M. Chernykh18O. P. Rotar19I. A. Trubacheva20A. A. Shabunova21A. O. Konradi22S. A. Boytsov23O. M. Drapkina24Национальный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава России; Московский государственный университет имени М.В. ЛомоносоваНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава России; Московский государственный университет имени М.В. ЛомоносоваНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииНаучно-исследовательский институт комплексных проблем сердечно-сосудистых заболеванийКардиологический диспансерКрасноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого Минздрава РоссииКрасноярский государственный медицинский университет им. проф. В.Ф. Войно-Ясенецкого Минздрава РоссииСамарский областной клинический кардиологический диспансер им. В.П. ПоляковаТюменский государственный медицинский университет Минздрава РоссииТихоокеанский государственный медицинский университет Минздрава РоссииОренбургский государственный медицинский университет Минздрава РоссииВоронежский государственный медицинский университет им. Н.Н. Бурденко Минздрава РоссииНациональный медицинский исследовательский центр им. В.А. Алмазова Минздрава РоссииТомский национальный исследовательский медицинский центр Российской академии наукВологодский научный центр Российской академии наукНациональный медицинский исследовательский центр им. В.А. Алмазова Минздрава РоссииНациональный медицинский исследовательский центр кардиологии Минздрава РоссииНациональный медицинский исследовательский центр терапии и профилактической медицины Минздрава РоссииAim. To study the associations of subclinical and clinical anxiety and depression, assesed by the Hospital Anxiety and Depression Scale (HADS), ≥8 points and ≥11 points, respectively, with all-cause mortality and cardiovascular mortality, as well as with the total number of nonfatal cardiovascular events (CVEs) in Russia.Material and methods. The study included male and female population aged 25-64 years from the Epidemiology of Cardiovascular Diseases and their Risk Factors in Regions of Russian Federation (ESSE-RF) study who signed an informed consent. The study included 16941 people (men, 6811 (40,2%)). To assess the anxiety and depression, HADS scale was used. The statistical analysis included individuals with subclinical/clinical (HADS ≥8) and clinical (HADS ≥11) anxiety and depression (HADS-A and HADS-D). The median of prospective follow-up was 5,5 years (from 2012 to 2019). The composite endpoint (CE) (cardiovascular death and nonfatal CVE occurred in 268 (4,2%) men and 203 (2,1%) women, while all-cause — in 220 (3,2%) men and 152 (1,5%) women.Results. The results obtained showed that the survival rate of men and women with varying degrees of anxiety (HADS-A ≥8 and ≥11) was associated with all-cause mortality and CE in women. However, this relationship has not been confirmed in multivariate models. In the multivariate Cox proportional hazards model 1 (M1), a significant association of depression with all-cause mortality in women was revealed — HADS-D ≥8: relative risk (RR), 2,22; 95% confidence interval (CI): 1,56-3,15 and ≥11: RR, 2,43; 95% CI: 1,65-3,59 (p<0,005), as well as in men — HADS-D ≥8: RR, 1,51; 95% CI: 1,10-2,08 (p=0,01). In model 2 (M2), when added to M1 as a predictor of prior cardiovascular disease (≥3), depression was significantly associated with all-cause mortality only in women — HADS-D ≥8: RR, 2,23; 95% CI: 1,53-3,24 (p<0,005); HADS-D ≥11: RR, 2,61; 95% CI: 1,74-3,92 (p=0,01). In addition, only in women, subclinical/clinical depression (HADS-D ≥8) was significantly associated with fatal and non-fatal CVE — HADS-D ≥8: RR, 1,46; 95% CI: 1,08-1,98 (p=0,02).Conclusion. Depression (HADS-D ≥8 and ≥11) in Russian women was significantly associated with all-cause mortality and CE (HADS-D ≥8). In men, depression (HADS-D ≥8) was significantly associated with allcause mortality when only conventional risk factors were included in the model, without taking into account prior cardiovascular disease. Anxiety in multivariate models was not associated with all-cause mortality and CE in both sex groups.https://cardiovascular.elpub.ru/jour/article/view/3009тревогадепрессияшкала hadsобщая смертностькомбинированная конечная точка |
| spellingShingle | S. E. Evstifeeva S. A. Shalnova Yu. K. Makarova E. B. Yarovaya Yu. A. Balanova A. E. Imaeva A. V. Kapustina G. A. Muromtseva S. A. Maksimov N. S. Karamnova G. V. Artamonova O. A. Belova Yu. I. Grinshtein М. M. Petrova D. V. Duplyakov A. Yu. Efanov N. V. Kulakova R. A. Libis T. M. Chernykh O. P. Rotar I. A. Trubacheva A. A. Shabunova A. O. Konradi S. A. Boytsov O. M. Drapkina Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study Кардиоваскулярная терапия и профилактика тревога депрессия шкала hads общая смертность комбинированная конечная точка |
| title | Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study |
| title_full | Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study |
| title_fullStr | Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study |
| title_full_unstemmed | Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study |
| title_short | Is the population level of anxiety and depression associated with mortality? Data from the ESSE-RF study |
| title_sort | is the population level of anxiety and depression associated with mortality data from the esse rf study |
| topic | тревога депрессия шкала hads общая смертность комбинированная конечная точка |
| url | https://cardiovascular.elpub.ru/jour/article/view/3009 |
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