Evidence map›Paper›PMID 40926210›Full record

ArticleBMC cardiovascular disorders2025

Depression, anxiety, posttraumatic stress disorder and perceived psychosocial care during hospital stay after myocardial infarction: a cross-sectional study.

Carolin Swoboda, Paul Gellert, Elisabeth Steinhagen-Thiessen, Ulf Landmesser, Michael A Rapp, Sandra Düzel, Christian Hering

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Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Carolin SwobodaCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Friede Springer - Cardiovascular Prevention Center, Hindenburgdamm 30, 12203, Berlin, Germany. carolin.swoboda@charite.de.
Paul GellertCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Friede Springer - Cardiovascular Prevention Center, Hindenburgdamm 30, 12203, Berlin, Germany.
Elisabeth Steinhagen-ThiessenCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Friede Springer - Cardiovascular Prevention Center, Hindenburgdamm 30, 12203, Berlin, Germany.
Ulf LandmesserCharité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Friede Springer - Cardiovascular Prevention Center, Hindenburgdamm 30, 12203, Berlin, Germany.
Michael A RappUniversity of Potsdam, Department of Social and Preventive Medicine, Am Mühlenberg 9, 14476, Potsdam, Germany.
Sandra Düzel *Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Friede Springer - Cardiovascular Prevention Center, Hindenburgdamm 30, 12203, Berlin, Germany.
Christian Hering *Charité - Universitätsmedizin Berlin, corporate member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Sociology and Rehabilitation Science, Charitéplatz 1, 10117, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMyocardial infarctions (MI) significantly contribute to the global disease burden and are often followed by psychological conditions such as depression, anxiety, and posttraumatic stress disorder (PTSD). These are frequently underrecognized and insufficiently addressed in clinical care. This study aims to investigate the psychosocial impact of MI, identify risk factors for psychological burden following an MI, and gain insight into the perceived psychological care during hospitalization.

methodsA total of 199 MI patients participated in a cross-sectional online survey conducted between May 15th and August 1st, 2024. Standardized instruments included Depression Anxiety Stress Scale-21 (DASS-21), International Trauma Questionnaire (ITQ), Brief Illness Perception Questionnaire (B-IPQ), ENRICHD Social Support Inventory (ESSI), UCLA 3-Item Loneliness Scale, Brief Resilience Scale (BRS), and Stress and Coping Inventory (SCI). Multiple linear regression models examined associations between psychological burden, psychosocial factors, MI event characteristics, illness perception, history of illness, and perceived psychosocial care during hospitalization.

resultsMore than half (58.8%) of MI patients experienced at least one psychological burden, with 37.7% meeting criteria for depression, 46.2% for anxiety, and 18.6% for PTSD. Additionally, 65.9% reported not to be asked about their mental health during hospitalization. Depression was significantly associated with illness perception (β = 0.386), loneliness (β = 0.228), and age (β = - 0.125). Anxiety was associated with illness perception (β = 0.535), multiple MIs (β = 0.168), fear of death (β = 0.117), prior diagnosis of mental disorder (β = 0.113), resuscitation (β = - 0.108), and having no partner (β = - 0.105). PTSD was linked to illness perception (β = 0.371), age (β = - 0.157), fear of death (β = 0.148), multiple MIs (β = 0.122), loneliness (β = 0.149), and social support (β = - 0.139).

conclusionThe findings emphasize the psychological burden following MI and the need for systematic screening in cardiology to improve patient care.

Indexed as

AnxietyDepressionHospitalizationMental HealthMyocardial InfarctionStress Disorders, Post-TraumaticAdaptation, PsychologicalAgedCost of IllnessCross-Sectional StudiesFemaleHumansMaleMiddle AgedRisk AssessmentRisk FactorsCardiovascular diseaseHeart attackPsychosocial burdenPsychosocial carePTSD

Identifiers

PMID40926210
PMCPMC12418660

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.