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Personality factors and depression as predictors of hospital-based health care utilization following acute myocardial infarction

Schlyter, Mona; Östman, Margareta LU ; Engström, Gunnar LU ; André-Petersson, Lena LU ; Tydén, Patrik LU and Leosdottir, Margrét LU (2017) In European Journal of Cardiovascular Nursing 16(4). p.318-325
Abstract

Background: Whether personality factors and depressive traits affect patients' utilization of health care following an acute myocardial infarction is relatively unknown. The aim of this study was to examine whether hospital-based health care utilization after a myocardial infarction was correlated with patients' personality factors and depressive symptoms. Methods: We studied 366 myocardial infarction patients admitted to Malmö University Hospital between 2002 and 2005 who subsequently participated in a cardiac rehabilitation programme. The patients were followed for two years after their index event. We investigated whether personality factors and depressive traits were correlated with the participants' health care utilization, defined... (More)

Background: Whether personality factors and depressive traits affect patients' utilization of health care following an acute myocardial infarction is relatively unknown. The aim of this study was to examine whether hospital-based health care utilization after a myocardial infarction was correlated with patients' personality factors and depressive symptoms. Methods: We studied 366 myocardial infarction patients admitted to Malmö University Hospital between 2002 and 2005 who subsequently participated in a cardiac rehabilitation programme. The patients were followed for two years after their index event. We investigated whether personality factors and depressive traits were correlated with the participants' health care utilization, defined as a) out-patient Cardiology visits and phone calls to a physician, nurse or a social worker, and b) acute visits or admissions to the Emergency or Cardiology Departments, using negative binominal regression analysis. Results: In unadjusted comparisons neuroticism predicted more out-patient contacts. This significance remained after adjusting for age, sex, smoking, alcohol consumption and size of the myocardial infarction (measured as max level on troponin-I and left ventricular ejection fraction). There were no significant correlations between other personality factors or depression and out-patient contacts. None of the personality factors or depression predicted acute admissions. Conclusion: Apart from neuroticism, personality factors did not explain utilization of health care in terms of Cardiology out-patient contacts or acute admissions in myocardial infarction patients participating in a cardiac rehabilitation programme. Neither did depressive symptoms predict more health care utilization. This might indicate a robust cardiac rehabilitation programme offered to the study subjects, minimizing the need for additional health care contacts.

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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
depressive traits, health care utilization, myocardial infarction, Personality factors
in
European Journal of Cardiovascular Nursing
volume
16
issue
4
pages
8 pages
publisher
Elsevier
external identifiers
  • scopus:85015094972
  • wos:000396200300007
ISSN
1474-5151
DOI
10.1177/1474515116666780
language
English
LU publication?
yes
id
06ad4fb3-e80a-4c86-93c6-8d3991fefa8b
date added to LUP
2017-04-03 09:10:14
date last changed
2017-09-18 13:31:11
@article{06ad4fb3-e80a-4c86-93c6-8d3991fefa8b,
  abstract     = {<p>Background: Whether personality factors and depressive traits affect patients' utilization of health care following an acute myocardial infarction is relatively unknown. The aim of this study was to examine whether hospital-based health care utilization after a myocardial infarction was correlated with patients' personality factors and depressive symptoms. Methods: We studied 366 myocardial infarction patients admitted to Malmö University Hospital between 2002 and 2005 who subsequently participated in a cardiac rehabilitation programme. The patients were followed for two years after their index event. We investigated whether personality factors and depressive traits were correlated with the participants' health care utilization, defined as a) out-patient Cardiology visits and phone calls to a physician, nurse or a social worker, and b) acute visits or admissions to the Emergency or Cardiology Departments, using negative binominal regression analysis. Results: In unadjusted comparisons neuroticism predicted more out-patient contacts. This significance remained after adjusting for age, sex, smoking, alcohol consumption and size of the myocardial infarction (measured as max level on troponin-I and left ventricular ejection fraction). There were no significant correlations between other personality factors or depression and out-patient contacts. None of the personality factors or depression predicted acute admissions. Conclusion: Apart from neuroticism, personality factors did not explain utilization of health care in terms of Cardiology out-patient contacts or acute admissions in myocardial infarction patients participating in a cardiac rehabilitation programme. Neither did depressive symptoms predict more health care utilization. This might indicate a robust cardiac rehabilitation programme offered to the study subjects, minimizing the need for additional health care contacts.</p>},
  author       = {Schlyter, Mona and Östman, Margareta and Engström, Gunnar and André-Petersson, Lena and Tydén, Patrik and Leosdottir, Margrét},
  issn         = {1474-5151},
  keyword      = {depressive traits,health care utilization,myocardial infarction,Personality factors},
  language     = {eng},
  number       = {4},
  pages        = {318--325},
  publisher    = {Elsevier},
  series       = {European Journal of Cardiovascular Nursing},
  title        = {Personality factors and depression as predictors of hospital-based health care utilization following acute myocardial infarction},
  url          = {http://dx.doi.org/10.1177/1474515116666780},
  volume       = {16},
  year         = {2017},
}