TY - JOUR
T1 - A five-country comparison of anxiety early after acute myocardial infarction
AU - De Jong, Marla J.
AU - Chung, Misook L.
AU - Roser, Lynn P.
AU - Jensen, Lynne A.
AU - Kelso, Lynn A.
AU - Dracup, Kathleen
AU - McKinley, Sharon
AU - Yamasaki, Keiko
AU - Kim, Cho Ja
AU - Riegel, Barbara
AU - Ball, Carol
AU - Doering, Lynn V.
AU - An, Kyungeh
AU - Barnett, Maree
AU - Moser, Debra K.
PY - 2004/7
Y1 - 2004/7
N2 - Background: Anxiety is common after acute myocardial infarction (AMI) and has the potential to negatively affect physical and psychosocial recovery. There have been no cross-cultural comparisons of anxiety among AMI patients. Aims: To evaluate whether anxiety after AMI differs across five diverse countries and to determine whether an interaction between country, and sociodemographic and clinical variables contributes to variations in reporting anxiety. Methods and Results: A total of 912 individuals with confirmed AMI were enrolled in this prospective, comparative, cross-cultural study. Anxiety was assessed within 72 h of hospital admission using the Brief Symptom Inventory. The mean level of anxiety in the entire sample was 0.62±0.76, which is 44% higher than the normal mean level. Anxiety levels were not significantly different among the countries with the exception that patients in England reported lower levels of anxiety than those in the US (P=0.03). However, this difference disappeared after controlling for sociodemographic variables on which the countries differed. Conclusion: Patients from each country studied experienced high anxiety after AMI. Even though various cultures were represented in this study, culture itself did not account for variations in anxiety after AMI. It appears that anxiety after AMI is a universal phenomenon.
AB - Background: Anxiety is common after acute myocardial infarction (AMI) and has the potential to negatively affect physical and psychosocial recovery. There have been no cross-cultural comparisons of anxiety among AMI patients. Aims: To evaluate whether anxiety after AMI differs across five diverse countries and to determine whether an interaction between country, and sociodemographic and clinical variables contributes to variations in reporting anxiety. Methods and Results: A total of 912 individuals with confirmed AMI were enrolled in this prospective, comparative, cross-cultural study. Anxiety was assessed within 72 h of hospital admission using the Brief Symptom Inventory. The mean level of anxiety in the entire sample was 0.62±0.76, which is 44% higher than the normal mean level. Anxiety levels were not significantly different among the countries with the exception that patients in England reported lower levels of anxiety than those in the US (P=0.03). However, this difference disappeared after controlling for sociodemographic variables on which the countries differed. Conclusion: Patients from each country studied experienced high anxiety after AMI. Even though various cultures were represented in this study, culture itself did not account for variations in anxiety after AMI. It appears that anxiety after AMI is a universal phenomenon.
KW - Acute myocardial infarction
KW - Anxiety
KW - International
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U2 - 10.1016/j.ejcnurse.2004.01.004
DO - 10.1016/j.ejcnurse.2004.01.004
M3 - Article
C2 - 15234317
AN - SCOPUS:3242796619
SN - 1474-5151
VL - 3
SP - 129
EP - 134
JO - European Journal of Cardiovascular Nursing
JF - European Journal of Cardiovascular Nursing
IS - 2
ER -