Document Detail

A five-country comparison of anxiety early after acute myocardial infarction.
MedLine Citation:
PMID:  15234317     Owner:  NLM     Status:  MEDLINE    
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.
Marla J De Jong; Misook L Chung; Lynn P Roser; Lynne A Jensen; Lynn A Kelso; Kathleen Dracup; Sharon McKinley; Keiko Yamasaki; Cho-Ja Kim; Barbara Riegel; Carol Ball; Lynn V Doering; Kyungeh An; Maree Barnett; Debra K Moser
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology     Volume:  3     ISSN:  1474-5151     ISO Abbreviation:  Eur J Cardiovasc Nurs     Publication Date:  2004 Jul 
Date Detail:
Created Date:  2004-07-05     Completed Date:  2004-09-21     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  101128793     Medline TA:  Eur J Cardiovasc Nurs     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  129-34     Citation Subset:  IM; N    
University of Kentucky, College of Nursing /US Air Force, Lexington, KY, USA.
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MeSH Terms
Acute Disease
Anxiety / diagnosis,  drug therapy,  ethnology*,  etiology*
Attitude to Health / ethnology
Australia / epidemiology
Cross-Cultural Comparison
Diabetes Complications
Emergency Treatment / methods
England / epidemiology
Hypertension / complications
Japan / epidemiology
Korea / epidemiology
Middle Aged
Myocardial Infarction / complications*,  drug therapy,  psychology
Prospective Studies
Psychiatric Status Rating Scales
Risk Factors
Severity of Illness Index
Smoking / adverse effects
Socioeconomic Factors
Time Factors
United States / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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