{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T03:20:04Z","timestamp":1791516004173,"version":"4.3.4"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T00:00:00Z","timestamp":1714953600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"NSW Health Cardiovascular Senior Scientist","award":["RG193092 and RG12159"],"award-info":[{"award-number":["RG193092 and RG12159"]}]},{"name":"NHMRC Investigator","award":["APP2010203"],"award-info":[{"award-number":["APP2010203"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,16]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>Spontaneous coronary artery dissection (SCAD) is recognized as a particularly stressful cause of heart attack. However, few studies have documented the prevalence of post-SCAD anxiety and depressive symptoms, or identified patients most at risk. This study documents the prevalence and correlates of post-SCAD anxiety and depressive symptoms.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods and results<\/jats:title>\n                  <jats:p>Three hundred ten (95% women) SCAD survivors were recruited by the Victor Chang Cardiac Research Institute from a database of 433 SCAD survivors. Participants completed an online questionnaire to gather demographic, medical, and psychosocial information, including the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9). Bivariate and multivariate analyses were undertaken to identify the significant demographic, psychosocial, and medical correlates of post-SCAD anxiety and depressive symptoms. Time between SCAD and questionnaire completion varied from 2 months to 18 years (mean = 5.5 years; SD = 3.5 years). Rates of anxiety and depressive symptoms were 20.7% (GAD-7 \u2265 10) and 20.9% (PHQ-9 \u2265 10), respectively, and did not vary by time since event. In bivariate analyses, correlates (P &amp;lt; 0.05) of anxiety and depressive symptoms were absence of a close confidante, financial strain, mental health diagnosis pre-SCAD, comorbid obesity, not being in paid employment (anxiety only), younger age (depression only), and not knowing another SCAD survivor (depression only). Variables retained in multivariate models were absence of a close confidante, financial strain, not being in paid employment, mental health diagnosis pre-SCAD (depression only), and younger age (depression only).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>This study demonstrated that over one in four SCAD survivors experiences either anxiety or depressive symptoms after SCAD, and identified those who may need additional support in their psychological recovery.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvae071","type":"journal-article","created":{"date-parts":[[2024,5,6]],"date-time":"2024-05-06T15:19:11Z","timestamp":1715008751000},"page":"863-871","source":"Crossref","is-referenced-by-count":10,"title":["Prevalence and correlates of anxiety and depressive symptoms after spontaneous coronary artery dissection: a cross-sectional study"],"prefix":"10.1093","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6867-5819","authenticated-orcid":false,"given":"Barbara M","family":"Murphy","sequence":"first","affiliation":[{"name":"Australian Centre for Heart Health , Suite 8, 75 Chetwynd Street, North Melbourne, 3051; Box 2137 Royal Melbourne Hospital, Victoria 3050 ,","place":["Australia"]},{"name":"School of Psychological Sciences, University of Melbourne , Parkville, Melbourne, Victoria 3052 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5902-6131","authenticated-orcid":false,"given":"Michael R","family":"Le Grande","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , Suite 8, 75 Chetwynd Street, North Melbourne, 3051; Box 2137 Royal Melbourne Hospital, Victoria 3050 ,","place":["Australia"]},{"name":"School of Psychological Sciences, University of Melbourne , Parkville, Melbourne, Victoria 3052 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle C","family":"Rogerson","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , Suite 8, 75 Chetwynd Street, North Melbourne, 3051; Box 2137 Royal Melbourne Hospital, Victoria 3050 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephanie","family":"Hesselson","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute , 405 Liverpool Street, Darlinghurst, New South Wales, 2010 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siiri E","family":"Iismaa","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute , 405 Liverpool Street, Darlinghurst, New South Wales, 2010 ,","place":["Australia"]},{"name":"St Vincent\u2019s Hospital , 390 Victoria Street, Darlinghurst, New South Wales 2010 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert M","family":"Graham","sequence":"additional","affiliation":[{"name":"Victor Chang Cardiac Research Institute , 405 Liverpool Street, Darlinghurst, New South Wales, 2010 ,","place":["Australia"]},{"name":"St Vincent\u2019s Hospital , 390 Victoria Street, Darlinghurst, New South Wales 2010 ,","place":["Australia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alun C","family":"Jackson","sequence":"additional","affiliation":[{"name":"Australian Centre for Heart Health , Suite 8, 75 Chetwynd Street, North Melbourne, 3051; Box 2137 Royal Melbourne Hospital, Victoria 3050 ,","place":["Australia"]},{"name":"School of Psychological Sciences, University of Melbourne , Parkville, Melbourne, Victoria 3052 ,","place":["Australia"]},{"name":"Centre on Behavioral Health, University of Hong Kong , 5 Sassoon Road, Pokfulam ,","place":["Hong Kong"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,6]]},"reference":[{"key":"2024121608060569300_zvae071-B1","doi-asserted-by":"crossref","first-page":"e523","DOI":"10.1161\/CIR.0000000000000564","article-title":"Spontaneous coronary artery dissection: current state of the science: a scientific statement from the American Heart Association","volume":"137","author":"Hayes","year":"2018","journal-title":"Circulation"},{"key":"2024121608060569300_zvae071-B2","doi-asserted-by":"crossref","first-page":"1148","DOI":"10.1016\/j.jacc.2017.06.053","article-title":"Spontaneous coronary artery dissection: clinical outcomes and risk of recurrence","volume":"70","author":"Saw","year":"2017","journal-title":"J Am Coll Cardiol"},{"key":"2024121608060569300_zvae071-B3","doi-asserted-by":"crossref","first-page":"e0273978","DOI":"10.1371\/journal.pone.0273978","article-title":"Psychosocial impacts of spontaneous coronary artery 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