Table 4.
Association of depressive and anxiety disorder characteristics with coronary heart disease
|
No CHD N=1673 |
CHD N=97 |
||||
|---|---|---|---|---|---|
| % or mean (SD) |
% or mean (SD) |
OR | 95% CI | p | |
| Unadjusted | Adjusteda | ||||
| Type of depressive disorderb | |||||
| First onset major depressive disorder (vs. recurrent) | 46.4 | 41.8 | 0.95 | 0.56–1.61 | .85 |
| Atypical symptoms | 20.8 | 24.2 | 1.53 | 0.83–2.83 | .17 |
| Melancholic symptoms | 11.9 | 16.7 | 1.08 | 0.53–2.18 | .84 |
| Late onset (≥ 30 years old) | 35.0 | 61.8 | 1.11 | 0.65–1.92 | .70 |
| Type of anxiety disorderc | |||||
| Generalized anxiety disorder | 44.9 | 50.0 | 1.15 | 0.72–1.82 | .56 |
| Social phobia | 55.5 | 53.6 | 1.08 | 0.68–1.72 | .74 |
| Panic disorder | 55.1 | 53.6 | 1.13 | 0.71–1.80 | .62 |
| Agoraphobia | 16.0 | 25.0 | 1.21 | 0.70–2.10 | .49 |
| Late onset (≥ 30 years old) | 22.6 | 43.4 | 1.06 | 0.65–1.73 | .83 |
| Durationd | |||||
| Percent of time with symptoms in past 4 years | 52.4 (35.6) | 58.8 (35.3) | 1.02 | 0.56–1.86 | .95 |
| Severityd | |||||
| Current depressive symptoms score (IDS) | 28.5 (12.4) | 32.2 (13.0) | 1.32e | 1.05–1.65 | .02 |
| Current anxiety symptoms score (BAI) | 16.5 (10.8) | 20.0 (9.7) | 1.36e | 1.11–1.66 | .003 |
| Psychoactive medicationd | |||||
| Selective serotonin reuptake inhibitor use | 25.1 | 21.6 | 0.87 | 0.52–1.45 | .60 |
| Tricyclic antidepressant use | 3.8 | 7.2 | 1.56 | 0.68–3.57 | .30 |
| Other antidepressant use | 8.8 | 12.4 | 1.26 | 0.65–2.41 | .49 |
| Benzodiazepine use | 10.5 | 22.7 | 1.60 | 0.95–2.71 | .08 |
Based on logistic regression analyses adjusted for age, sex, and education; each line represents a single analysis.
Within sub-sample of persons with a current (past year) depressive disorder: N=1266; first onset vs. recurrent: persons with dysthymia only (N=44) were excluded.
Within sub-sample of persons with a current (past year) anxiety disorder: N=1352.
Within sub-sample of persons with a current (past year) depressive and/or anxiety disorder: N=1770.
Per SD increase: IDS: SD=12.9; BAI: SD=10.7.