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dc.contributor.authorLorem, Geir F
dc.contributor.authorOpdal, Ida Marie
dc.contributor.authorWilsgaard, Tom
dc.contributor.authorSchirmer, Henrik
dc.contributor.authorLøchen, Maja-Lisa
dc.contributor.authorOlsen, Ingrid Petrikke
dc.contributor.authorSteigen, Terje
dc.contributor.authorRognmo, Kamilla
dc.date.accessioned2022-08-31T07:38:10Z
dc.date.available2022-08-31T07:38:10Z
dc.date.issued2022-04-01
dc.description.abstractObjectives - The increased survival rate of cardiovascular disease (CVD) implies a higher proportion of individuals who live with CVD. Using data from the Tromsø Study, we aimed to investigate mental health symptom trajectories before and after myocardial infarction, atrial fibrillation or stroke in a general population and to explore factors that contribute to the association.<p> <p>Design - Cohort study.<p> <p>Setting - Sample drawn from inhabitants of the municipality of Tromsø, Norway, who participated in the Tromsø Study (1994–2016).<p> <p>Participants - A total of 18 719 participants (52.3% women) were included, and of these 2098 (32.9% women) were diagnosed with myocardial infarction, 1896 (41.9% women) with atrial fibrillation and 1263 (42.9% women) with stroke.<p> <p>Primary outcome measures - Mental health symptoms were assessed using the Hopkins Symptom Checklist-10 and the Conor Mental Health Index.<p> <p>Results - The participants who were diagnosed with either myocardial infarction or stroke had a significant monotonous increase in mental health symptoms before myocardial infarction (p=0.029) and stroke (p=0.029) that intensified at the time of diagnosis. After the event, the study found a higher prevalence of mental health symptoms with a decline in symptom levels over time for myocardial infarction (p<0.001) and stroke (p=0.004), but not for atrial fibrillation (before: p=0.180, after: p=0.410). The risk of elevated mental health symptoms with myocardial infarction, atrial fibrillation and stroke was associated with sex (p<0.001), age (p<0.01), physical activity (p<0.001), diabetes (p<0.05) and other comorbidities (p<0.001).<p> <p>Conclusion - The study indicates that mental health problems among individuals with myocardial infarction, atrial fibrillation and stroke may have started to develop several years before the cardiovascular event and suggests that successful CVD rehabilitation may need to consider previous life factors. Future research is recommended to examine whether health promotion measures in a general population also create mental health resilience after a CVD event.en_US
dc.identifier.citationLorem, Opdal, Wilsgaard, Schirmer, Løchen, Olsen, Steigen, Rognmo. Assessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994-2016). BMJ Open. 2022;12(4):e052948en_US
dc.identifier.cristinIDFRIDAID 2018783
dc.identifier.doi10.1136/bmjopen-2021-052948
dc.identifier.issn2044-6055
dc.identifier.urihttps://hdl.handle.net/10037/26487
dc.language.isoengen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.journalBMJ Open
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2022 The Author(s)en_US
dc.titleAssessment of mental health trajectories before and after myocardial infarction, atrial fibrillation or stroke: analysis of a cohort study in Tromsø, Norway (Tromsø Study, 1994-2016)en_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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