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Coronary artery disease and experiences of losses

Rachel Jurkiewicz et al. Bellkiss Wilma Romano

BACKGROUND: In literature, depression is associated with cardiovascular diseases. From clinical experience, we observed that the psychological category “experience of loss” was associated with the onset and development of coronary heart disease. The experience of loss caused by self-reported significant event(s) leads to grief and the psychosocial factors which predispose the patient to diseases. OBJECTIVE: To study the impact of the experience of loss by investigating the relationship between mourning and depression, in hospitalized patients with coronary heart disease. METHODS: 44 inpatients (50% men and 50% women, aged 33 to 65 years), with a diagnosis of acute myocardial infarction or angina, were evaluated. Two instruments were used: a semi-structured interview, for investigating the experience of loss and evaluating the state of grief; and the Beck Depression Inventory, for measuring the severity of depression. The results were expressed using the computer program Statistical Package for Social Sciences version 11.0. RESULTS: 66% of the patients were in mourning, the relationship between mourning and depression was significant (p<0,05), and we verified that 100% of the patients who had serious depression were in mourning. The most frequent self-reported significant event was death of a family member (47%) and death of a close person (13%), totaling 60% of the events, reported by 84% of the participants. According to the results of Beck Depression Inventory, 48% of them had depression. CONCLUSION: This study suggests that the psychological category "experience of loss" should be used as an indicator of the existence of psychological factors that could predispose the patient to CAD, and also confirms the relationship between a state of mourning and depression.

  • affective symptoms
  • Coronary Artery Diseases
  • Depression
  • Inpatients
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Creative Commons Attribution (CC BY) Creative Commons license
24/11/2009 DOI: 10.1590/S0066-782X2009001000007

How to cite this article

EndNote RIS

Electronic Document Format (Vancouver)

Jurkiewicz R, Romano BW. Coronary artery disease and experiences of losses. Arquivos Brasileiros de Cardiologia 2009;93(4):352-9.

Electronic Document Format (ABNT)

Jurkiewicz, Rachel; Romano, Bellkiss Wilma. Coronary artery disease and experiences of losses. Arquivos Brasileiros de Cardiologia, v. 93, n. 4, p. 352-359, Nov. 2009.

Electronic Document Format (APA)

Jurkiewicz, R., & Romano, B. W. (2009). Coronary artery disease and experiences of losses. Arquivos Brasileiros de Cardiologia, 93(4), 352-359.

Electronic Document Format (ISO)

Jurkiewicz, Rachel and Romano, Bellkiss Wilma. Coronary artery disease and experiences of losses. Arquivos Brasileiros de Cardiologia [online]. 2009, vol. 93, n. 4, [cited 2026-10-14], pp. 352-359. Available from: <https://journals.cardiol.br/en/article/coronary-artery-disease-and-experiences-of-losses/>. ISSN 0066-782X

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