Gender Differences in Patients with Anxiety after Coronary Artery Bypass Surgery


  • Yalcin Guzelhan Psychiatry Clinic, Istanbul Education and Research Hospital, Istanbul, Turkey
  • Cenk Conkbayir Department of Cardiology, Near East University, Nicosia, Cyprus
  • Murat Ugurlucan Department of Cardiovascular Surgery, Istanbul University Medical Faculty, Istanbul, Turkey
  • Cenk Eray Yildiz Department of Cardiovascular Surgery, Istanbul University Medical Faculty, Istanbul, Turkey
  • Ufuk Alpagut Department of Cardiovascular Surgery, Istanbul University Medical Faculty, Istanbul, Turkey
  • Nilgun Bozbuga Department of Cardiovascular Surgery, Istanbul University Medical Faculty, Istanbul, Turkey



Objective: The present study was designed to evaluate the relationship between gender and coexisting anxiety in patients undergoing coronary artery surgery. 

Materials and Methods: A total of 137 patients
(41 women and 96 men with a mean age 66.1 ± 6.0 years) patients underwent state and trait anxiety evaluation at baseline (preoperatively) and at six months after (postoperatively) coronary artery bypass graft (CABG). Anxiety symptoms were assessed at enrollment using the Spielberger State-Trait Anxiety Inventory (STAI). Psychological, social, clinical, and surgical data were assessed statistically. 

Results: There were statistically significant differences between female and male patient characteristics for the mean age, mean education year, and mean body mass index. The women were found to be statistically younger and less educated, and more likely to be overweight, diabetic, and hyperlipidemic. The mean hospitalization time, wound infection, and extreme postoperative pain complaints were found to be higher in the female group. 61 patients (33 female and
28 male) (44.5%) were classified as presenting clinically significant anxiety symptoms (STAI score of ≥ 40). The female patients’ STAI scores were significantly higher than men in state and trait anxiety, both preoperatively and six months postoperatively. Postoperatively, there was not any significant decrease in the level of trait anxiety when comparing the level of state anxiety in female patients.  

Conclusion: Even after adjusting for known risk factors for compromised STAI, women do not show the same long-term quality benefits of CABG surgery that men do. The results indicate that the STAI is a valuable instrument for identifying and supporting patients with higher levels of anxiety, which can aid in determining patients that may have poor adjustment after CABG surgery.


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How to Cite

Guzelhan, Y., Conkbayir, C., Ugurlucan, M., Yildiz, C. E., Alpagut, U., & Bozbuga, N. (2018). Gender Differences in Patients with Anxiety after Coronary Artery Bypass Surgery. The Heart Surgery Forum, 21(3), E165-E169.




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