Somatic and cognitive-affective depressive symptoms among patients with heart disease: differences by sex and age

Dessotte, Carina Aparecida Marosti; Silva, Fernanda Souza e; Furuya, Rejane Kiyomi; Ciol, Márcia A.; Hoffman, Jeanne M.; Dantas, Rosana Aparecida Spadoti

doi:10.1590/0104-1169.0287.2544

Cited by 16 publications

(16 citation statements)

References 21 publications

(25 reference statements)

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“…Higher somatic symptoms were also associated with being female and higher depression levels in this study, consistent with previous reports which found females with major depression showed higher rates of somatic symptoms compared to men [61, 62]. A study conducted in Spain, which also used the PHQ-15 to assess for somatic symptoms, found women reported higher total scores than men and were more concerned in 8 out of 15 items of the PHQ-15 [63].…”

Section: Discussionsupporting

confidence: 91%

Mediators of gender effects on depression among cardiovascular disease patients in Palestine

et al. 2019

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Background Among patients suffering from coronary heart disease (CHD) and comorbid depression, women experience a higher burden compared to men. Little is known on the characteristics that differentiate men and women with both diseases and whether these factors mediate gender effects on depression. This study assessed whether women are more likely to suffer from depression and which characteristics mediate gender effects on depression among a cardiac population in Palestine, specifically addressing the role of post-traumatic stress disorder (PTSD). Methods Using a cross-sectional design, patients consecutively admitted with a CHD to one of the four main hospitals in Nablus, Palestine, were interviewed using a structured questionnaire with validated instruments. Data was also obtained from hospital medical records. Patients were assessed for depression using the Cardiac Depression Scale (CDS). Bivariate analysis was conducted to compare characteristics of women and men with and without depressive symptoms. Mediators (direct and indirect effects) of the association between gender and depression were evaluated using a structural equation model (SEM). Results Women were more likely to suffer from severe depression than men (28.7% vs. 18.8%). Female gender was positively associated with higher PTSD symptoms, comorbidities, somatic symptoms and income, and with lower resilience, self-esteem, quality of life, education, prevalence of smoking and physical activity. Structural equation modeling revealed negative indirect effects of gender on depression (CDS score) through resilience, self-esteem and physical activity, whereas positive indirect effects of gender on depression were observed through PTSD, comorbidities, somatic symptoms and smoking. There was no direct effect of gender on depression. Conclusion This study found a higher prevalence of severe depression in female patients with cardiac disease compared to male cardiac patients. Our findings provide novel information on mediating factors of the association between gender and depression among cardiac patients, in particular PTSD. The results emphasize the need for further research on potential mediating factors that could account for gender differences in depression and the need to provide support programs for female patients with comorbid CHD and depression to improve their psycho-social well-being.

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Section: Discussionsupporting

confidence: 91%

Mediators of gender effects on depression among cardiovascular disease patients in Palestine

et al. 2019

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“…(24) People living with HIV generally present a form of coping through isolation (elusion, selfblame, confrontation, distancing) instead of active coping (problem solving, search for social support, acceptance of responsibility, positive reappraisal). (24) We agree with other researchers that the separate use of the BDI subscales entails implications for clinical practice, (19) as it permits identifying the type and severity of the depression symptoms, which can contribute to the health team's interventions. Depression is a complex disease with multiple symptoms that affect the health and quality of life of the patients in a very particular way.…”

Section: Discussionsupporting

confidence: 68%

“…The sociodemographic and economic characteristics of the people living with HIV/Aids evidenced in this study support other background studies developed in Brazil (15,20) and around the world. (10,19,21) In the United States, depression is very common and, according to one study, (11) the overall prevalence rate was estimated at 6.6%, while ranging between 5 and 10% in PLHA. Similarly, in a Brazilian study, a higher prevalence rate of depressive symptoms was found in PLHA, equivalent to 27.6%, measured by the BDI.…”

Section: Discussionmentioning

confidence: 99%

“…This result is similar to a study that assessed somatic and cognitive-affective depression symptoms in cardiac patients. (19) The affective-cognitive symptoms present subjective elements that can be characterized by pessimism, feeling of guilt and punishment. Therefore, some behavioral practices need to be adopted to minimize this situation, such as cognitive-behavioral treatment to reduce the person's suffering.…”

Section: Discussionmentioning

confidence: 99%

“…(19) Higher scores on the subscales mean higher somatic and cognitive-affective disorders. (20) To analyze the data, the software IBM SPSS version 17.0 for Windows was used.…”

Section: Methodsmentioning

confidence: 99%

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Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

et al. 2017

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Objective: To analyze the somatic and affective-cognitive symptoms of depression according to the sex of people living with HIV/AIDS. Methods: Analytic study developed at specialized care services in Ribeirão Preto-SP, including a sample of 331 participants. To collect the data, a sociodemographic characterization tool and Beck's Depression Inventory (BDI) were used. Results: Among the interviewees, 50.4% were male, 52.1% of whom in the age range between 20 and 35 years. Higher education (p=0.001) and lower income (<0.001) were found for the women and more comorbidities (p=0.004) for the men. It was identified that the women presented higher mean depression scores in the somatic (p<0.001) as well as in the affective/cognitive domains (p<0.001). Conclusion: These study results appoint that the women present higher depressive symptom scores than the man, in the somatic as well as in the affective/cognitive domains of the BDI subscales. ResumoObjetivo: Analisar os sintomas somáticos e afetivo-cognitivos de depressão segundo o sexo de pessoas que vivem com HIV/AIDS. Métodos: Estudo analítico realizado em serviços de atendimento especializado em Ribeirão Preto-SP, com amostra de 331 participantes. Para coleta de dados foram utilizados instrumento de caracterização sociodemográfica e o Inventário de Depressão de Beck (BDI). Resultados: Dos entrevistados, 50,4% eram do sexo masculino e destes, 52,1% estavam na faixa etária de 20 a 35 anos. As mulheres apresentaram maior escolaridade (p=0,001) e menor renda (<0,001), e os homens apresentaram mais comorbidades (p=0,004). Identificou-se que as mulheres apresentaram maiores médias de escores de depressão, tanto no domínio somático (p<0,001) quanto no afetivo/cognitivo (p<0,001). Conclusão: Os resultados deste estudo apontam que as mulheres apresentam maiores escores de sintomatologia depressiva do que os homens, tanto no domínio somático quanto no afetivo/cognitivo das subescalas do IDB.

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Beneficial effects of celery seed extract (Apium graveolens), as a supplement, on anxiety and depression in hypertensive patients: a randomized clinical trial

2022

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Somatic and cognitive-affective depressive symptoms among patients with heart disease: differences by sex and age

Cited by 16 publications

References 21 publications

Mediators of gender effects on depression among cardiovascular disease patients in Palestine

Mediators of gender effects on depression among cardiovascular disease patients in Palestine

Avaliação dos sintomas depressivos somáticos e afetivo-cognitivos de pessoas vivendo com HIV/AIDS

Beneficial effects of celery seed extract (Apium graveolens), as a supplement, on anxiety and depression in hypertensive patients: a randomized clinical trial

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