Predictors of Depression Three Months After Cardiac Hospitalization

Schrader, G.; Cheok, Frida; Hordacre, Ann-Louise; Guiver, Naomi

doi:10.1097/01.psy.0000128901.58513.db

Cited by 52 publications

(58 citation statements)

References 41 publications

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“…7,17,25 Although the present study supports these findings, the results add to the notion that angina patients do have a worse HRQoL, and that this functional status remains impaired on all of the multi-dimensional subscales 6 months post-cardiac event. This study indicates that this group of patients may not be recovering as quickly as the other patients in the sample.…”

Section: Clinical Relevance Of Working Towards Improving Hrqol In Patsupporting

confidence: 69%

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

et al. 2007

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Objective-To prospectively examine the contribution of angina and cardiac history to healthrelated quality of life (HRQoL) and depression in cardiac patients, over 6 months posthospitalization.Methods-Participants were myocardial infarction (MI), percutaneous coronary intervention (PCI), or coronary artery bypass grafting surgery (CABG) out-patients under the age of 70. One hundred and seventy one patients consented to participate, with 121 patients retained 6 months later (71% response rate). The impact of the patient's cardiac history and the presence of angina on physical, social and emotional HRQoL and depression was examined.

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Section: Clinical Relevance Of Working Towards Improving Hrqol In Patsupporting

confidence: 69%

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

et al. 2007

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“…However, the potential for worsening comorbid medical disease to cause depression in patients with chronic illnesses has been less well studied. In small studies of other chronic illnesses, the presence of disability (54) and other medical conditions (55) has been associated with incident depression. Patients with ESRD have greater prevalence of medical comorbidity, disability, and poor quality of life compared with other populations (4,29,35,36,56 -59).…”

Section: Discussionmentioning

confidence: 99%

Temporal Relation among Depression Symptoms, Cardiovascular Disease Events, and Mortality in End-Stage Renal Disease

Boulware¹,

Liu

Fink

et al. 2006

Clinical Journal of the American Society of Nephrology

169

180

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Temporal relationships among depression, medical comorbidity, and death or cardiovascular disease (CVD) events are complex. Clarifying temporal relationships may enhance current insight regarding the nature of the association of depression with poor outcomes. The temporal relation of depression symptoms (DS; score <52 on five-item Mental Health Index) assessed at 6-mo intervals for 2 yr to CVD event, all-cause death, cardiovascular disease deaths, and non-cardiovascular disease deaths was studied in 917 incident dialysis patients. Cox regression models were used to assess whether the proximity of DS measurement and DS duration would change observed associations between DS and events. Whether increasing medical comorbidity was associated with worsening DS also was assessed. In time-varying models, DS were strongly associated with all-cause deaths, cardiovascular disease deaths, and CVD events (adjusted relative hazard [95% confidence interval]: 2.22 [1.36 to 3.60], 3.27 [1.57 to 6.81], and 1.68 [1.05 to 2.69], respectively). Persistent and current DS were associated with greater risks for all-cause death. Incorporating a 6-mo time lag between DS and outcomes attenuated risks for all-cause death, non-cardiovascular disease deaths, and CVD events. In a subgroup analysis, patients with worsening medical comorbidity (n ‫؍‬ 32) during the first year of follow-up experienced a 2.42-point greater decline in mental health scores at 2 yr of follow-up compared with patients with no worsening in medical comorbidity (n ‫؍‬ 123), but findings were not statistically significant. DS are strongly related to death and CVD events, with persistent/current DS most strongly associated with poor outcomes. Attenuated risks from time-lag analyses indicate a partial role for reverse causality, suggesting that medical comorbidity may precede DS.

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“…Moreover, results from the M-HART trial of a psychosocial home nursing intervention [13] and recent post hoc subgroup analyses from the ENRICHD trial of cognitive behavioral therapy [14] both revealed that interventions to address depression may be more effective in male cardiac patients than in female patients. Much recent research attention has focused on the correlates of depression in ACS, how they may differ between the sexes, and how to mitigate its effect on cardiac outcome [7,[15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex

Grace¹,

Krepostman²,

Brooks³

et al. 2005

Journal of Psychosomatic Research

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Objective-This study examined cardiovascular disease (CVD) illness perceptions and how they relate to depressive symptomatology among women and men.Methods-Acute coronary syndrome (ACS) patients at two hospitals were approached, and 661 consented to participate (504 men, 157 women; 75% response rate). Participants completed a survey including the Hospital Anxiety and Depression Scale (HADS) and Illness Perception Questionnaire (IPQ).Results-Women perceived a significantly more chronic course (P<.001) and more cyclical episodes (P<.05)than men did, while men perceived greater personal control (P<.001) and treatability (P<.05)than women did. Participants perceived diet, heredity, and stress as the greatest CVD causes. For women (F=5.49, P<.001), greater depressive symptomatology was significantly related to younger age (P<.05), lower activity status (P<.001), and perceiving a chronic time course (P<.01). For men (F=7.68, P<.001), greater depressive symptomatology was significantly related to being non-white (P<.05), lower activity status (P<.001), less exercise behavior (P=.01), and three illness perceptions, namely, perceiving a chronic course (P<.05), greater consequences (P<.001), and lower treatability (P<.05).Conclusion-Women, compared with men, are more likely to attribute CVD to causes beyond their control and to perceive CVD as a chronic, untreatable condition. Illness perceptions were related to depressive symptomatology, which suggests that interventions to reframe these perceptions may be warranted to improve emotional health in the context of CVD.

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Predictors of Depression Three Months After Cardiac Hospitalization

Cited by 52 publications

References 41 publications

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

The impact of angina and cardiac history on health-related quality of life and depression in coronary heart disease patients

Temporal Relation among Depression Symptoms, Cardiovascular Disease Events, and Mortality in End-Stage Renal Disease

Illness perceptions among cardiac patients: Relation to depressive symptomatology and sex

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