A prospective cohort study of the impact of outpatient Intensive Cardiac Rehabilitation on depression and cardiac self-efficacy.

Autor:	McKenzie KM; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Park LK; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.; Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA., Lenze EJ; Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA., Montgomery K; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Rashdi S; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Deych E; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Stranczek NA; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., McKenzie EJ; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Rich MW; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Barry VG; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Jonagan J; Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA., Talpade N; Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA., Durbin D; Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA., Carson T; Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA., Peterson LR; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA., Racette SB; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.; Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA., de las Fuentes L; Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Jazyk:	angličtina
Zdroj:	American heart journal plus : cardiology research and practice [Am Heart J Plus] 2022 Jan; Vol. 13. Date of Electronic Publication: 2022 Feb 05.
DOI:	10.1016/j.ahjo.2022.100100
Abstrakt:	Study Objective: To evaluate whether an Intensive Cardiac Rehabilitation (ICR) program improves depression and cardiac self-efficacy among patients with a qualifying cardiac diagnosis. Design: Prospective, longitudinal cohort design. Setting: Single-center, tertiary referral, outpatient cardiac rehabilitation center. Participants: Patients with a qualifying diagnosis for ICR. Interventions: Outpatient ICR. Main Outcome Measures: Mental health, as assessed using the Patient Health Questionnaire-9 (PHQ-9) and cardiac self-efficacy using the Cardiac Self-Efficacy (CSE) scale. Results: Of the 268 patients included (median age 69 y, 73% men), 70% had no depressive symptoms at baseline (PHQ-9 score <5). PHQ-9 scores improved in the overall sample (p < 0.0001), with greater improvements among patients with mild depressive symptoms at baseline (-4 points, p < 0.001) and those with moderate to severe depressive symptoms at baseline (-5.5 points, p < 0.001). Cardiac self-efficacy improved overall, and the two subsections of the cardiac self-efficacy questionnaire titled, "maintain function" and "control symptoms" improved (all p < 0.001). Conclusions: Participation in an outpatient ICR program is associated with fewer depressive symptoms and greater cardiac self-efficacy among patients with CVD who qualify for ICR. The improvement in depression was greatest for those with moderate to severe depressive symptoms.
Databáze:	MEDLINE
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