Base Rates of Depressive Symptoms in Patients with Coronary Heart Disease: An Individual Symptom Analysis
| Autor: | Bernd Löwe, Arne Scholl, Marco Lehmann, Benjamin Gierk, Sebastian Kohlmann, Alexandra M. Murray |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
Male
Pulmonology Physiology Cross-sectional study Health Status Social Sciences lcsh:Medicine Coronary Disease 030204 cardiovascular system & hematology Vascular Medicine Angina 0302 clinical medicine Quality of life Sickness Impact Profile Surveys and Questionnaires Medicine and Health Sciences Psychology Medicine 030212 general & internal medicine lcsh:Science Depression (differential diagnoses) Multidisciplinary Depression Middle Aged Suicide Female Research Article Psychopathology medicine.medical_specialty Psychometrics Cardiology 03 medical and health sciences Internal medicine Mental Health and Psychiatry Humans In patient cardiovascular diseases Psychiatry Depressive symptoms Aged Depressive Disorder Mood Disorders business.industry lcsh:R Biology and Life Sciences medicine.disease Coronary heart disease Health Care Cross-Sectional Studies Dyspnea Quality of Life lcsh:Q Physiological Processes Sleep business |
| Zdroj: | PLoS ONE, Vol 11, Iss 5, p e0156167 (2016) PLoS ONE |
| ISSN: | 1932-6203 |
| Popis: | Background Major depression is common in coronary heart disease (CHD) but challenging to diagnose. Instead of focusing on the overall diagnosis of depression, base rates of depressive symptoms could facilitate screening and management of psychopathology in CHD. The present study investigates the frequency of individual depressive symptoms in CHD and their impact on cardiac and subjective health. Methods In total, 1337 in- and outpatients with CHD were screened for depressive symptoms with the Patient Health Questionnaire-9 (PHQ-9) at three different cardiac treatment sites. Tables stratified by age and gender were designed to illustrate base rates of depressive symptoms. Multiple regression analyses adjusted for sociodemographic and clinical data were conducted to test associations between individual depressive symptoms and quality of life as well impairment caused angina pectoris and dyspnea. Results During the last 14 days, more than half of patients reported a loss of energy (74.9%, 95% Confidence Interval (CI): 70.6–79.2), sleeping problems (69.4%, 95% CI: 64.9–74.0), loss of interest (55.7%, 95% CI: 50.8–60.7). In contrast, psychomotor change (25.6%, 95%CI: 21.3–30.0), feelings of failure (21.9%, 95%CI: 17.7–26.0), suicidal ideations (14.1%, 95%CI: 10.7–17.6) were less frequently reported. Depending on the outcome, only particular depressive symptoms were highly associated with low quality of life and impairment caused by angina pectoris and dyspnea. Loss of energy was the only depressive symptom that reliably predicted all three outcomes. Conclusions Depressive symptoms in CHD are frequent but vary widely in terms of frequency. Findings underline the differential effects of individual depressive symptoms on cardiac health. Presented base rates of depressive symptoms offer clinicians a new way to judge the severity of individual depressive symptoms and to communicate individual PHQ-9 profiles with patients with respect to gender, age, cardiac symptoms and quality of life. |
| Databáze: | OpenAIRE |
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