Depressive Symptoms and Sex Affect Completion Rates and Clinical Outcomes in Cardiac Rehabilitation
| Autor: | Teresa Caulin-Glaser, Michelle LaLonde, Richard Snow, Paul K. Maciejewski, Carolyn Mazure |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Patient Dropouts medicine.medical_treatment Coronary Disease Logistic regression Affect (psychology) behavioral disciplines and activities Sex Factors medicine Humans Depression (differential diagnoses) Depressive symptoms Rehabilitation medicine.diagnostic_test Depression business.industry Public Health Environmental and Occupational Health Beck Depression Inventory Treatment Outcome Physical therapy Female Cardiology and Cardiovascular Medicine Lipid profile business Body mass index |
| Zdroj: | Preventive Cardiology. 10:15-21 |
| ISSN: | 1751-7141 1520-037X |
| DOI: | 10.1111/j.1520-037.2007.05666.x |
| Popis: | Symptoms of depression are often seen in patients with coronary heart disease. Symptoms appear more commonly in women and are negatively associated with measures of cardiovascular health. Using multiple logistic regression analyses, the authors evaluated the independent effects of depression (as measured by the Beck Depression Inventory [BDI-II]) and sex on cardiac rehabilitation (CR) completion. In addition, in those who completed CR, the authors evaluated whether depressive symptoms and sex affected clinical outcomes. Women as well as participants with enrollment BDI-II scores > or =14 had significantly higher rates of CR noncompletion. Patients with BDI-II scores > or =14 who completed CR achieved significant improvements in lipid profile, body mass index, and exercise capacity regardless of sex. Women and individuals with BDI-II scores > or =14 are at risk for CR noncompletion and should be encouraged to complete CR, because cardiovascular benefits comparable to those seen in men and individuals with low BDI-II scores were achieved when these patients completed the CR program. |
| Databáze: | OpenAIRE |
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