Depression, physical impairment, and treatment of depression in chronic heart failure

Carolyn L Turvey; Dawn M Klein; Carla J Pies

doi:10.1097/00005082-200605000-00005

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Depression, physical impairment, and treatment of depression in chronic heart failure

Journal article

Peer reviewed

Depression, physical impairment, and treatment of depression in chronic heart failure

Carolyn L Turvey, Dawn M Klein and Carla J Pies

The Journal of cardiovascular nursing, Vol.21(3), pp.178-185

05/2006

DOI: 10.1097/00005082-200605000-00005

PMID: 16699357

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Abstract

This study examines the contribution of attitudes about impairment to the relation between depression and physical impairment in patients with heart failure. It also describes the current status of antidepressant treatment in a sample of outpatients with heart failure. A total of 32 depressed and 51 nondepressed patients with heart failure were recruited while seeking heart failure treatment in an outpatient heart failure or family practice clinic. Medical, functional, cognitive, and psychological measures were administered at baseline. Depression measures were readministered to the 32 depressed patients at 8, 16, and 24 weeks after the baseline interview. Attitudes about impairment and perceived social support were the strongest cross-sectional correlates of depression. The strong association between physical impairment and depression was no longer significant after controlling for attitudes about impairment. In addition, attitudes about impairment predicted chronicity of depressive symptoms longitudinally after controlling for baseline depressive symptom severity. The relation between physical impairment and depression in heart failure is strongly related to how patients cope with impairment. These results call for the development of additional interventions to treat depression that focus on the emotional adjustment to physical impairment.

Multivariate Analysis

Depression - epidemiology

Cross-Sectional Studies

Follow-Up Studies

Attitude to Health

Comorbidity

Humans

Social Support

Logistic Models

Male

Case-Control Studies

Antidepressive Agents - therapeutic use

Depression - diagnosis

Disabled Persons - psychology

Disabled Persons - statistics & numerical data

Female

Iowa - epidemiology

Aged

Depression - therapy

Heart Failure - psychology

Chronic Disease

Heart Failure - epidemiology

Longitudinal Studies

Details

Title: Subtitle: Depression, physical impairment, and treatment of depression in chronic heart failure
Creators: Carolyn L Turvey - Department of Psychiatry, University of Iowa, Iowa City, Iowa 52242-1000, USA. Carolyn-Turvey@uiowa.edu
Dawn M Klein
Carla J Pies
Resource Type: Journal article
Publication Details: The Journal of cardiovascular nursing, Vol.21(3), pp.178-185
Publisher: United States
DOI: 10.1097/00005082-200605000-00005
PMID: 16699357
ISSN: 0889-4655
eISSN: 1550-5049
Grant note: K01-MHO1964-01 / PHS HHS
Language: English
Date published: 05/2006
Academic Unit: Psychiatry; Epidemiology
Record Identifier: 9984003410602771

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