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Gepubliceerd in:

01-10-2008

Depression predicts failure to complete phase-II cardiac rehabilitation

Auteurs: Elizabeth Casey, Joel W. Hughes, Donna Waechter, Richard Josephson, James Rosneck

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 5/2008

Abstract

Reduced adherence to medical treatment regimens may help to explain the higher risk of mortality among depressed cardiac patients. Participation in cardiac rehabilitation is a highly recommended part of the medical treatment regimen for cardiac patients. This study examined if elevated depressive symptomology, as measured by the Beck Depression Inventory (BDI), predicted failure to complete a 12-week phase II cardiac rehabilitation program for 600 patients. Logistic regression analysis showed that patients with elevated levels of depressive symptomology (BDI scores ≥ 10) were 2.2 times less likely to complete cardiac rehabilitation compared to patients without depression (BDI < 10), after controlling for age, gender, body mass index, and employment. Somatic symptoms predicted non-completion due to medical reasons, whereas younger age predicted failure to complete cardiac rehabilitation due to non-medical reasons. Given the difficulty of reducing mortality by treating depression directly, interventions targeting behavior change to improve medical treatment adherence might be an effective complementary strategy.

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Titel: Depression predicts failure to complete phase-II cardiac rehabilitation
Auteurs: Elizabeth Casey
Joel W. Hughes
Donna Waechter
Richard Josephson
James Rosneck
Publicatiedatum: 01-10-2008
Uitgeverij: Springer US
Gepubliceerd in: Journal of Behavioral Medicine / Uitgave 5/2008
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI: https://doi.org/10.1007/s10865-008-9168-1

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