Commonalities and differences in correlates of depressive symptoms in men and women with heart failure

被引:27
作者
Eastwood, Jo-Ann [1 ]
Moser, Debra K. [2 ]
Riegel, Barbara J. [3 ]
Albert, Nancy M. [4 ]
Pressler, Susan [5 ]
Chung, Misook L. [2 ]
Dunbar, Sandra [6 ]
Wu, Jia-Rong [7 ]
Lennie, Terry A. [2 ]
机构
[1] Univ Calif Los Angeles, Sch Nursing, Los Angeles, CA 90095 USA
[2] Univ Kentucky, Coll Nursing, Lexington, KY 40506 USA
[3] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA
[4] Cleveland Clin, Cleveland, OH USA
[5] Univ Michigan, Sch Nursing, Ann Arbor, MI 48109 USA
[6] Emory Univ, Sch Nursing, Atlanta, GA 30322 USA
[7] Univ N Carolina, Sch Nursing, Chapel Hill, NC USA
关键词
Heart failure; depression; gender; QUALITY-OF-LIFE; ACTIVITY STATUS INDEX; GENDER-DIFFERENCES; FUNCTIONAL STATUS; SELF-CARE; PERCEIVED CONTROL; PROGNOSTIC VALUE; ELDERLY-PATIENTS; SOCIAL SUPPORT; HEALTH-STATUS;
D O I
10.1177/1474515112438010
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: (i) To compare the prevalence and severity of depressive symptoms between men and women enrolled in a large heart failure (HF) registry. (ii) To determine gender differences in predictors of depressive symptoms from demographic, behavioral, clinical, and psychosocial factors in HF patients. Methods: In 622 HF patients (70% male, 61 +/- 13 years, 59% NYHA class III/IV), depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-9). Potential correlates were age, ethnicity, education, marital and financial status, smoking, exercise, body mass index (BMI), HF etiology, NYHA class, comorbidities, functional capacity, anxiety, and perceived control. To identify gender-specific correlates of depressive symptoms, separate logistic regression models were built by gender. Results: Correlates of depressive symptoms in men were financial status (p = 0.027), NYHA (p = 0.001); functional capacity (p < 0.001); health perception (p = 0.043); perceived control (p = 0.002) and anxiety (p < 0.001). Correlates of depressive symptoms in women were BMI (p = 0.003); perceived control (p = 0.013) and anxiety (p < 0.001). Conclusions: In HF patients, lowering depressive symptoms may require gender-specific interventions focusing on weight management in women and improving perceived functional capacity in men. Both men and women with HF may benefit from anxiety reduction and increased control.
引用
收藏
页码:356 / 365
页数:10
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