Commonalities and differences in correlates of depressive symptoms in men and women with heart failure
Journal article
Eastwood, Jo-Ann, Moser, Debra K., Riegel, Barbara J., Albert, Nancy M., Pressler, Susan, Chung, Misook L., Dunbar, Sandra B., Wu, Jia-Rong and Lennie, Terry A.. (2012). Commonalities and differences in correlates of depressive symptoms in men and women with heart failure. European Journal of Cardiovascular Nursing. 11(3), pp. 356 - 365. https://doi.org/10.1177/1474515112438010
Authors | Eastwood, Jo-Ann, Moser, Debra K., Riegel, Barbara J., Albert, Nancy M., Pressler, Susan, Chung, Misook L., Dunbar, Sandra B., Wu, Jia-Rong and Lennie, Terry A. |
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Abstract | 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. |
Keywords | heart failure; depression; gender |
Year | 2012 |
Journal | European Journal of Cardiovascular Nursing |
Journal citation | 11 (3), pp. 356 - 365 |
Publisher | Sage Publications Ltd. |
ISSN | 1474-5151 |
Digital Object Identifier (DOI) | https://doi.org/10.1177/1474515112438010 |
Scopus EID | 2-s2.0-84870977344 |
Page range | 356 - 365 |
Research Group | Mary MacKillop Institute for Health Research |
Publisher's version | File Access Level Controlled |
Place of publication | United Kingdom |
https://acuresearchbank.acu.edu.au/item/85391/commonalities-and-differences-in-correlates-of-depressive-symptoms-in-men-and-women-with-heart-failure
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