A prospective cohort study of the impact of outpatient Intensive Cardiac Rehabilitation on depression and cardiac self-efficacy.

Cardiac self-efficacy Cardiovascular disease Depression Intensive Cardiac Rehabilitation

Journal

American heart journal plus : cardiology research and practice
ISSN: 2666-6022
Titre abrégé: Am Heart J Plus
Pays: United States
ID NLM: 101779333

Informations de publication

Date de publication:
Jan 2022
Historique:
entrez: 21 11 2022
pubmed: 22 11 2022
medline: 22 11 2022
Statut: ppublish

Résumé

To evaluate whether an Intensive Cardiac Rehabilitation (ICR) program improves depression and cardiac self-efficacy among patients with a qualifying cardiac diagnosis. Prospective, longitudinal cohort design. Single-center, tertiary referral, outpatient cardiac rehabilitation center. Patients with a qualifying diagnosis for ICR. Outpatient ICR. Mental health, as assessed using the Patient Health Questionnaire-9 (PHQ-9) and cardiac self-efficacy using the Cardiac Self-Efficacy (CSE) scale. Of the 268 patients included (median age 69 y, 73% men), 70% had no depressive symptoms at baseline (PHQ-9 score <5). PHQ-9 scores improved in the overall sample (p < 0.0001), with greater improvements among patients with mild depressive symptoms at baseline (-4 points, p < 0.001) and those with moderate to severe depressive symptoms at baseline (-5.5 points, p < 0.001). Cardiac self-efficacy improved overall, and the two subsections of the cardiac self-efficacy questionnaire titled, "maintain function" and "control symptoms" improved (all p < 0.001). Participation in an outpatient ICR program is associated with fewer depressive symptoms and greater cardiac self-efficacy among patients with CVD who qualify for ICR. The improvement in depression was greatest for those with moderate to severe depressive symptoms.

Identifiants

pubmed: 36407054
doi: 10.1016/j.ahjo.2022.100100
pmc: PMC9671388
mid: NIHMS1849761
pii:
doi:

Types de publication

Journal Article

Langues

eng

Subventions

Organisme : NIA NIH HHS
ID : R01 AG060499
Pays : United States
Organisme : NHLBI NIH HHS
ID : R21 HL145217
Pays : United States
Organisme : NHLBI NIH HHS
ID : T32 HL130357
Pays : United States

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Auteurs

Kristin M McKenzie (KM)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Lauren K Park (LK)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA.

Eric J Lenze (EJ)

Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA.

Kristin Montgomery (K)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Serene Rashdi (S)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Elena Deych (E)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Natalie A Stranczek (NA)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Erin J McKenzie (EJ)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Michael W Rich (MW)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Valene Garr Barry (VG)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Jennifer Jonagan (J)

Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA.

Nidhi Talpade (N)

Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA.

Dotti Durbin (D)

Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA.

Tessa Carson (T)

Barnes-Jewish Hospital, BJC HealthCare, St. Louis, MO, USA.

Linda R Peterson (LR)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Susan B Racette (SB)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Program in Physical Therapy, Washington University School of Medicine, St. Louis, MO, USA.

Lisa de Las Fuentes (L)

Department of Medicine, Washington University School of Medicine, St. Louis, MO, USA.

Classifications MeSH