title: Depression as a predictor of return to work in patients with coronary artery disease.
abstract: The importance of depression in coronary artery disease (CAD) outcomes is being increasingly recognized. The aim of this study was to investigate the power of depression as a predictor of return to work, both at full time and at reduced working hours, within 12 months of participation in a behaviorally oriented rehabilitation program in Sweden. The sample comprised 198 employed patients who had recently experienced an acute myocardial infarction (AMI, n=85), or had been treated with coronary by-pass surgery (CABG, n=73) or coronary angioplasty (PTCA, n=40). The results showed that clinical depression before intervention (>or=16 as measured by the Beck Depression Inventory) exerted a great influence on work resumption both at full-time (odds ratio 9.43, CI=3.15-28.21) and at reduced working-hours (odds ratio 5.44, CI=1.60-18.53), while mild depression (BDI 10-15) influenced only work resumption at full-time (odds ratio 2.89, CI=1.08-7.70). Education and, at full-time hours, age also predicted work resumption. This highlights the importance of depressive symptoms in relation to return to work after a CAD event. More research is needed in order to elaborate the degree to which treatment of depression enhances work resumption rates.
authors.affiliation: Research group for behavioral medicine and health psychology, Department of Social Sciences, MidSweden University at Ostersund, Ostersund, Sweden. eva.soderman@mh.se
authors.forename: Eva
authors.initials: E
authors.lastname: Söderman
authors.forename: Jan
authors.initials: J
authors.lastname: Lisspers
authors.forename: Orjan
authors.initials: O
authors.lastname: Sundin
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary / Q000534:rehabilitation; D001026:Coronary Artery Bypass / Q000534:rehabilitation; D003324:Coronary Artery Disease / Q000523:psychology* / Q000534:rehabilitation* / Q000601:surgery; D003866:Depressive Disorder; D004651:Employment / Q000523:psychology / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015233:Models, Statistical; D009203:Myocardial Infarction / Q000523:psychology / Q000534:rehabilitation / Q000601:surgery; D016017:Odds Ratio; D010552:Personality Assessment; D012050:Rehabilitation, Vocational / Q000523:psychology* / Q000706:statistics & numerical data; D018582:Sick Leave; D013548:Sweden / Q000453:epidemiology; D014434:Type A Personality; D014937:Work / Q000523:psychology / Q000706:statistics & numerical data