title: Depressive symptoms and sex affect completion rates and clinical outcomes in cardiac rehabilitation.
abstract: Symptoms of depression are often seen in patients with coronary heart disease. Symptoms appear more commonly in women and are negatively associated with measures of cardiovascular health. Using multiple logistic regression analyses, the authors evaluated the independent effects of depression (as measured by the Beck Depression Inventory [BDI-II]) and sex on cardiac rehabilitation (CR) completion. In addition, in those who completed CR, the authors evaluated whether depressive symptoms and sex affected clinical outcomes. Women as well as participants with enrollment BDI-II scores > or =14 had significantly higher rates of CR noncompletion. Patients with BDI-II scores > or =14 who completed CR achieved significant improvements in lipid profile, body mass index, and exercise capacity regardless of sex. Women and individuals with BDI-II scores > or =14 are at risk for CR noncompletion and should be encouraged to complete CR, because cardiovascular benefits comparable to those seen in men and individuals with low BDI-II scores were achieved when these patients completed the CR program.
authors.affiliation: McConnell Heart Health Center, Riverside Methodist Hospital, Columbus, OH 43214-3646, USA. tcauling@ohiohealth.com
authors.forename: Teresa
authors.initials: T
authors.lastname: Caulin-Glaser
authors.forename: Paul K
authors.initials: PK
authors.lastname: Maciejewski
authors.forename: Richard
authors.initials: R
authors.lastname: Snow
authors.forename: Michelle
authors.initials: M
authors.lastname: LaLonde
authors.forename: Carolyn
authors.initials: C
authors.lastname: Mazure
mesh_terms: D003327:Coronary Disease / Q000150:complications / Q000534:rehabilitation*; D003863:Depression / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D010352:Patient Dropouts; D012737:Sex Factors; D016896:Treatment Outcome