title: A patient-centered perspective of treating depressive symptoms in chronic heart failure: What do patients prefer?
abstract: OBJECTIVE
  To date, very little is known about the specific needs of patients with chronic heart failure (CHF) who must cope with depression. We therefore questioned CHF patients reporting depressive symptoms about their concerns and preferences regarding various psychosocial treatment options. After three-month, we determined how many patients had actually participated in a treatment.
  
  
  METHODS
  85 patients with CHF fulfilling the criteria of a depressive disorder according to the PHQ-9 were investigated. Data were analyzed using descriptive and frequency, as well as logistic regression analyses.
  
  
  RESULTS
  64.7% of the sample reported that they could envision adhering to supportive talks at longer intervals, whereas only 34.1% would accept an antidepressant. After three months, 24.7% of the patients had actually participated in a treatment. Generalized anxiety severity (GAD-7) was very closely associated with treatment preferences and treatment utilization: The higher the generalized anxiety severity, the more likely was the patients' disposition to begin an antidepressant and/or psychotherapy.
  
  
  CONCLUSIONS
  The most favoured treatment option was a low-threshold service with supportive talks.
  
  
  CONCLUSIONS
  Future studies investigating the improvement of patient-centred care in CHF patients should include measurements of generalized anxiety.
authors.affiliation: Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany. Electronic address: Nicole.Lossnitzer@med.uni-heidelberg.de.
authors.forename: Nicole
authors.initials: N
authors.lastname: Lossnitzer
authors.affiliation: Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Herzog
authors.affiliation: Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
authors.forename: Jobst Hendrik
authors.initials: JH
authors.lastname: Schultz
authors.affiliation: Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
authors.forename: Tobias
authors.initials: T
authors.lastname: Taeger
authors.affiliation: Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
authors.forename: Lutz
authors.initials: L
authors.lastname: Frankenstein
authors.affiliation: Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
authors.forename: Beate
authors.initials: B
authors.lastname: Wild
mesh_terms: D000328:Adult; D000368:Aged; D000928:Antidepressive Agents / Q000627:therapeutic use*; D001007:Anxiety / Q000523:psychology / Q000628:therapy; D002908:Chronic Disease; D003863:Depression / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D003866:Depressive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005260:Female; D006333:Heart Failure / Q000150:complications* / Q000523:psychology; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D057240:Patient Preference; D018802:Patient-Centered Care; D011613:Psychotherapy / Q000379:methods*
chemical_list: D000928:Antidepressive Agents
keywords: Antidepressant; Chronic heart failure; Depressive symptoms; Patient-centered care; Psycho-social treatment; Psychotherapy