Abstract:
BACKGROUND:Many studies have investigated the relationships between cardiovascular diseases and patients' depression; nevertheless, few is still known as regard the impact of illness severity on depression and whether psychosocial variables mediate this association. PURPOSE:The aim of this study is to investigate the putative mediating role of illness representations, self-efficacy beliefs, and perceived social support on the relationship between illness severity and depression. METHODS:A total of 75 consecutive patients with cardiovascular disease (80 % men; mean age = 65.44, SD = 10.20) were enrolled in an Italian hospital. Illness severity was measured in terms of left ventricular ejection fraction, whereas psychological factors were assessed using self-report questionnaires. RESULTS:The relationship between left ventricular ejection fraction and depression was mediated by identity illness perception, self-efficacy beliefs in managing cardiac risk factors, and perceived social support. CONCLUSION:The treatment of depression in cardiovascular disease patients may therefore benefit from a psychological intervention focused on patients' illness representations, self-efficacy beliefs, and their perceived social support.
journal_name
Int J Behav Medjournal_title
International journal of behavioral medicineauthors
Greco A,Steca P,Pozzi R,Monzani D,D'Addario M,Villani A,Rella V,Giglio A,Malfatto G,Parati Gdoi
10.1007/s12529-013-9290-5subject
Has Abstractpub_date
2014-04-01 00:00:00pages
221-9issue
2eissn
1070-5503issn
1532-7558journal_volume
21pub_type
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