Abstract:
:Reduced adherence to medical treatment regimens may help to explain the higher risk of mortality among depressed cardiac patients. Participation in cardiac rehabilitation is a highly recommended part of the medical treatment regimen for cardiac patients. This study examined if elevated depressive symptomology, as measured by the Beck Depression Inventory (BDI), predicted failure to complete a 12-week phase II cardiac rehabilitation program for 600 patients. Logistic regression analysis showed that patients with elevated levels of depressive symptomology (BDI scores > or = 10) were 2.2 times less likely to complete cardiac rehabilitation compared to patients without depression (BDI < 10), after controlling for age, gender, body mass index, and employment. Somatic symptoms predicted non-completion due to medical reasons, whereas younger age predicted failure to complete cardiac rehabilitation due to non-medical reasons. Given the difficulty of reducing mortality by treating depression directly, interventions targeting behavior change to improve medical treatment adherence might be an effective complementary strategy.
journal_name
J Behav Medjournal_title
Journal of behavioral medicineauthors
Casey E,Hughes JW,Waechter D,Josephson R,Rosneck Jdoi
10.1007/s10865-008-9168-1subject
Has Abstractpub_date
2008-10-01 00:00:00pages
421-31issue
5eissn
0160-7715issn
1573-3521journal_volume
31pub_type
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