Display options
Share it on

Exp Clin Cardiol. 2010;15(2):e29-32.

Sociodemographic factors and depressive symptoms in hospitalized patients with heart failure.

Experimental and clinical cardiology

Felipe Montes Pena, Jamil da Silva Soares, Beatriz Tose Costa Paiva, Maria Clara Teixeira Piraciaba, Renata Magliano Marins, Amanda Ferreira Barcellos, Lara Barros Muniz de Souza

Affiliations

  1. Department of Clinical Cardiology;

PMID: 20631861 PMCID: PMC2898532

Abstract

OBJECTIVE: To determine the differences in depressive symptoms (DS) among a sample of patients hospitalized with heart failure (HF).

DESIGN: A descriptive, cross-sectional design was used.

METHODS: The Beck Depression Inventory was used to measure DS, and HF severity was assessed using the New York Heart Association (NYHA) classification system. The sociodemographic and clinical variables examined include age, sex, education, marital status, fixed monthly income, habitation, living arrangement and HF severity. The differences between the presence and absence of the variables were evaluated using the Student's t test.

RESULTS: The sample included 103 patients with a mean age of 65.4 years: 38 (36.9%) were men and 65 (63.1%) were women. Forty-three patients (41.7%) were in NYHA class III, and approximately one-half of the patient sample (49.5%) were married. Patients with NYHA class IV HF had significantly more DS than patients with NYHA class II or III. Age was correlated with scores of DS (P=0.002). There were significant differences in DS among the variables of marital status, habitation and living arrangement.

CONCLUSIONS: Depression is a common and treatable clinical finding in hospitalized patients, requiring an early diagnosis and appropriate treatment for effective management. The implementation and monitoring of treatment are necessary to reduce the costs of treatment of HF.

Keywords: Depression; Heart failure; Sociodemographic factors

References

  1. J Am Coll Cardiol. 2003 Nov 19;42(10):1811-7 - PubMed
  2. J Am Coll Cardiol. 2001 Jul;38(1):199-205 - PubMed
  3. JAMA. 1989 Aug 18;262(7):914-9 - PubMed
  4. J Am Coll Cardiol. 2006 Oct 17;48(8):1527-37 - PubMed
  5. Psychosom Med. 2005 May-Jun;67 Suppl 1:S15-8 - PubMed
  6. Psychosom Med. 2002 Jan-Feb;64(1):6-12 - PubMed
  7. Circulation. 1999 Apr 13;99(14):1816-21 - PubMed
  8. Arch Intern Med. 2001 Aug 13-27;161(15):1849-56 - PubMed
  9. Psychosomatics. 2003 Sep-Oct;44(5):367-73 - PubMed
  10. J Cardiovasc Nurs. 2007 Mar-Apr;22(2):125-30 - PubMed
  11. Acta Psychiatr Scand Suppl. 1994;377:77-82 - PubMed
  12. Int J Psychiatry Med. 1998;28(3):273-91 - PubMed
  13. Eur Heart J. 1991 Mar;12(3):315-21 - PubMed
  14. J Am Coll Cardiol. 2004 May 5;43(9):1542-9 - PubMed
  15. Med Care. 2004 Jun;42(6):512-21 - PubMed
  16. Circulation. 2005 Sep 20;112(12):e154-235 - PubMed
  17. Epidemiology. 1993 Jul;4(4):285-94 - PubMed
  18. Clin Nurse Spec. 2009 May-Jun;23(3):138-44 - PubMed
  19. Am J Cardiol. 1999 Aug 1;84(3):348-50, A9 - PubMed

Publication Types