Commonalities and Differences in Correlates of Depressive Symptoms in Men and Women With Heart Failure

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dc.contributor.authorRiegel, Barbara
dc.date2023-05-17T12:37:48.000
dc.date.accessioned2023-05-23T00:12:22Z
dc.date.available2023-05-23T00:12:22Z
dc.date.issued2012-09-01
dc.date.submitted2015-10-27T12:29:04-07:00
dc.description.abstractObjective: (i) To compare the prevalence and severity of depressive symptoms between men and women enrolled in a large heart failure (HF) registry. (ii) To determine gender differences in predictors of depressive symptoms from demographic, behavioral, clinical, and psychosocial factors in HF patients. Methods: In 622 HF patients (70% male, 61 ± 13 years, 59% NYHA class III/IV), depressive symptoms were assessed by the Patient Health Questionnaire (PHQ-9). Potential correlates were age, ethnicity, education, marital and financial status, smoking, exercise, body mass index (BMI), HF etiology, NYHA class, comorbidities, functional capacity, anxiety, and perceived control. To identify gender-specific correlates of depressive symptoms, separate logistic regression models were built by gender. Results: Correlates of depressive symptoms in men were financial status (p = 0.027), NYHA (p = 0.001); functional capacity (p < 0.001); health perception (p = 0.043); perceived control (p = 0.002) and anxiety (p < 0.001). Correlates of depressive symptoms in women were BMI (p = 0.003); perceived control (p = 0.013) and anxiety (p< 0.001). Conclusions: In HF patients, lowering depressive symptoms may require gender-specific interventions focusing on weight management in women and improving perceived functional capacity in men. Both men and women with HF may benefit from anxiety reduction and increased control.
dc.identifier.urihttps://repository.upenn.edu/handle/20.500.14332/41699
dc.legacy.articleid1048
dc.legacy.fields10.1177/1474515112438010
dc.legacy.fulltexturlhttps://repository.upenn.edu/cgi/viewcontent.cgi?article=1048&amp;context=nrs&amp;unstamped=1
dc.rightsThe final, definitive version of this article has been published in the Journal, European Journal of Cardiovascular Nursing, Vol. 11(3), 2012, © SAGE Publications, Inc. at the European Journal of Cardiovascular Nursing, page: http://cnu.sagepub.com/ on SAGE Journals Online: http://online.sagepub.com/
dc.source.beginpage356
dc.source.endpage365
dc.source.issue27
dc.source.issue3
dc.source.journalSchool of Nursing Departmental Papers
dc.source.journaltitleEuropean Journal of Cardiovascular Nursing
dc.source.peerreviewedtrue
dc.source.statuspublished
dc.source.volume11
dc.subject.otherheart failure
dc.subject.otherdepression
dc.subject.othergender
dc.subject.otherMedicine and Health Sciences
dc.subject.otherNursing
dc.titleCommonalities and Differences in Correlates of Depressive Symptoms in Men and Women With Heart Failure
dc.typeArticle
digcom.contributor.authorisAuthorOfPublication|email:briegel@nursing.upenn.edu|institution:University of Pennsylvania|Riegel, Barbara
digcom.identifiernrs/27
digcom.identifier.contextkey7770571
digcom.identifier.submissionpathnrs/27
digcom.typearticle
dspace.entity.typePublication
relation.isAuthorOfPublication68d3b1e9-b70a-4447-8a7c-12c8e8e21394
relation.isAuthorOfPublication.latestForDiscovery68d3b1e9-b70a-4447-8a7c-12c8e8e21394
upenn.schoolDepartmentCenterSchool of Nursing Departmental Papers
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