Commonalities and differences in correlates of depressive symptoms in men and women with heart failure

Jo Ann Eastwood; Debra K. Moser; Barbara J. Riegel; Nancy M. Albert; Susan Pressler; Misook L. Chung; Sandra Dunbar; Jia Rong Wu; Terry A. Lennie

doi:10.1177/1474515112438010

Commonalities and differences in correlates of depressive symptoms in men and women with heart failure

Jo Ann Eastwood, Debra K. Moser, Barbara J. Riegel, Nancy M. Albert, Susan Pressler, Misook L. Chung, Sandra Dunbar, Jia Rong Wu, Terry A. Lennie

Research output: Contribution to journal › Review article › peer-review

26 Scopus citations

Abstract

Objective: (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.

Original language	English
Pages (from-to)	356-365
Number of pages	10
Journal	European Journal of Cardiovascular Nursing
Volume	11
Issue number	3
DOIs	https://doi.org/10.1177/1474515112438010
State	Published - Sep 2012

Bibliographical note

Funding Information:
The project described was supported by grant numbers R01 NR008567 and R01 NR009280 from NIH, the National Institute of Nursing Research, and by a Center grant, 1P20NR010679 from NIH, National Institute of Nursing Research. It was also supported by NRSA Clinical Scholars Training in Cardiovascular Science (grant number: T32HL091812). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.

Funding

The project described was supported by grant numbers R01 NR008567 and R01 NR009280 from NIH, the National Institute of Nursing Research, and by a Center grant, 1P20NR010679 from NIH, National Institute of Nursing Research. It was also supported by NRSA Clinical Scholars Training in Cardiovascular Science (grant number: T32HL091812). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.

Funders	Funder number
National Institutes of Health (NIH)
National Heart, Lung, and Blood Institute (NHLBI)	T32HL091812
National Institute of Nursing Research	1P20NR010679
Israel National Road Safety Authority

Keywords

Depression
Gender
Heart failure

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
MedicalSurgical
Advanced and Specialized Nursing

Access to Document

10.1177/1474515112438010

Cite this

@article{b5df60c7f9b44b3ea67c2a919bb797b3,

title = "Commonalities and differences in correlates of depressive symptoms in men and women with heart failure",

abstract = "Objective: (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.",

keywords = "Depression, Gender, Heart failure",

author = "Eastwood, {Jo Ann} and Moser, {Debra K.} and Riegel, {Barbara J.} and Albert, {Nancy M.} and Susan Pressler and Chung, {Misook L.} and Sandra Dunbar and Wu, {Jia Rong} and Lennie, {Terry A.}",

note = "Funding Information: The project described was supported by grant numbers R01 NR008567 and R01 NR009280 from NIH, the National Institute of Nursing Research, and by a Center grant, 1P20NR010679 from NIH, National Institute of Nursing Research. It was also supported by NRSA Clinical Scholars Training in Cardiovascular Science (grant number: T32HL091812). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.",

year = "2012",

month = sep,

doi = "10.1177/1474515112438010",

language = "English",

volume = "11",

pages = "356--365",

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T1 - Commonalities and differences in correlates of depressive symptoms in men and women with heart failure

AU - Eastwood, Jo Ann

AU - Moser, Debra K.

AU - Riegel, Barbara J.

AU - Albert, Nancy M.

AU - Pressler, Susan

AU - Chung, Misook L.

AU - Dunbar, Sandra

AU - Wu, Jia Rong

AU - Lennie, Terry A.

N1 - Funding Information: The project described was supported by grant numbers R01 NR008567 and R01 NR009280 from NIH, the National Institute of Nursing Research, and by a Center grant, 1P20NR010679 from NIH, National Institute of Nursing Research. It was also supported by NRSA Clinical Scholars Training in Cardiovascular Science (grant number: T32HL091812). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Nursing Research or the National Institutes of Health.

PY - 2012/9

Y1 - 2012/9

N2 - Objective: (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.

AB - Objective: (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.

KW - Depression

KW - Gender

KW - Heart failure

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SN - 1474-5151

VL - 11

SP - 356

EP - 365

JO - European Journal of Cardiovascular Nursing

JF - European Journal of Cardiovascular Nursing

IS - 3

ER -

Commonalities and differences in correlates of depressive symptoms in men and women with heart failure

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

Access to Document

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