Document Detail

Depression and health status in elderly patients with heart failure: a 6-month prospective study in primary care.
MedLine Citation:
PMID:  15365288     Owner:  NLM     Status:  MEDLINE    
To determine the prevalence and effects of depression on health status among elderly outpatients with heart failure, the authors conducted a 6-month prospective cohort study of 139 older outpatients with heart failure managed in primary care and 80 of their spouses. Primary care heart failure diagnosis was confirmed through chart review. The Primary Care Evaluation of Mental Disorders psychiatric diagnostic interview and Hamilton Depression Rating Scale were administered by phone. EQ-5D feeling thermometer, Medical Outcomes Study Short Form 36-Item Questionnaire, Kansas City Cardiomyopathy Questionnaire, and heart failure symptom severity questionnaires were administered by self-report. Depression diagnoses at baseline were: major depression and/or dysthymia (n=12, 9%), minor depression (n=14, 10%), and no depression (n=113, 81%). After adjusting for age, gender, and medical comorbidity, these depression groups differed by repeated measures analysis of covariance on most health status measures including the EQ-5D feeling thermometer; Medical Outcomes Study Short Form 36-Item Questionnaire general health and physical role function subscales; Kansas City Cardiomyopathy Questionnaire total score, symptom total, physical limitations, and quality of life subscales; as well as severity of chest pain and fatigue. Depression has significant and persistent effects on health status of elderly patients with heart failure, including heart failure symptoms, physical and role function, and quality of life. This may help explain why depression has been associated with increased health care utilization and costs in this population.
Mark D Sullivan; Katherine Newton; Julia Hecht; Joan E Russo; John A Spertus
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  The American journal of geriatric cardiology     Volume:  13     ISSN:  1076-7460     ISO Abbreviation:  Am J Geriatr Cardiol     Publication Date:    2004 Sep-Oct
Date Detail:
Created Date:  2004-09-14     Completed Date:  2006-08-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9215283     Medline TA:  Am J Geriatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  252-60     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Le Jacq Communications, Inc.
Department of Psychiatry and Behavioral Studies, University of Washington, Seattle, WA 98195, USA.
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MeSH Terms
Aged, 80 and over
Depression / diagnosis,  psychology*,  therapy*
Follow-Up Studies
Health Status*
Health Status Indicators
Heart Failure / diagnosis,  psychology*,  therapy*
Primary Health Care
Prospective Studies
Psychiatric Status Rating Scales
Quality of Life
Severity of Illness Index
Sickness Impact Profile
Washington / epidemiology
Grant Support
Comment In:
Am J Geriatr Cardiol. 2004 Sep-Oct;13(5):237-8   [PMID:  15365285 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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