European Journal of Cardiovascular Nursing http://cnu.sagepub.com/
Coexisting anxiety and depressive symptoms in patients with heart failure Rebecca L Dekker, Terry A Lennie, Lynn V Doering, Misook L Chung, Jia-Rong Wu and Debra K Moser Eur J Cardiovasc Nurs 2014 13: 168 originally published online 9 January 2014 DOI: 10.1177/1474515113519520 The online version of this article can be found at: http://cnu.sagepub.com/content/13/2/168
Published by: http://www.sagepublications.com
On behalf of:
European Society of Cardiology
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519520
article2014
CNU0010.1177/1474515113519520European Journal of Cardiovascular NursingDekker et al.
EUROPEAN SOCIETY OF CARDIOLOGY ®
Original Article
Coexisting anxiety and depressive symptoms in patients with heart failure
European Journal of Cardiovascular Nursing 2014, Vol. 13(2) 168–176 © The European Society of Cardiology 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1474515113519520 cnu.sagepub.com
Rebecca L Dekker1, Terry A Lennie1, Lynn V Doering2, Misook L Chung1, Jia-Rong Wu3 and Debra K Moser1
Abstract Background: Among patients with heart failure (HF), anxiety symptoms may co-exist with depressive symptoms. However, the extent of overlap and risk factors for anxiety symptoms have not been thoroughly described. Purpose: The aim of this study was to describe the coexistence of anxiety and depressive symptoms, and to determine the predictors of anxiety symptoms in patients with HF. Methods: The sample consisted of 556 outpatients with HF (34% female, 62±12 years, 54% New York Heart Association (NYHA) class III/IV) enrolled in a multicenter HF quality of life registry. Anxiety symptoms were assessed with the Brief Symptom Inventory-anxiety subscale. Depressive symptoms were measured with the Beck Depression InventoryII (BDI). We used a cut-point of 0.35 to categorize patients as having anxiety symptoms or no anxiety symptoms. Logistic regression was used to determine whether age, gender, minority status, educational level, functional status, comorbidities, depressive symptoms, and antidepressant use were predictors of anxiety symptoms. Results: One-third of patients had both depressive and anxiety symptoms. There was a dose-response relationship between depressive symptoms and anxiety symptoms; higher levels of depressive symptoms were associated with a higher level of anxiety symptoms. Younger age (odds ratio (OR)= 0.97, p=0.004, 95% confidence interval (CI) 0.95–0.99) and depressive symptoms (OR =1.25, p
Coexisting anxiety and depressive symptoms in patients with heart failure Rebecca L Dekker, Terry A Lennie, Lynn V Doering, Misook L Chung, Jia-Rong Wu and Debra K Moser Eur J Cardiovasc Nurs 2014 13: 168 originally published online 9 January 2014 DOI: 10.1177/1474515113519520 The online version of this article can be found at: http://cnu.sagepub.com/content/13/2/168
Published by: http://www.sagepublications.com
On behalf of:
European Society of Cardiology
Additional services and information for European Journal of Cardiovascular Nursing can be found at: Email Alerts: http://cnu.sagepub.com/cgi/alerts Subscriptions: http://cnu.sagepub.com/subscriptions Reprints: http://www.sagepub.com/journalsReprints.nav Permissions: http://www.sagepub.com/journalsPermissions.nav
>> Version of Record - Mar 3, 2014 OnlineFirst Version of Record - Jan 9, 2014 What is This?
Downloaded from cnu.sagepub.com at Universitats-Landesbibliothek on March 25, 2014
519520
article2014
CNU0010.1177/1474515113519520European Journal of Cardiovascular NursingDekker et al.
EUROPEAN SOCIETY OF CARDIOLOGY ®
Original Article
Coexisting anxiety and depressive symptoms in patients with heart failure
European Journal of Cardiovascular Nursing 2014, Vol. 13(2) 168–176 © The European Society of Cardiology 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/1474515113519520 cnu.sagepub.com
Rebecca L Dekker1, Terry A Lennie1, Lynn V Doering2, Misook L Chung1, Jia-Rong Wu3 and Debra K Moser1
Abstract Background: Among patients with heart failure (HF), anxiety symptoms may co-exist with depressive symptoms. However, the extent of overlap and risk factors for anxiety symptoms have not been thoroughly described. Purpose: The aim of this study was to describe the coexistence of anxiety and depressive symptoms, and to determine the predictors of anxiety symptoms in patients with HF. Methods: The sample consisted of 556 outpatients with HF (34% female, 62±12 years, 54% New York Heart Association (NYHA) class III/IV) enrolled in a multicenter HF quality of life registry. Anxiety symptoms were assessed with the Brief Symptom Inventory-anxiety subscale. Depressive symptoms were measured with the Beck Depression InventoryII (BDI). We used a cut-point of 0.35 to categorize patients as having anxiety symptoms or no anxiety symptoms. Logistic regression was used to determine whether age, gender, minority status, educational level, functional status, comorbidities, depressive symptoms, and antidepressant use were predictors of anxiety symptoms. Results: One-third of patients had both depressive and anxiety symptoms. There was a dose-response relationship between depressive symptoms and anxiety symptoms; higher levels of depressive symptoms were associated with a higher level of anxiety symptoms. Younger age (odds ratio (OR)= 0.97, p=0.004, 95% confidence interval (CI) 0.95–0.99) and depressive symptoms (OR =1.25, p
