Differences between depressed patients with heart failure and those with pulmonary disease

The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry
H G Koenig

Abstract

The objective of this study was to examine differences between depressed medical inpatients with congestive heart failure (CHF) and chronic pulmonary disease (CPD) that could impact the etiology and management of depression in this setting. Patients aged 50 years or over consecutively admitted to Duke University Medical Center and three community hospitals were screened for depressive disorder using the Structured Clinical Interview for Depression (SCID-IV). Characteristics of depressed patients with CHF (N = 174) and CPD (N = 527) were compared. Analyses were stratified by type of depressive disorder (major versus minor). Depressed hospitalized medical patients with CHF and CPD are similar to one another in many respects, particularly with regard to severity of depressive symptoms and shortness of breath. However, patients with CHF in this study had greater medical comorbidity and overall more severe medical illnesses but less severe CHF-specific disease severity compared with patients with CPD. Patients with CPD, however, were more likely to have psychologic risk factors such as a psychiatric history, comorbid psychiatric illness, and stressful life events. These findings suggest important differences between depressed patien...Continue Reading

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Citations

Jul 30, 2011·Primary Health Care Research & Development·Abebaw Mengistu YohannesBonnie Sibbald
Jun 9, 2009·International Journal of Cardiology·Dimitris TousoulisChristodoulos Stefanadis
Jun 2, 2016·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Maria Daniela Giammanco, Lara Gitto
Jun 30, 2007·Psychosomatics·Harold G Koenig
Jun 1, 2008·Expert Review of Respiratory Medicine·Abebaw Mengistu Yohannes
Mar 21, 2009·The Journal of ECT·Asha DavisPeter B Rosenquist
Apr 5, 2007·International Journal of Geriatric Psychiatry·Matthew NitiChay Hoon Tan
Aug 31, 2012·Journal of the American Academy of Nurse Practitioners·Donna HallasJudith Haber

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