Effects of depression and anxiety on adherence to cardiac rehabilitation

Journal of Cardiopulmonary Rehabilitation and Prevention
Angele McGradyMuhammad Rajput

Abstract

To determine the effects of depression and anxiety on patient completion of structured cardiac rehabilitation. Retrospective chart review of 380 patients with myocardial infarction, coronary artery bypass graft, angina, or chronic heart failure referred to cardiac rehabilitation. Patient physical capacity was tested by the standard 12-minute walk test (WT). Depression, anxiety, and quality of life were assessed by standard questionnaires. Program completers were contrasted to dropouts on dependent variables at baseline. Baseline and postprogram WT, depression, anxiety, and quality of life were also compared in completers by using ANOVA and paired t tests. One-half of entering patients completed the program. Statistically significant differences were observed in baseline depression, anxiety, and quality of life between program completers and dropouts. Dropouts had higher depression and anxiety scores and lower quality of life, but there were no differences in WT. Younger, female patients had higher dropout rates. Women also had higher psychological distress, lower quality of life, and less feet walked than men. Dropout rate was lowest in patients with coronary artery bypass graft and highest in patients with chronic heart failur...Continue Reading

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