Which Factors Unexpectedly Increase Depressive Symptom Severity in Patients at the End of a Cardiac Rehabilitation Program?.
10.5535/arm.2015.39.6.872
- Author:
Saeid KOMASI
1
;
Mozhgan SAEIDI
;
Nafiseh MONTAZERI
;
Masoumali MASOUMI
;
Ali SOROUSH
;
Parvin EZZATI
Author Information
1. Cardiac Rehabilitation Center, Imam ALI Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran. M_Saeidi20@yahoo.com
- Publication Type:Original Article
- Keywords:
Depression;
Patients;
Cardiac disease;
Rehabilitation;
Demographics
- MeSH:
Demography;
Depression*;
Education;
Heart;
Heart Diseases;
Humans;
Iran;
Logistic Models;
Rehabilitation*;
Retrospective Studies;
Smoke;
Smoking
- From:Annals of Rehabilitation Medicine
2015;39(6):872-879
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To investigate predictors of depressive symptom aggravation at the end of a cardiac rehabilitation (CR) program. METHODS: The design of the study was retrospective. The administrative data were obtained from the database of the CR department of a heart hospital in Iran. The demographic and clinical information of 615 CR patients between January 2000 and January 2010 was analyzed using binary logistic regression analysis. RESULTS: The results showed that 10.7% of the patients completed the CR program with aggravated depressive symptoms. After adjustment for gender, age, and pre-intervention depression score, lower education level (p<0.05) and smoking (p<0.01) were significant predictors of increased depressive symptoms at the end of the program. Our model variables could explain 6% to 13% of the dependent variable variance. CONCLUSION: The results suggest that targeting patients who are less literate or who smoke could allow for taking the required measures to prevent or control depression at the end of a CR program. It is suggested that future studies consider other variables.
