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Published on: December 2, 2015
Impact of depressive mood on lifestyle changes in patients with coronary artery disease
Eva Söderman1, Jan Lisspers, Orjan Sundin
1Department of Social Sciences, MidSweden University, Ostersund, Sweden. eva.soderman@miun.se
Insights
Patients with coronary artery disease showed reduced depressive mood during rehabilitation. Higher initial depression levels did not hinder lifestyle changes, suggesting rehabilitation programs benefit mood and behavior.
Area of Science:
- Cardiology
- Psychiatry
- Rehabilitation Medicine
Background:
- Coronary artery disease (CAD) patients often experience depressive mood, impacting secondary prevention efforts.
- Understanding the trajectory of depressive mood and its influence on lifestyle modifications is crucial for effective cardiac rehabilitation.
Purpose of the Study:
- To examine the time-course of depressive mood in CAD patients undergoing cardiac rehabilitation.
- To determine if pre-treatment depressive mood levels affect lifestyle changes at 36-month follow-up.
Main Methods:
- 109 CAD patients (post-MI, bypass surgery, angioplasty, or untreated angina) were assessed for depressive mood at baseline, 4 weeks, and 12 months using the Hospital Anxiety and Depression scale.
- Patients were categorized into three subgroups based on initial depressive mood levels.
- Lifestyle changes in diet, smoking, stress management, and exercise were evaluated over 36 months.
Main Results:
- Depressive mood significantly decreased at 4 weeks and 12 months compared to baseline.
- Patients with higher initial depression scores showed the greatest mood improvement.
- Pre-treatment depressive mood levels did not predict the extent of lifestyle habit changes over 36 months.
Conclusions:
- Behaviorally oriented rehabilitation programs, including exercise, may improve depressive mood in CAD patients.
- Depressive mood may not be a barrier to adopting healthier lifestyles within such programs.
Objective:
The aims of this study were to investigate the time-course of depressive mood in patients with coronary artery disease during a secondary prevention rehabilitation program, and to analyse how different pre-treatment levels of depressive mood during a treatment phase were related to the degree of lifestyle change at 36 months follow-up.
Subjects:
The study group comprised 109 of the original 183 consecutive coronary artery disease patients (91 male and 18 female) of whom 48 recently had experienced an acute myocardial infarction, 36 had been treated with coronary bypass surgery, 13 with percutaneous transluminal coronary angioplasty, and 12 had angina pectoris that had not been invasively treated. The subjects were divided into 3 subgroups based on their pre-treatment level of depressive mood.
Methods:
Depressive mood was assessed at baseline, after 4 weeks and 12 months, using the depression subscale of the Hospital Anxiety and Depression scale. Lifestyle changes analysed included diet, smoking, relaxation (stress management) and exercise.
Results:
Overall depressive mood ratings were significantly lower, both at the 4-week and 12-month assessments, compared with baseline, with the greatest improvements in patients with higher Hospital Anxiety and Depression measured depression. Original levels of depressive mood were not found to influence change of lifestyle habits during a 36-month follow-up period.
Conclusion:
Depressive mood might not be an obstacle to lifestyle changes when participating in a behaviourally oriented rehabilitation program including exercise-training, which might be a component important for improved depressive mood.
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