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Depression predicts failure to complete phase-II cardiac rehabilitation

Elizabeth Casey1, Joel W Hughes, Donna Waechter

  • 1Department of Psychology, Kent State University, P.O. Box 5190, Kent, OH 44242, USA.

Journal of Behavioral Medicine
|August 23, 2008
PubMed

Insights

Depression significantly reduces cardiac rehabilitation completion rates. Interventions promoting treatment adherence may improve outcomes for depressed cardiac patients.

Area of Science:

  • Cardiology
  • Psychiatry
  • Behavioral Medicine

Background:

  • Depression is linked to higher mortality in cardiac patients.
  • Cardiac rehabilitation is a crucial component of cardiac patient care.
  • Adherence to medical treatment is often reduced in depressed individuals.

Purpose of the Study:

  • To investigate whether depressive symptomology predicts non-completion of cardiac rehabilitation.
  • To identify factors associated with non-completion of cardiac rehabilitation.

Main Methods:

  • A logistic regression analysis was performed on data from 600 cardiac patients.
  • Depressive symptomology was measured using the Beck Depression Inventory (BDI).
  • Covariates included age, gender, body mass index, and employment status.

Main Results:

  • Patients with elevated depressive symptomology (BDI scores ≥ 10) were 2.2 times less likely to complete a 12-week phase II cardiac rehabilitation program.
  • Somatic symptoms predicted non-completion due to medical reasons.
  • Younger age predicted non-completion due to non-medical reasons.

Conclusions:

  • Elevated depressive symptomology is a significant predictor of cardiac rehabilitation non-completion.
  • Targeting behavioral change to improve treatment adherence may complement direct depression treatment for better cardiac patient outcomes.

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