Heart & lung : the journal of critical care · 2010
Gender-specific characteristics of individuals with depressive symptoms and coronary heart disease.
СтатьяМногоцентровое исследованиеРандомизированное исследованиеПоддержка NIH: внешняя программаНазвание и аннотация: Перевод в очереди
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Doering Lynn V, McKinley Sharon, Riegel Barbara, Moser Debra K, Meischke Hendrika, Pelter Michele M, Dracup Kathleen
Аннотация
OBJECTIVE: In individuals with depressive symptoms and coronary heart disease (CHD), little is known about gender-specific characteristics that may inform treatments and outcomes. This study sought to identify characteristics that distinguish men from women with both conditions.
METHODS: By cross-sectional design, 1951 adults with CHD and elevated depressive symptoms completed questionnaires to measure anxiety, hostility, perceived control, and knowledge, attitudes, and beliefs about CHD. Gender differences were evaluated by multivariable logistic regression.
RESULTS: Women were more likely to be single (odds ratio [OR] 3.61, P < .001), to be unemployed (OR 2.52, P < .001), to be poorly educated (OR 2.52, P < .001), to be anxious (OR 1.14, P < .01), and to perceive lower control over health (OR 1.34, P < .01) than men.
CONCLUSION: Women with CHD and depressive symptoms have fewer resources, greater anxiety, and lower perceived control than men. In women, targeting modifiable factors, such as anxiety and perceived control, is warranted.
METHODS: By cross-sectional design, 1951 adults with CHD and elevated depressive symptoms completed questionnaires to measure anxiety, hostility, perceived control, and knowledge, attitudes, and beliefs about CHD. Gender differences were evaluated by multivariable logistic regression.
RESULTS: Women were more likely to be single (odds ratio [OR] 3.61, P < .001), to be unemployed (OR 2.52, P < .001), to be poorly educated (OR 2.52, P < .001), to be anxious (OR 1.14, P < .01), and to perceive lower control over health (OR 1.34, P < .01) than men.
CONCLUSION: Women with CHD and depressive symptoms have fewer resources, greater anxiety, and lower perceived control than men. In women, targeting modifiable factors, such as anxiety and perceived control, is warranted.
Предметные рубрики MeSH
Acute Coronary SyndromeAgedAnxietyComorbidityCoronary DiseaseCross-Sectional StudiesDepressionEmergency Medical ServicesExercise TherapyFemaleHealth Knowledge, Attitudes, PracticeHostilityHumansInternal-External ControlLogistic ModelsMaleMiddle AgedMultivariate AnalysisPrognosisSex FactorsSocioeconomic FactorsTreatment Outcome