Barreto FJN, Garcia FD, Prado PHT, Rocha PMB, Las Casas NS, Vallt FB, Correa H, Neves MCL. World J. Psychiatry 2017; 7(2): 106-113.
Affiliation
Felipe José Nascimento Barreto, Frederico Duarte Garcia, Nádia Souza Las Casas, Felipe Barbosa Vallt, Maila Castro Lourenço Neves, Department of Mental Health, Federal University of Minas Gerais, Avenida Alfredo Balena, CEP 30130-100 Belo Horizonte, Brazil.
AIM: To identify factors associated with depressive symptoms among inpatients with cardiovascular disease (CVD).
METHODS: This is a cross-sectional study performed in a subsample of a large cross-sectional research that investigated affective disorders and suicide behaviour among inpatients hospitalized in non-surgical wards of the University Hospital of the Federal University of Minas Gerais from November 2013 to October 2015. Sociodemographic and clinical data were obtained through a structured interview and medical record review. Depression was assessed by the depression subscale of the Hospital Anxiety and Depression Scale, with scores ≥ 8 considered as positive screening for depression. We used the Fageström Test for Nicotine Dependence to characterize nicotine dependence. For assessing resilience and early-life trauma, we used the raw scores of the Wagnild and Young Resilience Scale and Childhood Trauma Questionnaire, respectively.
RESULTS: At endpoint, we included 137 subjects. Thirty-eight (27.7%) subjects presented depressive symptoms and nine (23.7%) of those were receiving antidepressant treatment during hospitalization. The female sex; a lower mean educational level; a greater prevalence of previous suicide attempts; a higher level of pain; a higher prevalence of family antecedents of mental disorders; a lower resilience score; and higher childhood trauma score were the factors significantly associated with screening positive for major depression (P < 0.05). Multivariate analysis demonstrated that the factors independently associated with the depressive symptoms were a higher childhood trauma severity (OR = 1.06; P = 0.004); moderate to severe nicotine dependence (OR = 8.58; P = 0.008); and the number of previous hospital admissions (OR = 1.11; P = 0.034). The obtained logistic model was considered valid, indicating that the three factors together distinguished between having or not depressive symptoms, and correctly classified 74.6% of individuals in the sample.
CONCLUSION: Our results demonstrate that inpatients presenting both CVD and a positive screening for depression are more prone to have antecedents of childhood trauma, nicotine dependence and a higher number of previous hospitalizations.
Language: en
Keywords
Cardiovascular disease; Depression; Depressive symptoms; General hospital; Inpatients