TY - JOUR
T1 - Assessment of clinical depression metrics in cardiac patients using the patient health Questionnaire-9 before and after phase-II cardiac rehabilitation
AU - Quindry, John C.
AU - McNamara, Michael
AU - Oser, Carrie
AU - Fogle, Crystelle
N1 - Funding Information:
none to reportAll authors have read and approved the manuscript.
Publisher Copyright:
© 2023 Chengdu Sport University
PY - 2023/9
Y1 - 2023/9
N2 - Cardiovascular disease remains a leading cause of morbidity and mortality, a fact that is commonly associated with co-morbidities such as clinical depression. While phase II cardiac rehabilitation is an established intervention for those with cardiovascular disease, its effect on patients who also suffer from depression are under studied. Aim: To quantify Pre- and Post-cardiac rehabilitation questionnaire scores collected from a large patient data registry. For this investigation, 27 670 patients completed Patient Health Questionnaire-9 questionnaires both Pre- and Post-rehabilitation (averaging [28.0 ± 8.7] phase II sessions). Findings reveal that questionnaire scores decreased by 40%–48% across all groups, a finding that was independent of assigned sex, race, and ethnicity. Moreover, when data were stratified for questionnaire scores that may indicate major and minor depressive disorder, phase II cardiac rehabilitation outcomes were lower by 61% and 49% respectively. While all groups exhibited lower questionnaire scores following cardiac rehabilitation participation, numerical differences at Pre- and Post-rehabilitation time points indicate that males and White patients have more favorable scores. This latter observation, while not confirmed currently, appears to be linked to referral rates to phase II cardiac rehabilitation, which remain poor for females, racial and ethnic minorities.
AB - Cardiovascular disease remains a leading cause of morbidity and mortality, a fact that is commonly associated with co-morbidities such as clinical depression. While phase II cardiac rehabilitation is an established intervention for those with cardiovascular disease, its effect on patients who also suffer from depression are under studied. Aim: To quantify Pre- and Post-cardiac rehabilitation questionnaire scores collected from a large patient data registry. For this investigation, 27 670 patients completed Patient Health Questionnaire-9 questionnaires both Pre- and Post-rehabilitation (averaging [28.0 ± 8.7] phase II sessions). Findings reveal that questionnaire scores decreased by 40%–48% across all groups, a finding that was independent of assigned sex, race, and ethnicity. Moreover, when data were stratified for questionnaire scores that may indicate major and minor depressive disorder, phase II cardiac rehabilitation outcomes were lower by 61% and 49% respectively. While all groups exhibited lower questionnaire scores following cardiac rehabilitation participation, numerical differences at Pre- and Post-rehabilitation time points indicate that males and White patients have more favorable scores. This latter observation, while not confirmed currently, appears to be linked to referral rates to phase II cardiac rehabilitation, which remain poor for females, racial and ethnic minorities.
KW - Clinical depression
KW - Exercise
KW - Psychological health
UR - http://www.scopus.com/inward/record.url?scp=85172252611&partnerID=8YFLogxK
UR - https://www.mendeley.com/catalogue/0f5e80d9-c48f-3170-9a53-2c3543895581/
U2 - 10.1016/j.smhs.2023.09.004
DO - 10.1016/j.smhs.2023.09.004
M3 - Article
AN - SCOPUS:85172252611
VL - 6
SP - 240
EP - 245
JO - Sports Medicine and Health Science
JF - Sports Medicine and Health Science
IS - 3
ER -