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Centre for Policy on Ageing | |
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The effect of major depression on functional status in patients with coronary artery disease | Author(s) | David C Steffens, Christopher M O'Connor, Wei Jan Jiang |
Journal title | Journal of the American Geriatrics Society, vol 47, no 3, March 1999 |
Pages | pp 319-322 |
Keywords | Depression ; Mobility ; Self care capacity ; Cardiovascular diseases ; Clinical surveys ; United States of America. |
Annotation | Depressive symptoms are highly prevalent in patients with coronary artery disease (CAD). This American study examined the effect of major depression on both IADLs and self-maintenance ADLs in 335 inpatients with CAD who were free of dementia, Parkinson's disease and other primary neurological illnesses. Measurements used were the Duke Depression Evaluation Schedule, a structured psychiatric interview including the Diagnostic Interview Schedule depression subscale, the Cumulative Illness Rating Scale and two scales for measuring IADLs and self-maintenance ADLs. 27 subjects met DSM-IV criteria for major depression. Compared to those without major depression, depressed subjects were more than twice as likely to report a self-maintenance ADL deficit and were significantly more likely to report an IADL deficit than the non-depressed (93% vs 71%). Female gender, older age, greater medical illness severity and presence of major depression were significant predictors of self-maintenance ADL disability and of greater IADL impairment. Further research is needed to clarify whether antidepressant treatment has any significant effect on symptoms and functional status in patients with CAD. (RH). |
Accession Number | CPA-001107007 A |
Classmark | ENR: C4: CA: CQ: 3G: 7T |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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