Pre-Hospital discharge depressive symptoms in patients after having Acute Coronary Syndromes (ACS) may predict severity of depressive symptoms a month later

2.50
Hdl Handle:
http://hdl.handle.net/10755/159852
Type:
Presentation
Title:
Pre-Hospital discharge depressive symptoms in patients after having Acute Coronary Syndromes (ACS) may predict severity of depressive symptoms a month later
Abstract:
Pre-Hospital discharge depressive symptoms in patients after having Acute Coronary Syndromes (ACS) may predict severity of depressive symptoms a month later
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2006
Author:Shin, Nah-Mee, PhD, RN
P.I. Institution Name:University of Michigan
Title:Doctoral Fellow
Contact Address:School of Nursing, 2414 Bishop St. #4, Ann Arbor, MI, MI/48105, USA
Contact Telephone:734-647-4520
Co-Authors:Bonnie Hagerty, PhD, CNS, RN, Associate Professor
The evidence that development of depression affects the recovery process following ACS (acute coronary syndrome) is growing and depression is a powerful independent predictor of mortality and morbidity. Therefore, decreasing a risk for depression should be addressed as the leading issue in the recovery in post ACS patients. Although quality of recovery may be affected by several factors, subjectivity in appraisal of interpreting and responding to ACS might be able to provide a critical way to explain the individual variations in experiencing depression seen among survivors. This study (n=100) used a longitudinal design to predict severity of depressive symptoms one month after hospital discharge (Time 2). Resilient coping capacity (RCC), a key variable in this study derived from Theory of Sense of Coherence (SOC) (Antonovsky, 1979), is about how one views their ACS event and its meaning. This theory emphasizes cognitive functions of RCC in terms of SOC in mediating the perceived health status following ACS. By using path analysis, 56% of variations in the severity of depressive symptoms at Time 2 were predicted by age, gender, race, married status, perceived health status at Time 1 (prior to hospital discharge), SOC at Time 1, and depressive symptoms measured at Time 1. It is important to note that depressive symptoms was the most powerful and significant predictor of severity of depressive symptoms at Time 2. This finding might offer clinically useful information about the importance of screening for depression in early stage following an ACS event. Also, perceived health status following an ACS event did not show any predictive power for depression one month later compared to severity of depressive symptoms immediately after ACS event. These study findings produced new knowledge about ACS and depression, paving the way for innovative interventions to promote psychological health and coping after an ACS.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePre-Hospital discharge depressive symptoms in patients after having Acute Coronary Syndromes (ACS) may predict severity of depressive symptoms a month lateren_GB
dc.identifier.urihttp://hdl.handle.net/10755/159852-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Pre-Hospital discharge depressive symptoms in patients after having Acute Coronary Syndromes (ACS) may predict severity of depressive symptoms a month later</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Shin, Nah-Mee, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Michigan</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">School of Nursing, 2414 Bishop St. #4, Ann Arbor, MI, MI/48105, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">734-647-4520</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">nshin@umich.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Bonnie Hagerty, PhD, CNS, RN, Associate Professor</td></tr><tr><td colspan="2" class="item-abstract">The evidence that development of depression affects the recovery process following ACS (acute coronary syndrome) is growing and depression is a powerful independent predictor of mortality and morbidity. Therefore, decreasing a risk for depression should be addressed as the leading issue in the recovery in post ACS patients. Although quality of recovery may be affected by several factors, subjectivity in appraisal of interpreting and responding to ACS might be able to provide a critical way to explain the individual variations in experiencing depression seen among survivors. This study (n=100) used a longitudinal design to predict severity of depressive symptoms one month after hospital discharge (Time 2). Resilient coping capacity (RCC), a key variable in this study derived from Theory of Sense of Coherence (SOC) (Antonovsky, 1979), is about how one views their ACS event and its meaning. This theory emphasizes cognitive functions of RCC in terms of SOC in mediating the perceived health status following ACS. By using path analysis, 56% of variations in the severity of depressive symptoms at Time 2 were predicted by age, gender, race, married status, perceived health status at Time 1 (prior to hospital discharge), SOC at Time 1, and depressive symptoms measured at Time 1. It is important to note that depressive symptoms was the most powerful and significant predictor of severity of depressive symptoms at Time 2. This finding might offer clinically useful information about the importance of screening for depression in early stage following an ACS event. Also, perceived health status following an ACS event did not show any predictive power for depression one month later compared to severity of depressive symptoms immediately after ACS event. These study findings produced new knowledge about ACS and depression, paving the way for innovative interventions to promote psychological health and coping after an ACS.</td></tr></table>en_GB
dc.date.available2011-10-26T22:23:42Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:23:42Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.