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Research: SODERMAN and co-workers,
Listed in Issue 151
Abstract
SODERMAN and co-workers, Department of Social Sciences, MidSweden University, Ostersund, Sweden, eva.soderman@miun.se, have examined the effect of depressive feelings on lifestyle changes in patients with heart disease.
Background
The aims of this study were to investigate the time-course of depressive mood in patients with coronary artery disease during a secondary prevention rehabilitation program, and to analyse how different pre-treatment levels of depressive mood during a treatment phase were related to the degree of lifestyle change at 36 months follow-up.
Methodology
The study group comprised 109 of the original 183 consecutive coronary artery disease patients (91 male and 18 female). The subjects were divided into 3 subgroups based on their pre-treatment level of depressive mood. Depressive mood was assessed at baseline, after 4 weeks and 12 months, using the depression subscale of the Hospital Anxiety and Depression scale. Lifestyle changes analysed included diet, smoking, relaxation (stress management) and exercise.
Results
Overall depressive mood ratings were significantly lower, both at the 4-week and 12-month assessments, compared with baseline, with the greatest improvements in patients with higher Hospital Anxiety and Depression measured depression. Original levels of depressive mood were not found to influence change of lifestyle habits during a 36-month follow-up period.
Conclusion
Depressive mood might not be an obstacle to lifestyle changes when participating in a behaviourally oriented rehabilitation program including exercise.
References
Soderman E, Lisspers J, Sundin O. Impact of depressive mood on lifestyle changes in patients with coronary artery disease. Journal of Rehabilitation Medicine 39 (5): 412-417, May 2007.
