Prevalent Depression in Patients with Chronic Heart Disease: Baseline Profile of the TAKE-HEART in Primary Care Study Cohort

Eckert, Kerena, Schrader, Geoffrey, Wilkinson, David, Askew, Deborah, Dick, Marie-Louise, Wade, Tony, Marwick, Thomas H., Scuffham, Paul A., Jackson, Claire L., Schluter, Philip J., Goldney, Robert, Jansen, Else, Stewart, Tania and Stewart, Simon S (2009). Prevalent Depression in Patients with Chronic Heart Disease: Baseline Profile of the TAKE-HEART in Primary Care Study Cohort. In: Richmond Jeremy, Heart lung & circulation. Cardiac Society of Australia and New Zealand Annual Scientific Meeting, Sydney, NSW, Australia, (S8-S8). 13-16 August, 2009. doi:10.1016/j.hlc.2009.05.016


Author Eckert, Kerena
Schrader, Geoffrey
Wilkinson, David
Askew, Deborah
Dick, Marie-Louise
Wade, Tony
Marwick, Thomas H.
Scuffham, Paul A.
Jackson, Claire L.
Schluter, Philip J.
Goldney, Robert
Jansen, Else
Stewart, Tania
Stewart, Simon S
Title of paper Prevalent Depression in Patients with Chronic Heart Disease: Baseline Profile of the TAKE-HEART in Primary Care Study Cohort
Conference name Cardiac Society of Australia and New Zealand Annual Scientific Meeting
Conference location Sydney, NSW, Australia
Conference dates 13-16 August, 2009
Convener The Cardiac Society of Australia and New Zealand
Proceedings title Heart lung & circulation   Check publisher's open access policy
Place of Publication Carlton South, Vic. Australia
Publisher Elsevier Australia
Publication Year 2009
Year available 2009
Sub-type Published abstract
DOI 10.1016/j.hlc.2009.05.016
Open Access Status
ISSN 1443-9506
Editor Richmond Jeremy
Volume 18
Issue Suppl.3
Start page S8
End page S8
Total pages 1
Collection year 2010
Language eng
Formatted Abstract/Summary
Background:
Although there is a strong and consistent association between depression and chronic heart disease (CHD) the value of screening for depression in patients with CHD in primary care is unknown.

Methods:

The TAKE-HEART Study is a cluster randomised trial in 19 SA general practices designed to determine if a program of screening for depression, academic detailing and tailored psychiatric advice to support GPs can reduce co-morbid depression in patients with CHD, relative to usual care during 12 month follow-up. Depression was detected via the Centre for Epidemiological Studies Depression scale; ≥16 indicated mild depression and ≥27 moderate–severe depression.

Results:

284 participants (mean age 70±10 years, 65% male) were enrolled in the study. The most common form of CHD was coronary artery disease (78%) with 44% of patients being treated with chronic angina pectoris and 34% with a prior history of acute myocardial infarction. A further 38% and 20% were being treated for a trial fibrillation and heart failure, respectively. The baseline prevalence of depression was 27.1% (19.4% mild and 7.7%
moderate to severe), a rate significantly higher than that observed in the general SA population (17%, OR 1.81, 95% confidence interval [CI] CI: 1.36–2.42, p = <0.0001). A nonsignificant, but higher proportion of women than men experienced depression (31.3% vs. 24.9%, OR 1.38, 95% CI: 0.77–2.45%; p = 0.2).

Conclusion:

These data confirm high levels of depression in patients being treated forCHDin primary care and the potential value of the TAKE-HEART intervention.
Subjects 920103 Cardiovascular System and Diseases
111714 Mental Health
110201 Cardiology (incl. Cardiovascular Diseases)
Q-Index Code EX
Q-Index Status Provisional Code

 
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Created: Wed, 26 Aug 2009, 11:32:05 EST by Vicki Percival on behalf of School of Nursing, Midwifery and Social Work