A prospective cohort study of the impact of outpatient Intensive Cardiac Rehabilitation on depression and cardiac self-efficacy

Kristin M. McKenzie, Lauren K. Park, Eric J. Lenze, Kristin Montgomery, Serene Rashdi, Elena Deych, Natalie A. Stranczek, Erin J. McKenzie, Mike Rich, Valene Garr Barry, Jennifer Jonagan, Nidhi Talpade, Dotti Durbin, Tessa Carson, Linda Peterson, Susan Racette, Lisa de las Fuentes

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Study objective: To evaluate whether an Intensive Cardiac Rehabilitation (ICR) program improves depression and cardiac self-efficacy among patients with a qualifying cardiac diagnosis. Design: Prospective, longitudinal cohort design. Setting: Single-center, tertiary referral, outpatient cardiac rehabilitation center. Participants: Patients with a qualifying diagnosis for ICR. Interventions: Outpatient ICR. Main outcome measure(s): Mental health, as assessed using the Patient Health Questionnaire-9 (PHQ-9) and cardiac self-efficacy using the Cardiac Self-Efficacy (CSE) scale. Results: Of the 268 patients included (median age 69 y, 73% men), 70% had no depressive symptoms at baseline (PHQ-9 score <5). PHQ-9 scores improved in the overall sample (p < 0.0001), with greater improvements among patients with mild depressive symptoms at baseline (−4 points, p < 0.001) and those with moderate to severe depressive symptoms at baseline (−5.5 points, p < 0.001). Cardiac self-efficacy improved overall, and the two subsections of the cardiac self-efficacy questionnaire titled, “maintain function” and “control symptoms” improved (all p < 0.001). Conclusions: Participation in an outpatient ICR program is associated with fewer depressive symptoms and greater cardiac self-efficacy among patients with CVD who qualify for ICR. The improvement in depression was greatest for those with moderate to severe depressive symptoms.

Original languageEnglish
Article number100100
JournalAmerican Heart Journal Plus: Cardiology Research and Practice
Volume13
DOIs
StatePublished - Jan 2022

Keywords

  • Cardiac self-efficacy
  • Cardiovascular disease
  • Depression
  • Intensive Cardiac Rehabilitation

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