Depression and anxiety among chronically ill heart patients: Age differences in risk and predictors

Authors

  • Dr. Jennie T. Nickel,

    Corresponding author
    • College of Nursing, The Ohio State University, 1585 Neil Avenue, Columbus, OH 43210
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    • Jennie T. Nickel, PhD, RN, is an assistant professor in the Department of Family and Community, College of Nursing, The Ohio State University, Columbus. Kay J. Brown, RN, MSN, is a graduate student in the College of Nursing, and Barbara A. Smith, PhD, RN is an assistant professor in the Department of Family and Community in the same college.

  • Kay J. Brown,

  • Barbara A. Smith


Abstract

Anxiety and depression for 399 survivors of a 1,102-member heart disease cohort were assessed 8 to 9 years post-hospitalization. Approximately one-third reported symptoms of emotional distress and one-fourth were on anti-anxiety drugs. Predictors of anxiety and depression were analyzed through logistic regression. Subjects age 65 and over were less likely than younger patients to report anxiety or depression and also reported less heart-associated disability, the strongest predictor of distress for both age groups. Other significant predictors included a previous history of distress, low income, female sex, and beta blocker use.

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