Volume 27, Issue 1


DOI: 10.24205/03276716.2018.1047

Depressive Symptoms and Associated Risk Factors In Coronary Artery Disease Patients Heather L. Rogers, Mariantonia Lemos Hoyos, Verónica Cuartas Murillo & Juan Carlos


Abstract
99 patients with Coronary Artery Disease (CAD) from the Cardiovascular Clinic and 107 healthy controls in Medellín, Colombia were administered the Patient Health Questionnaire – 9 (PHQ-9, measure of depression) and answered questions regarding presence of traditional CAD risk factors. CAD patients had significantly higher PHQ-9 scores compared to controls. For each point on the PHQ-9, the risk of having CAD increased by 12% [OR=1.12 (1.04-1.21)]. Using multiple logistic regression models, hypertension and former smoking were found to mediate the relationship between depressive symptoms and CAD. Although there is a relationship between depressive symptoms in the prior two weeks and CAD, hypertension and former smoking are important mechanisms that explain this relationship in this sample of Colombians.

Keywords
Coronary artery disease, ischemic heart disease, health psychology, psycho-social risk factors

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