Heart failure affects 4.8 million people in the United States. Patients depressed after myocardial infarction have increased morbidity and mortality. Only a few studies have investigated the effects of depression in patients with heart failure. The incidence of depression in heart failure ranges from 13% to 77.5%. Men with heart failure are more likely to become depressed than the general population. Depression incidence is higher in hospitalized patients with heart failure than in stabilized outpatients. In patients with heart failure, depression is associated with mortality. Physiologic changes, which occur in depressed patients, have been implicated as possibly contributing to the increased mortality. Nurses have a major role in the management of patients with heart failure and can be pivotal in the detection and treatment of depression in these patients. Reduction in depression is likely to decrease morality in patients with heart failure.
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1 February 2003
Psychosocial Issues|
February 01 2003
Depression in Patients With Heart Failure: Physiologic Effects, Incidence, and Relation to Mortality
Sue Ann Thomas, PhD, RN, CS-P, FAAN;
From the School of Nursing, University of Maryland, Baltimore (Dr Thomas, Ms Cook, Ms Lann); the Department of Health and Nutrition Science Brooklyn College, Brooklyn (Dr Friedmann); and the University of Maryland Medical System, Baltimore (Ms Khatta).
Reprint requests to Sue Ann Thomas, PhD, RN, CS-P, FAAN, University of Maryland, School of Nursing, 655 West Lombard Street, Baltimore, MD 21201. (e-mail: [email protected]).
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Erika Friedmann, PhD;
Erika Friedmann, PhD
From the School of Nursing, University of Maryland, Baltimore (Dr Thomas, Ms Cook, Ms Lann); the Department of Health and Nutrition Science Brooklyn College, Brooklyn (Dr Friedmann); and the University of Maryland Medical System, Baltimore (Ms Khatta).
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Meenakshi Khatta, MS, RN;
Meenakshi Khatta, MS, RN
From the School of Nursing, University of Maryland, Baltimore (Dr Thomas, Ms Cook, Ms Lann); the Department of Health and Nutrition Science Brooklyn College, Brooklyn (Dr Friedmann); and the University of Maryland Medical System, Baltimore (Ms Khatta).
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Linda K. Cook, MS, RN, CCNS, CCRN;
Linda K. Cook, MS, RN, CCNS, CCRN
From the School of Nursing, University of Maryland, Baltimore (Dr Thomas, Ms Cook, Ms Lann); the Department of Health and Nutrition Science Brooklyn College, Brooklyn (Dr Friedmann); and the University of Maryland Medical System, Baltimore (Ms Khatta).
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Anita Lippman Lann, MS, RN
Anita Lippman Lann, MS, RN
From the School of Nursing, University of Maryland, Baltimore (Dr Thomas, Ms Cook, Ms Lann); the Department of Health and Nutrition Science Brooklyn College, Brooklyn (Dr Friedmann); and the University of Maryland Medical System, Baltimore (Ms Khatta).
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AACN Adv Crit Care (2003) 14 (1): 3–12.
Citation
Sue Ann Thomas, Erika Friedmann, Meenakshi Khatta, Linda K. Cook, Anita Lippman Lann; Depression in Patients With Heart Failure: Physiologic Effects, Incidence, and Relation to Mortality. AACN Adv Crit Care 1 February 2003; 14 (1): 3–12. doi:
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