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Depression in primary care patients with coronary heart disease: Baseline findings from the UPBEAT UK study

Walters, Paul, Barley, Elizabeth A., Mann, Anthony, Phillips, Rachel and Tylee, Andre (2014) Depression in primary care patients with coronary heart disease: Baseline findings from the UPBEAT UK study PLoS ONE, 9 (6).

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Abstract

Background: An association between depression and coronary heart disease is now accepted but there has been little primary care research on this topic. The UPBEAT-UK studies are centred on a cohort of primary patients with coronary heart disease assessed every six months for up to four years. The aim of this research was to determine the prevalence and associations of depression in this cohort at baseline. Method: Participants with coronary heart disease were recruited from general practice registers and assessed for cardiac symptoms, depression, quality of life and social problems. Results: 803 people participated. 42% had a documented history of myocardial infarction, 54% a diagnosis of ischaemic heart disease or angina. 44% still experienced chest pain. 7% had an ICD-10 defined depressive disorder. Factors independently associated with this diagnosis were problems living alone (OR 5.49, 95% CI 2.11-13.30), problems carrying out usual activities (OR 3.71, 95% CI 1.93-7.14), experiencing chest pain (OR 3.27, 95% CI 1.58-6.76), other pains or discomfort (OR 3.39, 95% CI 1.42-8.10), younger age (OR 0.95 per year 95% CI 0.92-0.98). Conclusion: Problems living alone, chest pain and disability are important predictors of depression in this population. © 2014 Walters et al.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
NameEmailORCID
Walters, Paul
Barley, Elizabeth A.e.barley@surrey.ac.uk
Mann, Anthony
Phillips, Rachel
Tylee, Andre
Date : 12 June 2014
DOI : 10.1371/journal.pone.0098342
Copyright Disclaimer : Copyright: � 2014 Walters et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Uncontrolled Keywords : aged, angina pectoris, article, depression, disease association, female, general practice, heart infarction, human, ischemic heart disease, major clinical study, male, medical history, prevalence, primary medical care, quality of life, register, social problem, thorax pain, complication, coronary artery disease, depression, middle aged, outpatient, psychology, social class, statistics and numerical data, very elderly, Aged, Aged, 80 and over, Coronary Disease, Depression, Female, Humans, Male, Middle Aged, Outpatients, Prevalence, Quality of Life, Social Class
Depositing User : Diane Maxfield
Date Deposited : 19 Jul 2019 14:06
Last Modified : 19 Jul 2019 14:06
URI: http://epubs.surrey.ac.uk/id/eprint/850921

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