Abstract 14338: High Self-Reported Symptoms of Depression among Women during Hospitalization for Acute Coronary Syndrome
Introduction: Depression has been associated with higher rates of morbidity and mortality in acute coronary syndrome (ACS) patients. Higher rates of depression have been reported in patients with ACS, but most studies have evaluated out-patients recovering from ACS and have not explored the various gender differences in depressive symptoms during an ACS event. The purpose of this study was to determine the prevalence of depressive symptoms, as measured by the Beck Depression Inventory-II (BDI-II), in patients hospitalized for ACS and to understand the impact of gender.
Hypothesis: We hypothesized that in patients hospitalized for ACS, self-reported symptoms of depression would be higher in women than in men.
Methods: A convenience sample of 610 adults (197 women and 413 men) hospitalized for ACS were screened for self-reported depressive symptoms, as measured by the BDI-II. Depression was defined as a score on the BDI-II of ≥ 14. Independent-sample t tests and chi-square test were used for gender comparisons.
Results: Women were significantly more depressed (n=71, 36%) than men (n=89, 22%), p=0.0001 and were more likely to currently be taking anti-depressants (20%) than men (11%), p=0.0078. Significantly more women (32%) than men (16%), p<0.0001 reported a history of previous depression or treatment for depression. Significantly more women than men (50% vs. 26%, p<0.0001) were single, divorced, separated, or widowed and lived alone (24% vs. 16%, p=0.0002). Women reported significantly more crying (37% vs. 16%, p<0.0001), loss of interest in sex (51% vs. 35%, p=0.0002), sadness (34% vs. 20%, p=0.0004), changes in appetite (48% vs. 35%, p=0.0024), concentration difficulty (48% vs. 40%, p=0.0467), indecisiveness (28% vs. 21%, p=0.0354), and self-dislike (23% vs. 16%, p=0.0357) than men.
Conclusions: In conclusion, significant differences in the prevalence of depression and the depressive symptoms reported between women and men were found. We found that women, hospitalized for ACS, reported more severe symptoms of depression than men. These data suggest that depression severity and symptom experience vary according to gender, which may have implications for health care providers, especially when caring for women during hospitalization for ACS.
- © 2010 by American Heart Association, Inc.