Abstract 11032: Home Exercise Reduces Hopelessness in Patients with Coronary Heart Disease
Background: In patients with coronary heart disease (CHD) the presence of hopelessness is associated with increased morbidity and mortality, independent of depression. To date few studies have examined the effects of interventions, such as exercise, in reducing hopelessness in CHD patients. It is well established that some form of regular exercise improves mental health and mood in the general population.
Purpose and Methods: Using a longitudinal design the purpose of this study was to determine the effects of regular exercise on hopelessness levels in patients with CHD (N= 324). Subjects completed the State-Trait Hopelessness Scale and an exercise questionnaire measuring the frequency of walking or biking in a home or hospital setting. Mixed effects models were used to evaluate the relationship between hopelessness levels and exercise over one year.
Results: For subjects with little/no or mild baseline hopelessness, state and trait hopelessness levels were not significantly different over the year between exercisers and non-exercisers. However, among subjects with moderate to severe baseline hopelessness, regular (≥3 days/week) exercise at home compared to minimal or no exercise predicted significantly lower state (Non-exercisers: M= 2.17, SE= 0.05, N= 148; Exercisers: M= 1.91, SE= 0.05, N= 131; p= 0.002,) and trait (Non-exercisers: M= 2.02, SE= 0.04, N= 177; Exercisers: M= 1.79, SE= 0.04, N= 142; p= 0.01) hopelessness. Hospital exercise was not associated with significant changes in state or trait hopelessness. In a multivariable model of subjects with moderate to severe baseline hopelessness, home exercise remained significantly predictive of decreased state hopelessness after adjusting for hospital exercise, depression, and demographic variables. Neither exercise type was related to decreased trait hopelessness in a multivariable model.
Conclusion: This study demonstrates for the first time the beneficial effect of regular home exercise on decreasing moderate to severe hopelessness in CHD patients. It is therefore important to encourage patients with moderate to severe hopelessness to participate in some type of regular exercise. Further research is needed to evaluate how patients with hopelessness can be motivated to exercise at home.
Author Disclosures: S.L. Dunn: None. M. Dunn: None. N. Rieth: None. J. Clark: None. N. Tintle: None.
- © 2014 by American Heart Association, Inc.