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International Journal of Behavioral Medicine

Erschienen in:

01.09.2009

Dimensions of Social Support and Depression in Patients at Increased Psychosocial Risk Recovering from Myocardial Infarction

verfasst von: Heather S. Lett, James A. Blumenthal, Michael A. Babyak, Diane J. Catellier, Robert M. Carney, Lisa F. Berkman, Matthew M. Burg, Pamela Mitchell, Allan S. Jaffe, Neil Schneiderman

Erschienen in: International Journal of Behavioral Medicine | Ausgabe 3/2009

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Abstract

Background

There is considerable evidence that depression and low social support are associated with increased morbidity and mortality for patients with coronary heart disease (CHD). However, there is a lack of consensus regarding the measurement of social support and its relation to depression.

Purpose

The primary purpose of the present study was to identify key dimensions of existing social support and depression measures for patients with CHD using factor analysis.

Method

Seven hundred-five patients with a recent acute myocardial infarction and either depression, low social support, or both, completed measures of several types of social support and depression. Exploratory and confirmatory factor analysis were used to examine the underlying dimensions of the existing social support and depression measures, and to compare theoretically plausible models specifying the relation between the social support and depression factors.

Results

Confirmatory factor analysis indicated that an approach in which smaller facets of depression are measured (somatic, cognitive/affective, anxious) and social support (perceived emotional support from intimate relationships; perceived tangible support from peripheral contacts; and the number of children, relatives, and friends in a patient’s support network), may be the most optimal way to measure social support and depression in this population RMSEA = 0.05; CFI = 0.81; TLI = 0.88).

Conclusion

Efforts to identify patients at increased psychosocial risk may be improved by screening for these subcomponents of social support and depression.

Detailed results of this analysis are available at http://www.duke.edu/web/behavioralmed/invariance.pdf

Berkman LF. The role of social relations in health promotion. Psychosom Med. 1995;57:245–54.PubMed

Hemingway H, Marmot M. Evidence based cardiology: psychosocial factors in the aetiology and prognosis of coronary heart disease. Systematic review of prospective cohort studies. BMJ. 1999;318:1460–7.PubMed

Kuper H, Marmot M, Hemingway H. Systematic review of prospective cohort studies of psychosocial factors in the etiology and prognosis of coronary heart disease. Semin Vasc Med. 2002;2:267–314.PubMedCrossRef

Smith TW, Ruiz JM. Psychosocial influences on the development and course of coronary heart disease: current status and implications for research and practice. J Consult Clin Psychol. 2002;70:548–68.PubMedCrossRef

Rozanski A, Blumenthal JA, Kaplan J. Impact of psychological factors on the pathogenesis of cardiovascular disease and implications for therapy. Circulation. 1999;99:2192–217.PubMed

Lett H, Blumenthal J, Babyak M, Sherwood A, Strauman T, Robins C. Depression as a risk factor for coronary artery disease: evidence, mechanisms, and treatment. Psychosom Med. 2004;66:305–15.PubMedCrossRef

van Melle J, de Jonge P, Spijkerman T, Tijssen J, Ormel J, van Veldhuisen D, et al. Prognostic Association of Depression following myocardial infarction with mortality and cardiovascular events: a meta-analysis. Psychosom Med. 2004;66:814–22.PubMedCrossRef

Barth J, Schumacher M, Herrmann-Linger C. Depression as a risk factor for mortality in patients with coronary heart disease: a meta-analysis. Psychosom Med. 2004;66:802–13.PubMedCrossRef

Carney RM, Blumenthal JA, Catellier D, Freedland KE, Berkman LF, Watkins LL, et al. Depression as a risk factor for mortality after acute myocardial infarction. Am J Cardiol. 2003;92:1277–81.PubMedCrossRef

10.

Lett H, Blumenthal J, Babyak M, Strauman T, Robbins C, Sherwood A. Social support and coronary heart disease: epidemiologic evidence and implications for treatment. Psychosom Med. 2005;67:869–78.PubMedCrossRef

11.

Barefoot JC, Brummett BH, Clapp-Channing NE, Siegler IC, Vitaliano PP, Williams RB, et al. Moderators of the effect of social support on depressive symptoms in cardiac patients. Am J Cardiol. 2000;86:438–42.PubMedCrossRef

12.

Barefoot JC, Brummett BH, Helms MJ, Mark DB, Siegler IC, Williams RB. Depressive symptoms and survival of patients with coronary artery disease. Psychosom Med. 2000;62:790–5.PubMed

13.

de Jonge P, Ormel J, van den Brink RH, van Melle J, Spijkerman T, Kuiper A, et al. Symptom dimensions of depression following myocardial infarction and their relationship with somatic health status and cardiovascular prognosis. Am J Psychiatr. 2006;163:138–44.PubMedCrossRef

14.

Sarason BR, Sarason IG. Assessment of social support. In: Shumaker S, Czajkowski SM, editors. Social support and cardiovascular disease. New York: Plenum; 1994. p. 41–64.

15.

Uchino BN. Social support and physical health. New Haven: Yale University; 2004.

16.

O'Reilly P. Methodological issues in social support and social network research. Soc Sci Med. 1988;26:863–73.PubMedCrossRef

17.

Langford CP, Bowsher J, Maloney JP, Lillis PP. Social support: a conceptual analysis. J Adv Nurs. 1997;25:95–100.PubMedCrossRef

18.

Henderson AS. Interpreting the evidence on social support. Soc Psychiatry. 1984;19:49–52.PubMedCrossRef

19.

Sarason IG, Sarason BR, Shearin EN. Social support as an individual difference variable: its stability, origins, and relational aspects. J Pers Soc Psychol. 1986;50:845–55.CrossRef

20.

Antonucci TC, Johnson E. Conceptualization and methods in social support theory and research as related to cardiovascular disease. In: Shumaker S, Czajkowski SM, editors. Social support and cardiovascular disease. New York: Plenum; 1994. p. 21–40.

21.

Brummett BH, Babyak MA, Barefoot JC, Bosworth HB, Clapp-Channing NE, Siegler IC, et al. Social support and hostility as predictors of depressive symptoms in cardiac patients one month after hospitalization: a prospective study. Psychosom Med. 1998;60:707–13.PubMed

22.

Holahan CJ, Moos RH, Holahan CK, Brennan PL. Social context, coping strategies, and depressive symptoms: an expanded model with cardiac patients. J Pers Soc Psychol. 1997;72:918–28.PubMedCrossRef

23.

Frasure-Smith N, Lesperance F, Gravel G, Masson A, Juneau M, Talajic M, et al. Social support, depression, and mortality during the first year after myocardial infarction. Circulation. 2000;101:1919–24.PubMed

24.

Burker EJ, Blumenthal JA, Feldman M, Burnett R, White W, Smith LR, et al. Depression in male and female patients undergoing cardiac surgery. Br J Clin Psychol. 1995;34:119–28.PubMed

25.

Krishnan KR, George LK, Pieper CF, Jiang W, Arias R, Look A, et al. Depression and social support in elderly patients with cardiac disease. Am Heart J. 1998;136:491–5.PubMedCrossRef

26.

Raynor DA, Pogue-Geile MF, Kamarck TW, McCaffery JM, Manuck SB. Covariation of psychosocial characteristics associated with cardiovascular disease: genetic and environmental influences. Psychosom Med. 2002;64:191–203.PubMed

27.

Holahan CJ, Moos RH, Holahan CK, Brennan PL. Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness. Health Psychol. 1995;14:152–63.PubMedCrossRef

28.

Bosworth HB, Steffens DC, Kuchibhatla MN, Jiang WJ, Arias RM, O'Connor CM, et al. The relationship of social support, social networks and negative events with depression in patients with coronary artery disease. Aging Ment Health. 2001;4:253–8.

29.

Penninx BWJH, van Tilburg T, Boeke AJ, Deeg DJH, Kriegsman DMW, van Eijk JT. Effects of social support and personal coping resources on depressive symptoms: different for various chronic diseases? Health Psychol. 1998;17:551–8.PubMedCrossRef

30.

Oxman TE, Hull JG. Social support, depression, and activities of daily living in older heart surgery patients. J Geront Ser B Psychol Sci Soc Sci. 1997;52B:P1–14.

31.

Wade TD, Kendler KS. The relationship between social support and major depression: cross-sectional, longitudinal, and genetic perspectives. J of Nerv Ment Dis. 2000;188:251–8.CrossRef

32.

Lara ME, Leader J, Klein DN. The association between social support and course of depression: is it confounded with personality? J Abnorm Psychol. 1997;106:478–82.PubMedCrossRef

33.

Berkman LF, Blumenthal J, Burg M, Carney RM, Catellier D, Cowan MJ, et al. Effects of treating depression and low perceived social support on clinical events after myocardial infarction: the Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial. JAMA. 2003;289:3106–16.PubMedCrossRef

34.

ENRICHD I. Enhancing recovery in coronary heart disease (ENRICHD): baseline characteristics. Am J Cardiol. 2001;88:316–22.CrossRef

35.

Freedland KE, Skala JA, Carney RM, Raczynski JM, Taylor CB, Mendes de Leon CF, et al. The Depression Interview and Structured Hamilton (DISH): Rationale, development, characteristics and clinical validity. Psychosom Med. 2002;64:897–905.PubMedCrossRef

36.

Cohen S, Mermelstein R, Kamarck TW, Hoberman HM. Measuring the functional components of social support. In: Sarason IG, Sarason BR, editors. Social support: theory, research, and applications. Boston: Martinus Nijhoff; 1985. p. 73–113.

37.

Blumenthal JA, Burg MM, Barefoot J, Williams RB, Haney T, Zimet G. Social support, type A behavior, and coronary artery disease. Psychosom Med. 1987;49:331–40.PubMed

38.

Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. J Pers Assess. 1988;52:30–41.CrossRef

39.

Glass TA, Mendes de Leon CF, Seeman T, Berkman L. Beyond single indicators of social networks: a Lisrel analysis of social ties among the elderly. Soc Sci Med. 1997;44:1503–17.PubMedCrossRef

40.

Mitchell PH, Powell L, Blumenthal J, Norten J, Ironson G, Pitula CR, et al. A short social support measure for patients recovering from myocardial infarction: the ENRICHD Social Support Inventory. J Cardiopul Rehab. 2003;23:398–403.CrossRef

41.

Robins LN, Helzer JE, Crougham J, Ratliff K. National Institute of Mental Health diagnostic interview schedule. Arch Gen Psychiatry. 1981;38:381–9.PubMed

42.

Hamilton M. A rating scale for depression. J Neurol. 1960;23:56–61.

43.

Dozois DJ. The psychometric characteristics of the Hamilton Depression Inventory. J Pers Assess. 2003;80:31–40.PubMedCrossRef

44.

Knesevich JW, Biggs JT, Clayton PJ, Ziegler VE. Validity of the Hamilton rating scale for depression. Br J Psychiatry. 1977;131:49–52.PubMedCrossRef

45.

Beck AT, Ward CH, Mendelsohn M. An inventory for measuring depression. Arch Gen Psychiatry. 1961;4:561–71.PubMed

46.

Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck Depression Inventory: twenty-five years of evaluation. Clin Psychol Rev. 1988;8:77–100.CrossRef

47.

Muthen LK, Muthen BO. Mplus: statistical analysis with latent variables. 3rd ed. Los Angeles: Muthen & Muthen; 2004.

48.

Hu L, Bentler PM. Evaluation modeling fit. In: Hoyle R, editor. Structural equation modeling. Thousand Oaks, CA: Sage; 1995. p. 76–99.

49.

Hu L, Bentler PM. Cutoff criteria in fix indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Modeling. 1999;6:1–55.CrossRef

50.

Muthen BO. Latent variable modeling in heterogeneous populations. Psychometrika. 1989;54:557–85.CrossRef

51.

Green SB, Babyak MA. Control of type I error in structural equation models. Multivariate Behav Res. 1997;32:39–51.CrossRef

52.

Reuterberg S-E, Gustafsson J-E. Confirmatory factor analysis and reliability: testing measurement model assumptions. Educ Psychol Measur. 1992;52:795–811.CrossRef

53.

Kubzansky LD, Kawachi I. Going to the heart of the matter: do negative emotions cause coronary heart disease? J Psychosom Res. 2000;48:323–37.PubMedCrossRef

54.

Denollet J, Brutsaert DL. Personality, disease severity, and the risk of long-term cardiac events in patients with a decreased ejection fraction after myocardial infarction. Circulation. 1998;97:167–73.PubMed

55.

Denollet J, Vaes J, Brutsaert DL. Inadequate response to treatment in coronary heart disease: adverse effects of type D personality and younger age on 5-year prognosis and quality of life. Circulation. 2000;102:630–5.PubMed

56.

Williams RB, Marchuk DA, Gadde KM, Barefoot JC, Grichnik K, Helms MJ, et al. Central nervous system serotonin function and cardiovascular responses to stress. Psychosom Med. 2001;63:300–5.PubMed

57.

Lett HS, Blumenthal JA, Babyak MA, Catellier DJ, Carney RM, Berkman LF, et al. Social support and prognosis in patients at increased psychosocial risk recovering from myocardial infarction. Health Psychol. 2007;26(4):418–27.PubMedCrossRef

58.

Beck AT, Steer RA, Brown GK. Beck Depression Inventory manual. 2nd ed. San Antonio, Tx: The Psychological Corporation; 1996.

Titel: Dimensions of Social Support and Depression in Patients at Increased Psychosocial Risk Recovering from Myocardial Infarction
verfasst von: Heather S. Lett
James A. Blumenthal
Michael A. Babyak
Diane J. Catellier
Robert M. Carney
Lisa F. Berkman
Matthew M. Burg
Pamela Mitchell
Allan S. Jaffe
Neil Schneiderman
Publikationsdatum: 01.09.2009
Verlag: Springer US
Erschienen in: International Journal of Behavioral Medicine / Ausgabe 3/2009
Print ISSN: 1070-5503
Elektronische ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-009-9040-x

Springer Medizin

Abstract

Background

Purpose

Method

Results

Conclusion

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