Other Titles

Emotional distress for those afflicted with cardiovascular issues [Session]

Abstract

Introduction: Depression is a common comorbidity in heart failure (HF) and is commonly associated with increased inflammation leading to poor outcomes. Lowsocioeconomic status (SES) and stress are common in Hispanics but have not adequately been described in those with HF. The purpose of this exploratory study was to examine depression and its relationship with socioeconomic status, stress, and inflammation in Hispanics with HF.

Methods: 55 patients (71.62+/-11.33;74.5% male; 31% Hispanic) with HF were assessed for their perceived stress (PS) using PSS, CRP serum levels, and education level and yearly income as indices of SES. Descriptive data and t-test and chi-square were used to compare Hispanics and non-Hispanic whites (NHW) on sociodemographic and clinical characteristics and linear multiple regression to assess the relationship between depression, ethnicity, PS, CRP, and SES.

Results: Hispanics were younger and had lower education and income levels than NHW. No significant difference was found between both groups in depression and stress scores, and CRP levels. Independent of age, gender, NYHA class, BMI, education levels, and perceived stress (B=0.39, p=0.009) and marital status (B=0.37, p=0.049) predicted depression scores. When yearly income replaced education level in the multiple regression model, only PS (B=0.43, p=0.003) predicted depression. Hispanic ethnicity and CRP did not contribute to the variation of depression in both models.

Conclusion: This study shows the importance of stress in depression. Sources of stress in HF should be further explored to develop interventions that effectively reduce stress regardless of patient's et.

Description

43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.

Author Details

Samira Moughrabi, RN, CNS

Sigma Membership

Gamma Tau at-Large

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Heart Failure, Depression, Inflammation

Conference Name

43rd Biennial Convention

Conference Host

Sigma Theta Tau International

Conference Location

Las Vegas, Nevada, USA

Conference Year

2015

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Acquisition

Proxy-submission

Share

COinS
 

The role of stress and inflammation in depression in Hispanics with chronic heart failure

Las Vegas, Nevada, USA

Introduction: Depression is a common comorbidity in heart failure (HF) and is commonly associated with increased inflammation leading to poor outcomes. Lowsocioeconomic status (SES) and stress are common in Hispanics but have not adequately been described in those with HF. The purpose of this exploratory study was to examine depression and its relationship with socioeconomic status, stress, and inflammation in Hispanics with HF.

Methods: 55 patients (71.62+/-11.33;74.5% male; 31% Hispanic) with HF were assessed for their perceived stress (PS) using PSS, CRP serum levels, and education level and yearly income as indices of SES. Descriptive data and t-test and chi-square were used to compare Hispanics and non-Hispanic whites (NHW) on sociodemographic and clinical characteristics and linear multiple regression to assess the relationship between depression, ethnicity, PS, CRP, and SES.

Results: Hispanics were younger and had lower education and income levels than NHW. No significant difference was found between both groups in depression and stress scores, and CRP levels. Independent of age, gender, NYHA class, BMI, education levels, and perceived stress (B=0.39, p=0.009) and marital status (B=0.37, p=0.049) predicted depression scores. When yearly income replaced education level in the multiple regression model, only PS (B=0.43, p=0.003) predicted depression. Hispanic ethnicity and CRP did not contribute to the variation of depression in both models.

Conclusion: This study shows the importance of stress in depression. Sources of stress in HF should be further explored to develop interventions that effectively reduce stress regardless of patient's et.