Predicting depression from illness severity in cardiovascular disease patients: self-efficacy beliefs, illness perception, and perceived social support as mediators.

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RESEARCH PRODUCT

Predicting depression from illness severity in cardiovascular disease patients: self-efficacy beliefs, illness perception, and perceived social support as mediators.

Dario Monzani Alessandra Villani R Pozzi Patrizia Steca Gabriella Malfatto Valeria Rella Gianfranco Parati Marco D’addario Alessia Giglio Andrea Greco

subject

Settore M-PSI/01 - Psicologia Generale Adult Male medicine.medical_specialty media_common.quotation_subject Disease Self-efficacy beliefs Severity of Illness Index Depression Cardiovascular disease severity Self-efficacy beliefs Ilness perception Perceived social support Social support Ventricular Dysfunction Left Perceived social support Risk Factors Perception Surveys and Questionnaires Severity of illness medicine Illness perception Cardiovascular disease severity Humans Depression Cardiovascular disease severity Self-efficacy beliefs Illness perception Perceived social support Psychiatry Applied Psychology Depression (differential diagnoses)media_common Aged Self-efficacy Aged 80 and over Depression Social Support Stroke Volume Middle Aged Self Efficacy Health psychology Cardiovascular Diseases Female Perception Self Report Psychology Psychosocial Clinical psychology

description

Background: Many studies have investigated the relationships between cardiovascular diseases and patients' depression; nevertheless, few is still known as regard the impact of illness severity on depression and whether psychosocial variables mediate this association. Purpose: The aim of this study is to investigate the putative mediating role of illness representations, self-efficacy beliefs, and perceived social support on the relationship between illness severity and depression. Methods: A total of 75 consecutive patients with cardiovascular disease (80 % men; mean age=65.44, SD=10.20) were enrolled in an Italian hospital. Illness severity was measured in terms of left ventricular ejection fraction, whereas psychological factors were assessed using self-report questionnaires. Results: The relationship between left ventricular ejection fraction and depression was mediated by identity illness perception, self-efficacy beliefs in managing cardiac risk factors, and perceived social support. Conclusion: The treatment of depression in cardiovascular disease patients may therefore benefit from a psychological intervention focused on patients' illness representations, self-efficacy beliefs, and their perceived social support. © 2013 International Society of Behavioral Medicine.

year	journal	country	edition	language
2014-01-01	International journal of behavioral medicine

10.1007/s12529-013-9290-5 https://pubmed.ncbi.nlm.nih.gov/23354730