liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Depression and the delay between symptom onset and hospitalization in heart failure patients.
Linköping University, Department of Medical and Health Sciences, Cardiology. Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Cardiology. Linköping University, Department of Social and Welfare Studies, Health, Activity, Care.ORCID iD: 0000-0001-7431-2873
University of Groningen.
University of Groningen.
University of Groningen.
Show others and affiliations
2011 (English)In: European Journal of Heart Failure, ISSN 1388-9842, E-ISSN 1879-0844, Vol. 13, no 2, 214-219 p.Article in journal (Refereed) Published
Abstract [en]

AIMS: Heart failure (HF) patients frequently suffer from episodes of deterioration and may need medical treatment. An adequate reaction from the patient is needed to decrease the delay between the onset of deterioration and consulting a medical professional (i.e. consulting behaviour). The aim of the present study was to evaluate whether depressive symptoms are associated with the duration of the delay between the onset of symptoms of worsening HF and hospitalization, and to examine how consulting behaviour correlates to depressive symptoms and delay in HF patients. METHODS AND RESULTS: Data on the time between the onset of symptoms of worsening HF and hospitalization, depressive symptoms, and self-care behaviour were collected in 958 HF patients (37% female; age 71 ± 11 years; New York Heart Association functional class II-IV), using validated questionnaires. The median delay time of the total sample was 72 h (ranging from 0 to 243 days). Patients with depressive symptoms delayed longer compared with those without depressive symptoms (120 vs. 54 h, P= 0.001). Patients with depressive symptoms had a 1.5 times higher risk for a delay of ≥72 h, independent of demographic and clinical variables (P= 0.008). Consulting behaviour did not correlate with depressive symptoms but was weakly associated with delay (r= -0.07, P= 0.03). CONCLUSIONS: Heart failure patients with depressive symptoms have a significantly longer delay between HF deterioration and hospital admission. Interventions designed to improve the consulting behaviour in HF patients with depressive symptoms may have a limited effect on delay. Further research is needed to obtain more insight into the mechanisms underlying the relationship between delay and depression.

Place, publisher, year, edition, pages
2011. Vol. 13, no 2, 214-219 p.
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-62386DOI: 10.1093/eurjhf/hfq200ISI: 000286674100016PubMedID: 21081537OAI: diva2:373188
Available from: 2010-11-30 Created: 2010-11-30 Last updated: 2013-09-18

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Johansson, PeterJaarsma, Tiny
By organisation
CardiologyFaculty of Health SciencesDepartment of CardiologyHealth, Activity, Care
In the same journal
European Journal of Heart Failure
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 20 hits
ReferencesLink to record
Permanent link

Direct link