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Moderators of the effect of social support on depressive symptoms in cardiac patients.

Publication ,  Journal Article
Barefoot, JC; Brummett, BH; Clapp-Channing, NE; Siegler, IC; Vitaliano, PP; Williams, RB; Mark, DB
Published in: Am J Cardiol
August 15, 2000

Social support and depression have been shown to affect the prognosis of coronary patients, and social support has been found to influence depression in community and patient samples. We investigated the characteristics of coronary patients whose depressive symptomatology was most likely to improve with social support. We predicted that social support would be most beneficial for the most severely depressed, the old, the poor, the most severely ill, and those with poor functional status. Patients (n = 590) with documented coronary artery disease were assessed for depressive symptoms, social support, and functional status while in hospital. They were reassessed for depression 1 month later during a home visit. Depression scores were lower at follow-up (p = 0.001), and improvement was more marked among those reporting more support (p <0.001). The social support effect was strongest among those with high levels of depression at baseline (p <0.001) and those with lower income (p = 0.01). Unexpectedly, social support was more strongly associated with improvement in younger patients (p = 0.01). Social support did not interact with gender, disease severity, or functional status. These findings are partially consistent with the notion that social support is most effective for those who are most vulnerable and/or have few coping resources. These findings also have implications for the design and interpretation of psychosocial interventions.

Duke Scholars

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

August 15, 2000

Volume

86

Issue

4

Start / End Page

438 / 442

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Social Support
  • Severity of Illness Index
  • Quality of Life
  • Psychosocial Deprivation
  • Middle Aged
  • Male
  • Linear Models
  • Income
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Barefoot, J. C., Brummett, B. H., Clapp-Channing, N. E., Siegler, I. C., Vitaliano, P. P., Williams, R. B., & Mark, D. B. (2000). Moderators of the effect of social support on depressive symptoms in cardiac patients. Am J Cardiol, 86(4), 438–442. https://doi.org/10.1016/s0002-9149(00)00961-9
Barefoot, J. C., B. H. Brummett, N. E. Clapp-Channing, I. C. Siegler, P. P. Vitaliano, R. B. Williams, and D. B. Mark. “Moderators of the effect of social support on depressive symptoms in cardiac patients.Am J Cardiol 86, no. 4 (August 15, 2000): 438–42. https://doi.org/10.1016/s0002-9149(00)00961-9.
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 Aug 15;86(4):438–42.
Barefoot, J. C., et al. “Moderators of the effect of social support on depressive symptoms in cardiac patients.Am J Cardiol, vol. 86, no. 4, Aug. 2000, pp. 438–42. Pubmed, doi:10.1016/s0002-9149(00)00961-9.
Barefoot JC, Brummett BH, Clapp-Channing NE, Siegler IC, Vitaliano PP, Williams RB, Mark DB. Moderators of the effect of social support on depressive symptoms in cardiac patients. Am J Cardiol. 2000 Aug 15;86(4):438–442.
Journal cover image

Published In

Am J Cardiol

DOI

ISSN

0002-9149

Publication Date

August 15, 2000

Volume

86

Issue

4

Start / End Page

438 / 442

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Social Support
  • Severity of Illness Index
  • Quality of Life
  • Psychosocial Deprivation
  • Middle Aged
  • Male
  • Linear Models
  • Income
  • Humans