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Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction.

Publication ,  Journal Article
Lett, HS; Blumenthal, JA; Babyak, MA; Catellier, DJ; Carney, RM; Berkman, LF; Burg, MM; Mitchell, P; Jaffe, AS; Schneiderman, N
Published in: Int J Behav Med
2009

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.

Duke Scholars

Published In

Int J Behav Med

DOI

EISSN

1532-7558

Publication Date

2009

Volume

16

Issue

3

Start / End Page

248 / 258

Location

England

Related Subject Headings

  • Social Support
  • Risk Factors
  • Randomized Controlled Trials as Topic
  • Public Health
  • Psychometrics
  • Personality Inventory
  • Myocardial Infarction
  • Multicenter Studies as Topic
  • Models, Psychological
  • Middle Aged
 

Citation

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Lett, H. S., Blumenthal, J. A., Babyak, M. A., Catellier, D. J., Carney, R. M., Berkman, L. F., … Schneiderman, N. (2009). Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction. Int J Behav Med, 16(3), 248–258. https://doi.org/10.1007/s12529-009-9040-x
Lett, Heather S., James A. Blumenthal, Michael A. Babyak, Diane J. Catellier, Robert M. Carney, Lisa F. Berkman, Matthew M. Burg, Pamela Mitchell, Allan S. Jaffe, and Neil Schneiderman. “Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction.Int J Behav Med 16, no. 3 (2009): 248–58. https://doi.org/10.1007/s12529-009-9040-x.
Lett HS, Blumenthal JA, Babyak MA, Catellier DJ, Carney RM, Berkman LF, et al. Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction. Int J Behav Med. 2009;16(3):248–58.
Lett, Heather S., et al. “Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction.Int J Behav Med, vol. 16, no. 3, 2009, pp. 248–58. Pubmed, doi:10.1007/s12529-009-9040-x.
Lett HS, Blumenthal JA, Babyak MA, Catellier DJ, Carney RM, Berkman LF, Burg MM, Mitchell P, Jaffe AS, Schneiderman N. Dimensions of social support and depression in patients at increased psychosocial risk recovering from myocardial infarction. Int J Behav Med. 2009;16(3):248–258.
Journal cover image

Published In

Int J Behav Med

DOI

EISSN

1532-7558

Publication Date

2009

Volume

16

Issue

3

Start / End Page

248 / 258

Location

England

Related Subject Headings

  • Social Support
  • Risk Factors
  • Randomized Controlled Trials as Topic
  • Public Health
  • Psychometrics
  • Personality Inventory
  • Myocardial Infarction
  • Multicenter Studies as Topic
  • Models, Psychological
  • Middle Aged