Patients With Depression Are Less Likely to Follow Recommendations to Reduce Cardiac Risk During Recovery From a Myocardial Infarction

摘要: Background Patients with depression are at greater risk of cardiac death in the first few months after a myocardial infarction (MI). This study was performed to determine whether affects adherence recommendations intended reduce events an MI. Methods All consenting patients admitted university-affiliated teaching hospital during 18-month period were interviewed 3 5 days following acute MI using Beck Depression Inventory assess symptoms and Structured Clinical Interview for Diagnostic Statistical Manual Mental Disorders, Revised Third Edition , presence major and/or dysthymia. Accessible survivors (n=204; 116 men 88 women) by telephone 4 later Medical Outcomes Study Specific Adherence Scale measure self-reported modify risk. Results who found have least mild moderate (Beck score ≥10, n=35 [17.2%]) or dysthymia (n=31 [15.2%]) reported lower low-fat diet, regular exercise, reducing stress, increasing social support later. Those also taking medications as prescribed less often than those without Diabetic likely follow diet diabetes diabetic depression. Conclusions adhere recommended behavior lifestyle changes subsequent events. finding could explain why is related long-term prognosis recovering from