Meta-Analysis of the Effect of Cardiac Rehabilitation Interventions on Depression Outcomes in Adults 64 Years of Age and Older

Heart disease is a major cause of hospitalization and is associated with greater impairment than arthritis, diabetes mellitus, or lung disease. Depression is prevalent and a serious co-morbidity in heart disease with negative consequences including higher levels of chronic physical illness, decrease...

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Bibliographic Details
Published in:The American journal of cardiology 2012-11, Vol.110 (9), p.1219-1224
Main Authors: Gellis, Zvi D., PhD, Kang-Yi, Christina, PhD
Format: Article
Language:English
Subjects:
Adult and adolescent clinical studies
Age Factors
Aged
Aged, 80 and over
Biological and medical sciences
Cardiac Rehabilitation
Cardiology. Vascular system
Cardiovascular
Cardiovascular disease
Cardiovascular Diseases - diagnosis
Cardiovascular Diseases - psychology
Clinical trials
Depression
Depressive Disorder - diagnosis
Depressive Disorder - epidemiology
Exercise Therapy - methods
Female
Hospitals
Humans
Male
Medical sciences
Middle Aged
Miscellaneous
Mood disorders
Neuropsychological Tests
Nutrition
Older people
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Quality of Life
Randomized Controlled Trials as Topic
Reference Values
Risk Assessment
Severity of Illness Index
Sex Factors
Studies
Treatment Outcome
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Summary:Heart disease is a major cause of hospitalization and is associated with greater impairment than arthritis, diabetes mellitus, or lung disease. Depression is prevalent and a serious co-morbidity in heart disease with negative consequences including higher levels of chronic physical illness, decreased psychological well-being, and increased health care costs. The objective of the study was to examine with meta-analysis the impact of community-based cardiac rehabilitation (CR) treatment on depression outcomes in older adults. Randomized controlled trials comparing patients (≥64 years old) receiving CR to cardiac controls were considered. Meta-analyses were based on 18 studies that met inclusion criteria, comprising 1,926 treatment participants and 1,901 controls. Effect sizes (ESs) ranged from −0.39 (in favor of control group) to 1.09 (in favor of treatment group). Mean weighted ES was 0.28, and 11 studies showed positive ESs. Meta-analysis suggests that most CR programs delivered in the home can significantly mitigate depression symptoms. Tailored interventions combined with psychosocial interventions are likely to be more effective in decreasing depression in older adults with heart disease than usual care.
ISSN:0002-9149
1879-1913
DOI:10.1016/j.amjcard.2012.06.021