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Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study.

Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Research Abstract Details 

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  • Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Abstract Text:

    OBJECTIVES: We tested whether improvements in depressive symptoms precede improved adherence to aspirin in patients with acute coronary syndromes (ACS). BACKGROUND: Depression is associated with medication nonadherence in patients with ACS, but it is unclear whether changes in depression impact on adherence. METHODS: Electronic medication monitoring was used to measure adherence to aspirin during a 3-month period in a consecutive cohort of 172 patients (25 to 85 years) recruited within 1 week of hospitalization for ACS. Depressive symptom severity was assessed using the Beck Depression Inventory (BDI) during hospitalization and at 1 and 3 months after hospitalization. Adherence was defined as the percentage of days aspirin was taken as prescribed. RESULTS: Depression severity in hospital was associated with nonadherence in a gradient fashion: 15% of non-depressed patients (BDI score 0 to 4), 29% of mildly depressed patients (BDI score 10 to 16), and 37% of patients with moderately-to-severely depressive symptoms (BDI score >16) took aspirin less than 80% of the time (p = 0.03). A cross-lagged path analytic model revealed that improvements in depressive symptoms in the first month after the ACS were associated with improvements in adherence rates in the subsequent 2 months (standardized direct effect -0.32, p = 0.016). CONCLUSIONS: Diagnosis and treatment of depressive symptoms may improve medication adherence in patients after ACS.

    Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Publishing Authors By Initials

    For similar natural sciences: time: time factors research abstracts see: natural sciences: time: time factors research

    PUBMED ID PMID:

    MEDLINE DATE:

    Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Journal Published:

    PUBLICATION TYPE: Research Support, N.I.H., Extr

    Journal: Journal of the American College of Cardiology

    VOLUME: 48

    Page Numbers: 2218-22

    Journal Abbreviation: J. Am. Coll. Cardiol.

    ISSN: 1558-3597

    DAY: 13

    MONTH: 11

    YEAR: 2006

    Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8301365

    Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Keywords Mesh Terms:

    KEYWORDS: Time Factors

    MESH TERMS: psychology

    Chemical & Substance for Abstract: Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study. Information

    Substance Name: Aspirin

    Registry Number: 50-78-2

    Grant and Affiliation Information for Course of depressive symptoms and medication adherence after acute coronary syndromes: an electronic medication monitoring study.

    AFFILIATION: Department of Psychiatry, Mount Sinai School of Medicine, New York, New York, USA.

    Country: United States

    United States Research PublicationUnited States Research Publication

    AGENCY: United States NHLBI

    GRANT: HL-076857

    ACRONYM: HL

    MEDLINETA: J Am Coll Cardiol

    REFSOURCE: J Am Coll Cardiol. 2006 Dec 5;48(11):222

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