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Depression as a predictor of return to work in patients with coronary artery disease


Söderman, Eva; Lisspers, Jan; Sundin, Örjan


k. A.


Social Science and Medicine, 2003, Volume 56 (Number 1), Seite 193-202, Oxford: Pergamon Press, ISSN: 0277-9536




The importance of depression in coronary artery disease (CAD) outcomes is being increasingly recognized. The aim of this study was to investigate the power of depression as a predictor of return to work, both at full time and at reduced working hours, within 12 months of participation in a behaviorally oriented rehabilitation program in Sweden.

The sample comprised 198 employed patients who had recently experienced an acute myocardial infarction (AMI, n=85), or had been treated with coronary by-pass surgery (CABG, n=73) or coronary angioplasty (PTCA, n=40).

The results showed that clinical depression before intervention (16 as measured by the Beck Depression Inventory) exerted a great influence on work resumption both at full-time (odds ratio 9.43, CI=3. 15-28.21) and at reduced working-hours (odds ratio 5. 44, CI=1.60-18.53), while mild depression (BDI 10-15) influenced only work resumption at full-time (odds ratio 2.89, CI=1.08-7.70) . Education and, at full-time hours, age also predicted work resumption.

This highlights the importance of depressive symptoms in relation to return to work after a CAD event. More research is needed in order to elaborate the degree to which treatment of depression enhances work resumption rates.

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Social Science and Medicine

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Informationsstand: 10.05.2005

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