Why the study?
How do depression, constructive thinking, and patient satisfaction affect treatment adherence in patients undergoing post-operative cardiac rehabilitation?
Observational (n=92)
How do depression, constructive thinking, and patient satisfaction affect treatment adherence in patients undergoing post-operative cardiac rehabilitation?
Depression negatively impacts general treatment adherence in post-operative cardiac rehabilitation patients, mediated by lower patient satisfaction and less constructive thinking.
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Supports targeting depression and doctor-patient satisfaction to improve adherence in cardiac rehab; leaves open causal effects and intervention efficacy.
Many patients fail to adhere to prescribed treatment regimens, particularly patients who are depressed. This study examined the link between depression and adherence among 92 patients undergoing post-operative cardiac rehabilitation. Self-reported adherence was measured in terms of both general recommendations and specific health behaviours. Greater depression was associated with general - but not specific - adherence, and this relationship was mediated by lower satisfaction with their doctor - patient interactions. The link between depression and patient satisfaction was itself mediated by less constructive thinking among patients. These results suggest that adherence among cardiac rehabilitation patients may be enhanced by addressing patients' cognitive coping, and by improving the quality of their doctor - patient interactions.
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Spernak et al. (2006) conducted an observational in Post-operative cardiac rehabilitation (n=92).
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