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February 23, 2011Journal of Health Psychology58 citationsOpen Access

Confirmatory factor analysis of the Beck Depression Inventory-II and the association with cardiac morbidity and mortality after coronary revascularization

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PTPhillip J. TullyHWHelen R. WinefieldRBRobert A. Baker

Key Result

A higher BDI-II cognitive factor z-score was significantly associated with increased cardiac morbidity and mortality (adjusted HR 1.36; 95% CI 1.02-1.82; p=0.04).

Study Design

Type

Cohort (n=226)

Structured PICO

Is the BDI-II cognitive factor associated with cardiac morbidity and mortality in patients after coronary artery bypass graft?

P
Population
226 coronary artery bypass graft patients followed for a median of 4.9 years to assess the association of depression factors with cardiac outcomes.
E
Exposure
Beck Depression Inventory-II (BDI-II) cognitive factor z-score
O
Outcome
Cardiac morbidity and mortalityhard clinical

A cognitive depression factor marked by pessimism, past failure, self-criticalness and worthlessness is associated with increased cardiac morbidity and mortality after coronary artery bypass graft.

Main Result

Hazard Ratio: 1.36 (95% CI 1.02–1.82)

p-value: p=.04

Abstract

This study examined the Beck Depression Inventory-II (BDI-II) with Confirmatory Factor Analysis and followed up cardiac morbidity and mortality for a median of 4.9 years among 226 coronary artery bypass graft patients. Cardiac morbidity and mortality events (n = 65, 28.8%) were associated with BDI-II cognitive factor z-score (adjusted hazard ratio = 1.36, 95% confidence interval 1.02 - 1.82, p = .04), controlling for left ventricular impairment, age, respiratory disease, heart failure, renal disease and diabetes. A cognitive depression factor marked by pessimism, past failure, self-criticalness and worthlessness was consistently associated with cardiac morbidity and mortality, contrasting to other work.

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Cite This Study

Tully et al. (2011) conducted a cohort in Coronary artery bypass graft (n=226). BDI-II cognitive factor z-score was evaluated on Cardiac morbidity and mortality (adjusted HR 1.36, 95% CI 1.02 - 1.82, p=.04). A higher BDI-II cognitive factor z-score was significantly associated with increased cardiac morbidity and mortality (adjusted HR 1.36; 95% CI 1.02-1.82; p=0.04).

synapsesocial.com/papers/6a6f4ddf2163a0a01bc39fb8https://doi.org/10.1177/1359105310383604
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