Psychosomatic Medicine, Vol 60, Issue 6 707-713, Copyright © 1998 by American Psychosomatic Society

ORIGINAL ARTICLES

Social support and hostility as predictors of depressive symptoms in cardiac patients one month after hospitalization: a prospective study

BH Brummett, MA Babyak, JC Barefoot, HB Bosworth, NE Clapp-Channing, IC Siegler, RB Williams Jr and DB Mark
Behavioral Medicine Research Center and the Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina 27710, USA. brummett@acpub.duke.edu

OBJECTIVE: Hospitalization for cardiac disease is associated with an increased risk for depression, which itself confers a poorer prognosis. Few prospective studies have examined the determinants of depression after hospitalization in cardiac patients, and even fewer have examined depression within the weeks after hospital discharge. The present study assessed the prospective relations among perceptions of social support and trait hostility in predicting symptoms of depressive symptoms at 1 month after hospitalization for a diagnostic angiography in 506 coronary artery disease (CAD) patients. METHOD: A series of structural equation models 1) estimated the predictive relations of social support, hostility, and depressive symptoms while in the hospital to symptoms of depression 1 month after hospitalization, and 2) compared these relations across gender, predicted risk classification, and age. RESULTS: Social support assessed during hospitalization was independently negatively associated with depressive symptoms 1 month after hospitalization, after controlling for baseline symptoms of depression, gender, disease severity, and age. Hostility was an indirect predictor of postdischarge depressive symptomology by way of its negative relation with social support. This pattern of relations did not differ across gender, predicted risk classification, and age. CONCLUSIONS: Our findings suggest that a patient's perceived social support during hospitalization is a determinant of depressive symptoms 1 month later. The relation of social support and hostility to subsequent depressive symptoms was similar across a variety of populations.

This article has been cited by other articles:

				A. L. Ai, C. L. Park, Bu Huang, W. Rodgers, and T. N. Tice Psychosocial Mediation of Religious Coping Styles: A Study of Short-Term Psychological Distress Following Cardiac Surgery Pers Soc Psychol Bull, June 1, 2007; 33(6): 867 - 882. [Abstract] [PDF]

				H. S. Lett, J. A. Blumenthal, M. A. Babyak, T. J. Strauman, C. Robins, and A. Sherwood Social Support and Coronary Heart Disease: Epidemiologic Evidence and Implications for Treatment Psychosom Med, November 1, 2005; 67(6): 869 - 878. [Abstract] [Full Text] [PDF]

				B. H. Brummett, I. C. Siegler, W. M. Rohe, J. C. Barefoot, P. P. Vitaliano, R. S. Surwit, M. N. Feinglos, and R. B. Williams Neighborhood Characteristics Moderate Effects of Caregiving on Glucose Functioning Psychosom Med, September 1, 2005; 67(5): 752 - 758. [Abstract] [Full Text] [PDF]

				B. H. Brummett, D. B. Mark, I. C. Siegler, R. B. Williams, M. A. Babyak, N. E. Clapp-Channing, and J. C. Barefoot Perceived Social Support as a Predictor of Mortality in Coronary Patients: Effects of Smoking, Sedentary Behavior, and Depressive Symptoms Psychosom Med, January 1, 2005; 67(1): 40 - 45. [Abstract] [Full Text] [PDF]

				E. P. Havranek, J. A. Spertus, F. A. Masoudi, P. G. Jones, and J. S. Rumsfeld Predictors of the onset of depressive symptoms in patients with heart failure J. Am. Coll. Cardiol., December 21, 2004; 44(12): 2333 - 2338. [Abstract] [Full Text] [PDF]

				G. Schrader, F. Cheok, A.-L. Hordacre, and N. Guiver Predictors of Depression Three Months After Cardiac Hospitalization Psychosom Med, July 1, 2004; 66(4): 514 - 520. [Abstract] [Full Text] [PDF]

				Writing Committee for the ENRICHD Investigators Effects of Treating Depression and Low Perceived Social Support on Clinical Events After Myocardial Infarction: The Enhancing Recovery in Coronary Heart Disease Patients (ENRICHD) Randomized Trial JAMA, June 18, 2003; 289(23): 3106 - 3116. [Abstract] [Full Text] [PDF]

				L. Fisher, C. A. Chesla, M. M. Skaff, J. T. Mullan, and R. A. Kanter Depression and Anxiety Among Partners of European-American and Latino Patients With Type 2 Diabetes Diabetes Care, September 1, 2002; 25(9): 1564 - 1570. [Abstract] [Full Text] [PDF]

				B. H. Brummett, J. C. Barefoot, I. C. Siegler, N. E. Clapp-Channing, B. L. Lytle, H. B. Bosworth, R. B. Williams Jr., and D. B. Mark Characteristics of Socially Isolated Patients With Coronary Artery Disease Who Are at Elevated Risk for Mortality Psychosom Med, March 1, 2001; 63(2): 267 - 272. [Abstract] [Full Text] [PDF]

				H. B. Bosworth, R. D. Horner, L. J. Edwards, and D. B. Matchar Depression and Other Determinants of Values Placed on Current Health State by Stroke Patients : Evidence From the VA Acute Stroke (VASt) Study Stroke, November 1, 2000; 31(11): 2603 - 2609. [Abstract] [Full Text] [PDF]

				M Horsten, M.A Mittleman, S.P Wamala, K Schenck-Gustafsson, and K Orth-Gomer Depressive symptoms and lack of social integration in relation to prognosis of CHD in middle-aged women. The Stockholm Female Coronary Risk Study Eur. Heart J., July 1, 2000; 21(13): 1072 - 1080. [Abstract] [PDF]

				N. Frasure-Smith, F. Lesperance, G. Gravel, A. Masson, M. Juneau, M. Talajic, and M. G. Bourassa Social Support, Depression, and Mortality During the First Year After Myocardial Infarction Circulation, April 25, 2000; 101(16): 1919 - 1924. [Abstract] [Full Text] [PDF]

				H. B. Bosworth, I. C. Siegler, B. H. Brummett, J. C. Barefoot, R. B. Williams, P. P. Vitaliano, N. Clapp-Channing, B. L. Lytle, and D. B. Mark The Relationship between Self-Rated Health and Health Status among Coronary Artery Patients J Aging Health, November 1, 1999; 11(4): 565 - 584. [Abstract] [PDF]

				C. F. M. de Leon Depression and Social Support in Recovery From Myocardial Infarction: Confounding and Confusion Psychosom Med, November 1, 1999; 61(6): 738 - 739. [Full Text] [PDF]