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Verfasst von:Müller-Tasch, Thomas [VerfasserIn]   i
 Löwe, Bernd [VerfasserIn]   i
 Frankenstein, Lutz [VerfasserIn]   i
 Frey, Norbert [VerfasserIn]   i
 Haass, Markus [VerfasserIn]   i
 Friederich, Hans-Christoph [VerfasserIn]   i
Titel:Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity
Verf.angabe:Thomas Müller-Tasch, Bernd Löwe, Lutz Frankenstein, Norbert Frey, Markus Haass and Hans-Christoph Friederich
E-Jahr:2024
Jahr:19 March 2024
Umfang:8 S.
Fussnoten:Gesehen am 21.06.2024
Titel Quelle:Enthalten in: Frontiers in psychiatry
Ort Quelle:Lausanne : Frontiers Research Foundation, 2007
Jahr Quelle:2024
Band/Heft Quelle:15(2024) vom: März, Artikel-ID 1356497, Seite 1-8
ISSN Quelle:1664-0640
Abstract:Background: Patients with chronic heart failure (CHF) frequently suffer from depressive comorbidity. CHF and depressive comorbidity can cause somatic symptoms. The correct attribution of somatic symptoms is important. Thus, we aimed to assess potential differences in somatic symptom severity between CHF patients with and without depressive comorbidity. Methods: We evaluated depressive comorbidity using the Patient Health Questionnaire-9 (PHQ-9), somatic symptom severity with the Patient Health Questionnaire-15 (PHQ-15), and sociodemographic and medical variables in 308 CHF outpatients. To compare somatic symptom severity between CHF patients with and without depressive comorbidity, we conducted item-level analyses of covariance.Results: Of the 308 participating patients, 93 (30.3%) met the PHQ-9 criteria for depressive comorbidity. These patients did not differ from those without depressive comorbidity with regard to age, sex, left ventricular function, and multimorbidity. Patients with depressive comorbidity scored significantly higher on ten out of thirteen PHQ-15 items than patients without depressive comorbidity. The largest effect sizes (0.71-0.80) were shown for symptoms of headache, chest pain, shortness of breath, and palpitations, and the latter three were potentially attributable to heart failure. Conclusions: Among patients with CHF, somatic symptoms are more pronounced in those with depressive comorbidity than those without depressive comorbidity. This finding is especially true for cardiac symptoms independent of CHF severity. The potential interpretation of somatic symptoms as correlates of depressive comorbidity must be recognized in clinical practice.
DOI:doi:10.3389/fpsyt.2024.1356497
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.3389/fpsyt.2024.1356497
 Volltext: https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1356497/full
 DOI: https://doi.org/10.3389/fpsyt.2024.1356497
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:CHF
 Chronic heart failure
 CIRS
 Cumulative Illness Rating Scale
 depression
 general practitioner
 GP
 ICD
 implantable cardioverter defibrillator
 left ventricular ejection fraction
 LVEF
 New York Heart Association
 NYHA
 Patient Health Questionnaire
 PHQ-9
 somatic symptoms
 treatment
K10plus-PPN:1891974424
Verknüpfungen:→ Zeitschrift

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