PMID- 19700133
OWN - NLM
STAT- MEDLINE
DCOM- 20100429
LR  - 20240511
IS  - 1532-8414 (Electronic)
IS  - 1071-9164 (Print)
IS  - 1071-9164 (Linking)
VI  - 15
IP  - 7
DP  - 2009 Sep
TI  - Anxiety and depression in ethnic minorities with chronic heart failure.
PG  - 572-9
LID - 10.1016/j.cardfail.2009.03.005 [doi]
AB  - BACKGROUND: Considerable evidence confirms the high prevalence of anxiety and 
      depression in the patients with heart failure (HF). However, little is known 
      about the relationship of race/ethnicity to psychosocial variables in this 
      population. The purpose of this study was to examine and compare the incidence of 
      anxiety and depression in a cohort of non-Hispanic blacks, Hispanics, and 
      non-Hispanic whites with advanced systolic HF. METHODS AND RESULTS: Two-hundred 
      forty-one patients (7% non-Hispanic blacks, 22.8% Hispanics, 60.7% non-Hispanic 
      whites) mean age 56.7+/-13.0 years, male (70%), married (81%), retired (75%), New 
      York Heart Association (NYHA) Class III (53.9%), and mean ejection fraction 
      31.2+/-5.4%) from a single heart transplant facility were asked to complete a 
      series of questionnaires to assess anxiety, depression, perceived control, social 
      support, and financial stability. Non-Hispanic blacks had higher levels of 
      anxiety (P=.048) and depression (P=.026) compared with Hispanics; a similar trend 
      was noted when comparing non-Hispanic blacks and non-Hispanic whites, but these 
      differences were not statistically significant. Perceived control was highest 
      among Hispanics and lowest among non-Hispanic whites (P=.046). In a multivariate 
      model race/ethnicity, perceived control, and social support accounted for 30% of 
      the variance in anxiety while race/ethnicity, NYHA Class, perceived control, and 
      social support accounted for 41% of the variance in depression. CONCLUSIONS: Our 
      findings reveal that non-Hispanic blacks are more likely to be anxious and 
      depressed than their counterparts. Because patient perceptions of control and 
      social support are related to dysphorias known to influence morbidity and 
      mortality, clinicians should regularly assess patients' concerns and assist in 
      accessing appropriate services and treatments tailored to individual needs. 
      Non-Hispanic blacks warrant increased scrutiny.
FAU - Evangelista, Lorraine S
AU  - Evangelista LS
AD  - School of Nursing, UCLA, Los Angeles, CA 90095-6918, USA. levangel@ucla.edu
FAU - Ter-Galstanyan, Alvina
AU  - Ter-Galstanyan A
FAU - Moughrabi, Samira
AU  - Moughrabi S
FAU - Moser, Debra K
AU  - Moser DK
LA  - eng
GR  - P30 AG021684/AG/NIA NIH HHS/United States
GR  - P30 NR005041/NR/NINR NIH HHS/United States
GR  - 1P20NR010679/NR/NINR NIH HHS/United States
GR  - P30 AG021684-08S3/AG/NIA NIH HHS/United States
GR  - P20 NR010679/NR/NINR NIH HHS/United States
GR  - P30-AG02-1684/AG/NIA NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
DEP - 20090521
PL  - United States
TA  - J Card Fail
JT  - Journal of cardiac failure
JID - 9442138
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anxiety/complications/*ethnology/psychology
MH  - Black People/ethnology/psychology
MH  - Chronic Disease
MH  - Cohort Studies
MH  - Cross-Sectional Studies
MH  - Depressive Disorder/complications/*ethnology/psychology
MH  - Ethnicity/*ethnology/psychology
MH  - Female
MH  - Heart Failure/complications/*ethnology/psychology
MH  - Hispanic or Latino/ethnology/psychology
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Risk Factors
MH  - White People/ethnology/psychology
PMC - PMC2763587
MID - NIHMS144802
EDAT- 2009/08/25 09:00
MHDA- 2010/04/30 06:00
PMCR- 2010/09/01
CRDT- 2009/08/25 09:00
PHST- 2009/02/02 00:00 [received]
PHST- 2009/03/09 00:00 [revised]
PHST- 2009/03/20 00:00 [accepted]
PHST- 2009/08/25 09:00 [entrez]
PHST- 2009/08/25 09:00 [pubmed]
PHST- 2010/04/30 06:00 [medline]
PHST- 2010/09/01 00:00 [pmc-release]
AID - S1071-9164(09)00097-9 [pii]
AID - 10.1016/j.cardfail.2009.03.005 [doi]
PST - ppublish
SO  - J Card Fail. 2009 Sep;15(7):572-9. doi: 10.1016/j.cardfail.2009.03.005. Epub 2009 
      May 21.