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Depression as a predictor of return to work in patients with coronary artery disease

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  • Söderman, Eva
  • Lisspers, Jan
  • Sundin, Örjan

Abstract

The importance of depression in coronary artery disease (CAD) outcomes is being increasingly recognized. The aim of this study was to investigate the power of depression as a predictor of return to work, both at full time and at reduced working hours, within 12 months of participation in a behaviorally oriented rehabilitation program in Sweden. The sample comprised 198 employed patients who had recently experienced an acute myocardial infarction (AMI, n=85), or had been treated with coronary by-pass surgery (CABG, n=73) or coronary angioplasty (PTCA, n=40). The results showed that clinical depression before intervention ([greater-or-equal, slanted]16 as measured by the Beck Depression Inventory) exerted a great influence on work resumption both at full-time (odds ratio 9.43, CI=3.15-28.21) and at reduced working-hours (odds ratio 5.44, CI=1.60-18.53), while mild depression (BDI 10-15) influenced only work resumption at full-time (odds ratio 2.89, CI=1.08-7.70). Education and, at full-time hours, age also predicted work resumption. This highlights the importance of depressive symptoms in relation to return to work after a CAD event. More research is needed in order to elaborate the degree to which treatment of depression enhances work resumption rates.

Suggested Citation

  • Söderman, Eva & Lisspers, Jan & Sundin, Örjan, 2003. "Depression as a predictor of return to work in patients with coronary artery disease," Social Science & Medicine, Elsevier, vol. 56(1), pages 193-202, January.
    • Handle: RePEc:eee:socmed:v:56:y:2003:i:1:p:193-202
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    Cited by:

    1. Mariarita Stendardo & Melissa Bonci & Valeria Casillo & Rossella Miglio & Giulia Giovannini & Marco Nardini & Gianluca Campo & Alessandro Fucili & Piera Boschetto, 2018. "Predicting return to work after acute myocardial infarction: Socio-occupational factors overcome clinical conditions," PLOS ONE, Public Library of Science, vol. 13(12), pages 1-11, December.
    2. Fukuoka, Yoshimi & Dracup, Kathleen & Takeshima, Masako & Ishii, Noriko & Makaya, Miyuki & Groah, Linda & Kyriakidis, Erick, 2009. "Effect of job strain and depressive symptoms upon returning to work after acute coronary syndrome," Social Science & Medicine, Elsevier, vol. 68(10), pages 1875-1881, May.
    3. Karin Biering & Torsten Toftegaard Nielsen & Kurt Rasmussen & Troels Niemann & Niels Henrik Hjollund, 2012. "Return to Work after Percutaneous Coronary Intervention: The Predictive Value of Self-Reported Health Compared to Clinical Measures," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-7, November.

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