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Ann Behav Med. 2012 Apr;43(2):198-207. doi: 10.1007/s12160-011-9311-z.

Adherence to risk factor management instructions after acute myocardial infarction: the role of emotional support and depressive symptoms.

Author information

1
Yale University School of Medicine, New Haven, CT, USA. erica.leifheit-limson@yale.edu

Abstract

BACKGROUND:

Emotional support and depression may influence adherence to risk factor management instructions after acute myocardial infarction (AMI), but their role requires further investigation.

PURPOSE:

To examine the longitudinal association between perceived emotional support and risk factor management adherence and assess depressive symptoms as a moderator of this association.

METHODS:

Among 2,202 AMI patients, we assessed adherence to risk factor management instructions over the first recovery year. Modified Poisson mixed-effects regression evaluated associations, with adjustment for demographic and clinical factors.

RESULTS:

Patients with low baseline support had greater risk of poor adherence over the first year than patients with high baseline support (relative risk [RR] = 1.20, 95% confidence interval [CI] = 1.02-1.43). In stratified analyses, low support remained a significant predictor of poor adherence for non-depressed (RR = 1.41, 95% CI = 1.23-1.61) but not depressed (RR = 1.01, 95% CI = 0.78-1.30) patients (p for interaction < 0.001).

CONCLUSIONS:

Low emotional support is associated with poor risk factor management adherence after AMI. This relationship is moderated by depression, with a significant relationship observed only among non-depressed patients.

PMID:
22037964
PMCID:
PMC3374717
DOI:
10.1007/s12160-011-9311-z
[Indexed for MEDLINE]
Free PMC Article

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