Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity
BackgroundPatients 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 C...
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| Format: | Article |
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Frontiers Media S.A.
2024-03-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356497/full |
| _version_ | 1827314707235602432 |
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| author | Thomas Müller-Tasch Thomas Müller-Tasch Bernd Löwe Lutz Frankenstein Norbert Frey Markus Haass Hans-Christoph Friederich |
| author_facet | Thomas Müller-Tasch Thomas Müller-Tasch Bernd Löwe Lutz Frankenstein Norbert Frey Markus Haass Hans-Christoph Friederich |
| author_sort | Thomas Müller-Tasch |
| collection | DOAJ |
| description | BackgroundPatients 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.MethodsWe 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.ResultsOf 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.ConclusionsAmong 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. |
| first_indexed | 2024-04-24T22:40:50Z |
| format | Article |
| id | doaj.art-c938b15f76db49afb0ca018a807658c1 |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-24T22:40:50Z |
| publishDate | 2024-03-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-c938b15f76db49afb0ca018a807658c12024-03-19T04:43:36ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402024-03-011510.3389/fpsyt.2024.13564971356497Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidityThomas Müller-Tasch0Thomas Müller-Tasch1Bernd Löwe2Lutz Frankenstein3Norbert Frey4Markus Haass5Hans-Christoph Friederich6Department of Psychosomatic Medicine and Psychotherapy, Klinikum am Weissenhof, Weinsberg, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Hamburg, GermanyDepartment of Cardiology, University of Heidelberg, Heidelberg, GermanyDepartment of Cardiology, University of Heidelberg, Heidelberg, GermanyDepartment of Cardiology, Theresien Hospital Mannheim, Mannheim, GermanyDepartment of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, GermanyBackgroundPatients 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.MethodsWe 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.ResultsOf 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.ConclusionsAmong 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.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356497/fullchronic heart failuredepressionsomatic symptomsPatient Health Questionnairetreatment |
| spellingShingle | Thomas Müller-Tasch Thomas Müller-Tasch Bernd Löwe Lutz Frankenstein Norbert Frey Markus Haass Hans-Christoph Friederich Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity Frontiers in Psychiatry chronic heart failure depression somatic symptoms Patient Health Questionnaire treatment |
| title | Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| title_full | Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| title_fullStr | Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| title_full_unstemmed | Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| title_short | Somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| title_sort | somatic symptom profile in patients with chronic heart failure with and without depressive comorbidity |
| topic | chronic heart failure depression somatic symptoms Patient Health Questionnaire treatment |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1356497/full |
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