Coronary Heart Disease, Depressive Symptoms, Low Perceived Social Support
Conditions
Keywords
depressive symptoms, perceived social support, coronary heart disease, peer support, women
Brief summary
In a randomized controlled trial the investigators intended to evaluate the effect of a telephone based peer support intervention on depressed or anxious women with coronary heart disease (CHD). The investigators intended to include 198 depressed or anxious women aged over 18 years with CHD. Participants were randomized to intervention (IG) or waiting list (WL). IG was offered immediate telephone-based contact to peer counselors while WL received the offer with a 6-month delay. All participants got at least one telephone call by a clinical psychologist (study information, feedback about the individual level of distress, proposal to get help). Main outcome variables were depressive symptoms (PHQ-9) and perceived social support (F-SozU K-14). In an additional quasi-experimental trial, the investigators included 11 peer counselors and 11 matched controls not taking part in the intervention. Main outcome variables were mood states (POMS) and perceived social support (F-SozU K-14).
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* coronary heart disease * depressive symptoms (HADS \>7) * insurants of former Kaufmännische Krankenkasse (KKH)-Allianz * German speaking * at least 18 years old * written informed consent
Exclusion criteria
* hardness of hearing * severe somatic illness * current severe depressive episode or current suicidal tendency * severe mental illness (dementia, psychosis)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of Depressive Symptoms measured by PHQ-9 from baseline to 5 month | Baseline (T1), after 5 month (T2), after 11 month (T3) | PHQ-9: Patient Health Questionnaire - Depression Scale |
| Change of perceived social support measured by F-SozU K-14 from baseline to 6 month | Baseline (T0), 5 month after T1 (T2), after 11 month (T3) | F-SozU K-14: Fragebogen zur sozialen Unterstützung (Social Support Questionnaire) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change of Symptoms of anxiety measured by HADS-A from baseline to 5 month | Baseline (T1), after 5 month (T2), after 11 month (T3) | HADS-A: Hospital Anxiety and Depression Scale - Anxiety Scale |
| Change of Self efficacy measured by SWE from baseline to 5 month | Baseline (T1), after 5 month (T2), after 11 month (T3) | SWE: Fragebogen zur Allgemeinen Selbstwirksamkeitserwartung (Perceived self efficacy) |
| Change of Quality of life measured by WHOQOL-BREF from baseline to 5 month | Baseline (T1), after 5 month (T2), after 11 month (T3) | WHOQOL-BREF: The World Health Organization Quality of Life-BREF |
Countries
Germany