Confirmatory factor analysis of the Beck Depression Inventory-II and the association with cardiac morbidity and mortality after coronary revascularization

Phillip J. Tully*, Helen R. Winefield, Robert A. Baker, Deborah A. Turnbull, Peter de Jonge

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

45 Citations (Scopus)

Abstract

This study examined the Beck Depression Inventory-II (BDI-II) with Confirmatory Factor Analysis and followed up cardiac morbidity and mortality for a median of 4.9 years among 226 coronary artery bypass graft patients. Cardiac morbidity and mortality events (n = 65, 28.8%) were associated with BDI-II cognitive factor z-score (adjusted hazard ratio = 1.36, 95% confidence interval 1.02 - 1.82, p = .04), controlling for left ventricular impairment, age, respiratory disease, heart failure, renal disease and diabetes. A cognitive depression factor marked by pessimism, past failure, self-criticalness and worthlessness was consistently associated with cardiac morbidity and mortality, contrasting to other work.

Original languageEnglish
Pages (from-to)584-595
Number of pages12
JournalJournal of Health Psychology
Volume16
Issue number4
DOIs
Publication statusPublished - May-2011

Keywords

  • Beck Depression Inventory
  • coronary artery bypass
  • coronary artery disease
  • depression
  • factor analysis
  • survival analysis
  • ARTERY-BYPASS-SURGERY
  • SYMPTOM DIMENSIONS
  • HEART-DISEASE
  • CARDIOVASCULAR PROGNOSIS
  • MYOCARDIAL-INFARCTION
  • NATIONAL-HEART
  • RISK-FACTORS
  • METAANALYSIS
  • MODELS
  • ANXIETY

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