A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction

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A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction. / Azevedo, Ricardo de Miranda; Roest, Annelieke M ; Carney, Robert M; Denollet, Johan; Freedland, Kenneth E; Grace, Sherry L; Hosseini, Seyed H; Lane, Deirdre A; Parakh, Kapil; Pilote, Louise; de Jonge, Peter.

In: Health Psychology, 22.02.2016.

Research output: Contribution to journalArticle

Harvard

Azevedo, RDM, Roest, AM, Carney, RM, Denollet, J, Freedland, KE, Grace, SL, Hosseini, SH, Lane, DA, Parakh, K, Pilote, L & de Jonge, P 2016, 'A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction', Health Psychology. https://doi.org/10.1037/hea0000316

APA

Azevedo, R. D. M., Roest, A. M., Carney, R. M., Denollet, J., Freedland, K. E., Grace, S. L., ... de Jonge, P. (2016). A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction. Health Psychology. https://doi.org/10.1037/hea0000316

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Author

Azevedo, Ricardo de Miranda ; Roest, Annelieke M ; Carney, Robert M ; Denollet, Johan ; Freedland, Kenneth E ; Grace, Sherry L ; Hosseini, Seyed H ; Lane, Deirdre A ; Parakh, Kapil ; Pilote, Louise ; de Jonge, Peter. / A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction. In: Health Psychology. 2016.

Bibtex

@article{4f97968f5ef34b7b977bd02334afd65e,
title = "A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction",
abstract = "Objectives: Evidence suggests that depression is associated with adverse outcomes in patients with myocardial infarction (MI). Some of the symptoms of depression may also be symptoms of somatic illness and these may confound the association between depression and prognosis. We investigated whether depression following MI is associated with medical prognosis independent of these somatic symptoms. Method: The database of an individual patient data meta-analysis was used. Endpoints were all-cause mortality and cardiovascular events. Nine studies were included. Bifactor factor analysis included 13,100 participants and 7,595 participants were included in survival models. Dimensions were generated from the Beck Depression Inventory using factor analyses. The prognostic association was assessed using mixed-effects Cox regression analysis. Results: A bifactor model, consisting of a general factor and 2 general depression-free subgroup factors (a somatic/affective and a cognitive/affective), provided the best fit. There was a significant association between the general depression factor and all-cause mortality (hazard ratio [HR] = 1.25; 95{\%} confidence interval [CI] [1.17, 1.34], p < .001) and cardiovascular events (HR = 1.18; 95{\%} CI [1.13, 1.23], p < .001). After adjustment for demographics, measures of cardiac disease severity, and health-related variables, the association between the general depression factor and all-cause mortality (HR = 1.14; 95{\%} CI [1.04, 1.25], p = .003) and cardiovascular events (HR = 1.16; 95{\%} CI [1.10, 1.23], p = .014) attenuated. Additionally, the general depression-free somatic/affective factor was significantly associated with the endpoints, while the general depression-free cognitive/affective was not. Conclusions: A general depression factor is associated with adverse medical prognosis following MI independent of somatic/affective symptoms that may be partly attributable to somatic illness.",
author = "Azevedo, {Ricardo de Miranda} and Roest, {Annelieke M} and Carney, {Robert M} and Johan Denollet and Freedland, {Kenneth E} and Grace, {Sherry L} and Hosseini, {Seyed H} and Lane, {Deirdre A} and Kapil Parakh and Louise Pilote and {de Jonge}, Peter",
year = "2016",
month = "2",
day = "22",
doi = "10.1037/hea0000316",
language = "English",
journal = "Health Psychology",
issn = "0278-6133",
publisher = "American Psychological Association",

}

RIS

TY - JOUR

T1 - A bi-factor model of the Beck Depression Inventory and its association with medical prognosis after myocardial infarction

AU - Azevedo, Ricardo de Miranda

AU - Roest, Annelieke M

AU - Carney, Robert M

AU - Denollet, Johan

AU - Freedland, Kenneth E

AU - Grace, Sherry L

AU - Hosseini, Seyed H

AU - Lane, Deirdre A

AU - Parakh, Kapil

AU - Pilote, Louise

AU - de Jonge, Peter

PY - 2016/2/22

Y1 - 2016/2/22

N2 - Objectives: Evidence suggests that depression is associated with adverse outcomes in patients with myocardial infarction (MI). Some of the symptoms of depression may also be symptoms of somatic illness and these may confound the association between depression and prognosis. We investigated whether depression following MI is associated with medical prognosis independent of these somatic symptoms. Method: The database of an individual patient data meta-analysis was used. Endpoints were all-cause mortality and cardiovascular events. Nine studies were included. Bifactor factor analysis included 13,100 participants and 7,595 participants were included in survival models. Dimensions were generated from the Beck Depression Inventory using factor analyses. The prognostic association was assessed using mixed-effects Cox regression analysis. Results: A bifactor model, consisting of a general factor and 2 general depression-free subgroup factors (a somatic/affective and a cognitive/affective), provided the best fit. There was a significant association between the general depression factor and all-cause mortality (hazard ratio [HR] = 1.25; 95% confidence interval [CI] [1.17, 1.34], p < .001) and cardiovascular events (HR = 1.18; 95% CI [1.13, 1.23], p < .001). After adjustment for demographics, measures of cardiac disease severity, and health-related variables, the association between the general depression factor and all-cause mortality (HR = 1.14; 95% CI [1.04, 1.25], p = .003) and cardiovascular events (HR = 1.16; 95% CI [1.10, 1.23], p = .014) attenuated. Additionally, the general depression-free somatic/affective factor was significantly associated with the endpoints, while the general depression-free cognitive/affective was not. Conclusions: A general depression factor is associated with adverse medical prognosis following MI independent of somatic/affective symptoms that may be partly attributable to somatic illness.

AB - Objectives: Evidence suggests that depression is associated with adverse outcomes in patients with myocardial infarction (MI). Some of the symptoms of depression may also be symptoms of somatic illness and these may confound the association between depression and prognosis. We investigated whether depression following MI is associated with medical prognosis independent of these somatic symptoms. Method: The database of an individual patient data meta-analysis was used. Endpoints were all-cause mortality and cardiovascular events. Nine studies were included. Bifactor factor analysis included 13,100 participants and 7,595 participants were included in survival models. Dimensions were generated from the Beck Depression Inventory using factor analyses. The prognostic association was assessed using mixed-effects Cox regression analysis. Results: A bifactor model, consisting of a general factor and 2 general depression-free subgroup factors (a somatic/affective and a cognitive/affective), provided the best fit. There was a significant association between the general depression factor and all-cause mortality (hazard ratio [HR] = 1.25; 95% confidence interval [CI] [1.17, 1.34], p < .001) and cardiovascular events (HR = 1.18; 95% CI [1.13, 1.23], p < .001). After adjustment for demographics, measures of cardiac disease severity, and health-related variables, the association between the general depression factor and all-cause mortality (HR = 1.14; 95% CI [1.04, 1.25], p = .003) and cardiovascular events (HR = 1.16; 95% CI [1.10, 1.23], p = .014) attenuated. Additionally, the general depression-free somatic/affective factor was significantly associated with the endpoints, while the general depression-free cognitive/affective was not. Conclusions: A general depression factor is associated with adverse medical prognosis following MI independent of somatic/affective symptoms that may be partly attributable to somatic illness.

U2 - 10.1037/hea0000316

DO - 10.1037/hea0000316

M3 - Article

JO - Health Psychology

JF - Health Psychology

SN - 0278-6133

ER -