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

Phillip Tully, Helen Winefield, Robert Baker, Deborah Turnbull, Peter De Jonge

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    43 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

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