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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/62551
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dc.creatorWhesley Tanorsilvapt_BR
dc.creatorManoel Otávio da Costa Rochapt_BR
dc.creatorMatheus Ribeiro Ávilapt_BR
dc.creatorLucas Frois Fernandes de Oliveirapt_BR
dc.creatorPedro Henrique Scheidt Figueiredopt_BR
dc.creatorVanessa Pereira Limapt_BR
dc.creatorAlessandra de Carvalho Bastonept_BR
dc.creatorFábio Silva Martins da Costapt_BR
dc.creatorMauro Felippe Felix Medianopt_BR
dc.creatorHenrique Silveira Costapt_BR
dc.date.accessioned2024-01-10T20:29:21Z-
dc.date.available2024-01-10T20:29:21Z-
dc.date.issued2020-
dc.citation.volume53pt_BR
dc.citation.issue(e20200123pt_BR
dc.citation.spage1pt_BR
dc.citation.epage7pt_BR
dc.identifier.doi10.1590/0037-8682-0123-2020pt_BR
dc.identifier.issn16789849pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/62551-
dc.description.resumoIntroduction: Chagas cardiomyopathy (ChC) is highly stigmatized, and the presence of depressive symptoms may be a common feature. However, its determinants remain unclear. Therefore, the present study aimed to verify the prevalence of depression and the clinical, echocardiographic, functional, and quality of life factors associated with depressive symptoms in patients with ChC and predominantly preserved cardiac function. Methods: Thirty-five patients with ChC (aged 40 to 60 years, 66% men, NYHA I-III) were evaluated by echocardiography, cardiopulmonary exercise testing, 6-minute walk test (6MWT), and Mini-Mental State Examination. Physical activity level was assessed using the Human Activity Profile (HAP) and health-related quality of life was assessed using the Short-Form Health Survey (SF-36). Depressive symptoms were evaluated using the Beck Depression Inventory. A cutoff point greater than 9 was indicative of depression. Results: Depression was detected in 13 patients (37%). In the univariate analysis, female sex, NYHA functional class, body mass index, HAP score, mental summary of SF-36, peak oxygen uptake, and 6MWT distance were associated with depressive symptoms. The final model showed that only the HAP score (B = -0.533; 95% confidence interval [CI]: -0.804 to -0.262) and SF-36 mental summary (B = -0.269; 95% CI: -0.386 to -0.153) remained as independent predictors of depressive symptoms in patients with ChC. Conclusions: Depression was prevalent in patients with ChC and predominantly preserved cardiac function. Physical activity and mental health were independent risk factors for depressive symptoms.pt_BR
dc.format.mimetypepdfpt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentMED - DEPARTAMENTO DE CLÍNICA MÉDICApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofRevista da Sociedade Brasileira de Medicina Tropical-
dc.rightsAcesso Abertopt_BR
dc.subjectChagas disease.pt_BR
dc.subjectChagas cardiomyopathypt_BR
dc.subjectDepressive Disorderpt_BR
dc.subjectExercise Testpt_BR
dc.subjectActivities of Daily Livingpt_BR
dc.subjectMental Healthpt_BR
dc.subject.otherChagas disease.pt_BR
dc.subject.otherChagas cardiomyopathypt_BR
dc.subject.otherDepressive Disorderpt_BR
dc.subject.otherExercise Testpt_BR
dc.subject.otherActivities of Daily Livingpt_BR
dc.subject.otherMental Healthpt_BR
dc.titlePrevalence and determinants of depressive symptoms in patients with chagas cardiomyopathy and predominantly preserved cardiac functionpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://doi.org/10.1590/0037-8682-0123-2020pt_BR
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