Depression and cardiovascular rehabilitation outcome in MI patients: The mediation role of quality of couple relationship

Angelo Compare, Enrico Molinari

Research output: Contribution to journalArticlepeer-review


Objective: The present study examined the potential mediation role of quality of couple relationship perceived by a patient on the relation between baseline depression and cardiovascular rehabilitation (CR) outcome. Methods: 223 male patients with myocardial infarction (MI) (age 50 years, SD 4.98) were involved in CR program based on European guidelines were consecutively recruited for the study. Psychological baseline assessment were (1) Beck Depression Inventory (Beck et al., 1961), (2) Experiences in Close Relationships (Brennan and Bosson, 1998), (3) Partner Relationship Inventory (Hoskins, 1988). CR outcome measure was METs (maximal attained) and was evaluated before and at the end of a (CR) program. Results: Survival Cox analysis pointed out as low quality of couple relationship empathized the negative influence of depression on METs outcome (RR=1.65; 95% CI =1.25 and 2.17; p <0.001). In detail low satisfaction emotional needs were linked with high-negative depression influence on METs outcome (RR = 1.76; 95% CI = 1.22 and 2.09; p <0.001). Structural equation model analysis (LISREL) that was conduct using high-depressed patient data pointed out the central role of emotional self-disclosure and perceived partner responsiveness into maintenance of depression symptoms - GFI (0.982), NFI (0.965), TLI (0.998), CFI (0.999). Conclusion: The results are discussed considering the empathy theoretic model of Reiss and Shaver (1987) and the implication for couple therapy for depressed patient (Jones and Asen, 2002) affected by MI.

Original languageEnglish
Pages (from-to)33-34
Number of pages2
JournalPsychology and Health
Issue numberSUPPL. 1
Publication statusPublished - Jun 2004

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychology(all)


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