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    Depression Symptom Severity and ReportedTreatment History in the Prediction of Cardiac Risk in

    Women With Suspected Myocardial Ischemia

    The NH!I"Sponsored WIS# Study

    Thomas Rutledge, PhD; Steven E. Reis, MD; Marian B. Olson, MS; Jane Owens,PhD; Sheryl . !elsey, PhD; "arl J. Pe#ine, MD; Sunil Man$ad, MD; %illiam J.Rogers, MD; ". &oel Bairey Mer', MD; (eorge So#$o, MD; "arol E. "ornell, PhD;Barry Shara), MD; !aren *. Matthews, PhD; +iola +aarino, MD, PhD

     Arch Gen Psychiatry. -/;/01234522.

    !ack$round De#ression is assoiated with linial events and #rematuremortality among #atients with esta6lished oronary artery disease 7"*D8.Ty#ially, however, studies in this area )ous only on 6aseline sym#tom severity

    and la$ any data onerning

     

    sym#tom duration or sym#tom history.

     

    %&'ectives To desri6e and om#are the relationshi#s 6etween - measures o)de#ression9assessed in the )orm o) de#ression sym#tom severity and re#orted

    treatment history9with atheroslerosis ris$ )ators and ma:or linial events in asam#le o) women with sus#eted myoardial ishemia. 

    Desi$n ollow5u# study o) women who om#leted a diagnosti "*D #rotool,inluding ardia sym#toms, oronary angiogra#hy, ishemi testing, andassessments o) de#ression sym#tom severity and re#orted treatment history. 

    Settin$ The %omens

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    System and Fniversity o) "ali)ornia, San Diego 7Dr Rutledge8; De#artments o)Mediine 7Dr Reis8, E#idemiology 7Ms Olson and Dr !elsey8, and Psyhiatry 7DrsOwens and Matthews8, Fniversity o) Pitts6urgh, Pitts6urgh, Pa; De#artments o)Mediine, Fniversity o) lorida, (ainesville 7Dr Pe#ine8, *llegheny (eneral=os#ital, Pitts6urgh 7Dr Man$ad8, Fniversity o) *la6ama at Birmingham 7DrRogers8, "edars5Sinai Medial "enter, >os *ngeles, "ali) 7Dr Bairey Mer'8,

    &ational =eart, >ung, and Blood > TEGT 

    Ho- Can Practice"&ased Research Contri&ute to the #limination of HealthDisparities,

    Rust and "oo#er J Am Board Fam Med  -3;-1CA5CC4.

    *BSTR*"T H F>> TEGT

    http://archpsyc.ama-assn.org/cgi/content/full/63/8/842http://content.onlinejacc.org/cgi/content/abstract/49/18/1834http://content.onlinejacc.org/cgi/content/full/49/18/1834http://www.jabfm.org/cgi/content/abstract/20/2/105http://www.jabfm.org/cgi/content/full/20/2/105http://content.onlinejacc.org/cgi/content/abstract/49/18/1834http://content.onlinejacc.org/cgi/content/full/49/18/1834http://www.jabfm.org/cgi/content/abstract/20/2/105http://www.jabfm.org/cgi/content/full/20/2/105http://archpsyc.ama-assn.org/cgi/content/full/63/8/842