Table 2: Proportional comparison of each individual BDI-II question. All (n = 789) Females (n = 248) Males (n = 541) 206 (26.14) 245 (31.05) 174 (22.08) 330 (41.83) 217 (27.57) 95 (12.09) 149 (18.93) 235 (29.90) 47 (5.96) 186 (23.66) 356 (45.12) 235 (29.78) 193 (24.49) 136 (17.24) 579 (73.38) 453 (57.41) 295 (37.44) 313 (39.67) 330 (41.83) 565 (71.61) 323 (41.09) 91 (36.69) 86 (34.68) 65 (26.21) 103 (41.53) 79 (31.98) 33 (13.36) 59 (23.98) 72 (29.15) 19 (7.56) 90 (36.59) 117 (47.18) 79 (31.85) 76 (30.77) 52 (20.97) 193 (77.82) 156 (62.90) 100 (40.32) 121 (48.79) 115 (46.37) 189 (76.21) 128 (51.82) 4 BDI-II 21 questions symptom present ≥1 Q1:Sadness Q2:Pessimism Q3:Past failure Q4:Loss pleasure Q5:Guilty feelings Q6:Punish feelings Q7:Self dislike Q8:Self criticalness Q9:Suicidal whish Q10:Crying Q11:Agitation Q12:Loss of interest Q13:Indecisiveness Q14:Worthless Q15:Loss of energy Q16:Sleep disturbance Q17:Irritability Q18:Appetite disturbance Q19:Concentration Q20:Fatigue Q21:Loss Interest Sex Note: values in parenthesis are percentages and BDI-II symptoms are considered present with a BDI-II score ≥1 in 0–3 scoring system. ∗Statistical signiﬁcant at level of P < 0.05. largely made up of Caucasians with a high number of males, and participants were recruited from two large tertiary medical centers with high levels of acuity. Although similar patterns of somatic depressive symptoms have been re- ported from several epidemiological studies [15–17], other comorbid psychiatric, medical conditions, and treatments that may aﬀect somatic symptoms should be considered. Some of the self-reported somatic symptoms may have been caused by the current ACS event. Despite these limitations, results from this study raise the possibility that females may have heterogeneous symptomology with various depression subtypes that may aﬀect their morbidity and mortality after ACS events. 5. Conclusion In conclusion, results from the present study support the hypothesis that there are gender diﬀerences in depression prevalence and self-reported somatic depressive symptoms, in patients hospitalized for ACS. Somatic symptoms may be important indicators of depression among ACS patients, especially female patients. The ability to diagnose and treat depression in these patients is an important intervention that would decrease subsequent ACS events. Future studies are needed to identify the biological and psychological mecha- nisms to explain this gender diﬀerence. Acknowledgments This paper is supported by 1R01NR010235-01A1 and funded by the NIH, National Institute of Nursing Research, 3 UL 1 RR024148-03S1 CTSA Administrative Supplement Award, and CTSA Consortium Biobank. References [1] AHA, “Statistical fact sheet—populations 2011 Update,” American Heart Association, 2010. [2] J. Barth, M. Schumacher, and C. Herrmann-Lingen, “Depres- sion as a risk factor for mortality in patients with coronary heart disease: a meta-analysis,” Psychosomatic Medicine, vol. 66, no. 6, pp. 802–813, 2004. [3] N. Frasure-Smith and F. Lespe´rance, “Recent evidence linking coronary heart disease and depression,” Canadian Journal of Psychiatry, vol. 51, no. 12, pp. 730–737, 2006. [4] F. Lespe´rance, N. Frasure-Smith, M. Juneau, and P. The´roux, “Depression and 1-year prognosis in unstable angina,” Ar- chives of Internal Medicine, vol. 160, no. 9, pp. 1354–1360, 2000. [5] L. V. Doering, S. McKinley, B. Riegel et al., “Gender-speciﬁc characteristics of individuals with depressive symptoms and coronary heart disease,” Heart and Lung, vol. 40, no. 3, pp. 4– 14, 2010. [6] N. Frasure-Smith, F. Lespe´rance, M. Juneau, M. Talajic, and M. G. Bourassa, “Gender, depression, and one-year prognosis 115 (21.30) 159 (29.39) 109 (20.19) 227 (41.96) 138 (25.56) 62 (11.50) 90 (16.64) 163 (30.24) 28 (5.18) 96 (17.78) 239 (44.18) 156 (28.84) 117 (21.63) 84 (15.53) 386 (71.35) 297 (54.90) 195 (36.11) 192 (35.49) 215 (39.74) 376 (69.50) 195 (36.18) Nursing Research and Practice P value <0.0001∗ 0.1362 <0.0001∗ 0.0583 0.9101 0.0611 0.4583 0.0147∗ 0.7564 0.1708 0.4318 0.3893 0.0056∗ 0.0603 0.0561 0.0348∗ 0.2566 0.0004∗ 0.0797 0.0523 <0.0001∗