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01.04.2007 | Original Article

Spiritual Well-Being and Depression in Patients with Heart Failure

verfasst von: David B. Bekelman, MD, Sydney M. Dy, MD, Diane M. Becker, ScD, Ilan S. Wittstein, MD, Danetta E. Hendricks, MA, Traci E. Yamashita, MS, Sheldon H. Gottlieb, MD

Erschienen in: Journal of General Internal Medicine | Ausgabe 4/2007

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Abstract

Background

In patients with chronic heart failure, depression is common and associated with poor quality of life, more frequent hospitalizations, and higher mortality. Spiritual well-being is an important, modifiable coping resource in patients with terminal cancer and is associated with less depression, but little is known about the role of spiritual well-being in patients with heart failure.

Objective

To identify the relationship between spiritual well-being and depression in patients with heart failure.

Design

Cross-sectional study.

Participants

Sixty patients aged 60 years or older with New York Heart Association class II–IV heart failure.

Measurements

Spiritual well-being was measured using the total scale and 2 subscales (meaning/peace, faith) of the Functional Assessment of Chronic Illness Therapy—Spiritual Well-being scale, depression using the Geriatric Depression Scale—Short Form (GDS-SF).

Results

The median age of participants was 75 years. Nineteen participants (32%) had clinically significant depression (GDS-SF > 4). Greater spiritual well-being was strongly inversely correlated with depression (Spearman’s correlation −0.55, 95% confidence interval −0.70 to −0.35). In particular, greater meaning/peace was strongly associated with less depression (r = −.60, P < .0001), while faith was only modestly associated (r = −.38, P < .01). In a regression analysis accounting for gender, income, and other risk factors for depression (social support, physical symptoms, and health status), greater spiritual well-being continued to be significantly associated with less depression (P = .05). Between the 2 spiritual well-being subscales, only meaning/peace contributed significantly to this effect (P = .02) and accounted for 7% of the variance in depression.

Conclusions

Among outpatients with heart failure, greater spiritual well-being, particularly meaning/peace, was strongly associated with less depression. Enhancement of patients’ sense of spiritual well-being might reduce or prevent depression and thus improve quality of life and other outcomes in this population.

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Titel: Spiritual Well-Being and Depression in Patients with Heart Failure
verfasst von: David B. Bekelman, MD
Sydney M. Dy, MD
Diane M. Becker, ScD
Ilan S. Wittstein, MD
Danetta E. Hendricks, MA
Traci E. Yamashita, MS
Sheldon H. Gottlieb, MD
Publikationsdatum: 01.04.2007
Verlag: Springer-Verlag
Erschienen in: Journal of General Internal Medicine / Ausgabe 4/2007
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI: https://doi.org/10.1007/s11606-006-0044-9

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Spiritual Well-Being and Depression in Patients with Heart Failure

Abstract

Background

Objective

Design

Participants

Measurements

Results

Conclusions

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Abstract

Background

Objective

Design

Participants

Measurements

Results

Conclusions

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