Quality of lifeLiving with heart failure: depression and quality of life in patients and spouses☆
Section snippets
Design and sample
This study utilized a 2-group, comparative design. Appropriate institutional review board approval for the study was received from the participating center and permission to contact eligible patients who volunteered was obtained from the patients’ cardiologists. Patients were being seen at a university-affiliated, outpatient heart failure clinic on the west coast of the USA, which is also affiliated with an active cardiac transplant program. The recruitment period was from January 1999 to
Results
Forty-eight couples participated in the study. Although the study criteria included both men and women, only 4 of the 52 couples included had female patients. Due to the small numbers of female patients, and to provide a more homogeneous sample, female patients were excluded. The majority of patients were white (77%) and unemployed (81%). The high number of unemployed reflect the relatively advanced stage of heart failure in this sample of patients. Thirty-one of the 48 (65%) were NYHA Class
Discussion
This study demonstrates that patients with heart failure and their spouses are significantly different in their experience of depressive symptoms and in the physical component of QOL, with patients experiencing significantly more depression and worse physical QOL than spouses. Interestingly, neither patients nor spouses reported significant differences in the mental component of their QOL, a scale that reflects vitality, social functioning, role limitations due to emotional problems and mental
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Cited by (119)
Depression Subtypes in Systolic Heart Failure: A Secondary Analysis From a Randomized Controlled Trial
2023, Journal of the Academy of Consultation-Liaison PsychiatryPsychological Disorders in Heart Failure
2022, Cardiology ClinicsCitation Excerpt :The 9-item Patient Health Questionnaire (PHQ-9) can be used to both diagnose depression and grade severity (Table 1). Depression in patients with HF is significantly related to reduced functional status,10,15 greater symptom severity,16 and poorer health-related quality of life17–19 and contributes to nonadherence9,16 and participation in high-risk behaviors such as smoking and alcohol use.20,21 Additionally, it drives higher use across the care continuum, including emergency department visits, hospitalizations, readmissions, and outpatient office visits.22–24
Psychological Disorders in Heart Failure
2020, Heart Failure ClinicsInfluence of preparedness on anxiety, depression, and quality of life in caregivers of heart failure patients: Testing a model of path analysis
2019, Patient Education and CounselingCitation Excerpt :More difficult to explain is the finding that a higher physical QOL in caregivers was associated with a higher NYHA class in patients. Mårtensson et al. [14] found the opposite result, but related to the mental component of QOL associated with the NYHA class; another study [13] showed that NYHA class is directly related to depression. However, in the literature, similar results are scarce.
Comparison of treatment options for depression in heart failure: A network meta-analysis
2019, Journal of Psychiatric Research
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Supported by the Research Council of Southeastern Sweden (FORSS); The Swedish Heart and Lung Foundation, Sweden; and the American Heart Association, Western Affiliate.