Association between depressive symptoms and quality of life in outpatients and inpatients with heart failure

Abstract

Objective: To analyze sociodemographic and clinical characteristics, depressive symptoms and quality of life of patients with heart failure and associate quality of life with depressive symptoms. Method: A cross-sectional study conducted with outpatients and inpatients. Sociodemographic data were collected and questionnaires were applied to assess quality of life (Minnesota Living with Heart Failure Questionnaire) and depressive symptoms (Beck Depression Inventory). Results: The sample consisted of 113 patients. Outpatients were retired (p=0.004), with better education (p=0.034) and higher ventricular ejection fraction (p=0.001). The inpatient group had greater depressive symptoms (18.1±10 vs 14.6±1.3; p=0.036) and lower quality of life (74.1±18.7 vs 40.5±3.4; p<0.001) than the outpatient group. Outpatients with depressive symptom scores from 18 points had worse quality of life scores in 17 of the 21 questions. Conclusion: Inpatients had worse depressive symptoms and quality of life, which was more affected in the physical dimension in those with moderate/severe depressive symptoms. Outpatients with more severe depressive symptoms had worse quality of life in all dimensions.

Relationships between Depressive Symptoms, Appetite, and Quality of Life in Heart Failure

“…A previous Brazilian study also found that QoL was more affected in the physical dimension when the patients had moderate to severe depressive symptoms (Tinoco et al, 2021), which is consistent with the findings of an Italian study that identified a strong independent association between depression and physical capacity (Chiala et al, 2018).…”

“…Recent literature indicates rates of cachexia among Brazilians hospitalized with HF of up to 48.1% and 61.8% have malnutrition (Tinoco et al, 2021). From the patients’ perspective, effective treatment for loss of appetite is an area that requires quality improvement in HF care (Ängerud et al, 2017) and in the care delivered to older adults in general who are hospitalized (Brunner et al, 2022).…”

Tendência da mortalidade por insuficiência cardíaca no Brasil: 1998 a 2019

“…A fadiga e a dispneia são os principais sintomas que podem repercutir na realização de atividades da vida diária e social desses indivíduos. Além dos comprometimentos físicos, pacientes com IC podem apresentar sintomas depressivos que diminuem sua capacidade para o autocuidado, levando à baixa adesão ao tratamento da doença e à piora do quadro clínico geral, fatores que aumentam o risco de internações recorrentes 34,35 .…”

Associação entre resiliência, sintomas depressivos e qualidade de vida de pacientes com insuficiência cardíaca crônica

“…Ao realizar a análise da associação da síndrome depressiva com a QV dos entrevistados, constatou-se em ambos os instrumentos aplicados que a pior QV esteve significantemente associada à presença de sintomas depressivos. Essa mesma relação foi encontrada em outros estudos, em que os achados evidenciaram que os sintomas de depressão e de ansiedade contribuem para piora da QV relacionada aos sintomas físicos da IC 15,31,32 .…”