Caregiver Burden and Cardiovascular Disease: Can We Afford to Keep the Health of Caregivers in Canada Invisible?

Parry, Monica

doi:10.1016/j.cjca.2019.06.025

Cited by 9 publications

(6 citation statements)

References 17 publications

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“…The majority of adults living with CVD are partnered and, as noted, this intimate relationship plays a critical role in disease management. As chronic illness in one partner exacts a toll on the other (Bouchard et al, 2019; Martire et al, 2010), we can no longer ignore the partner (Perry, 2019). Instead we need to intervene at the couple level; attachment-based interventions for patients with CVD and their partners appear to be a promising approach.…”

Section: Discussionmentioning

confidence: 99%

An attachment-based intervention for patients with cardiovascular disease and their partners: A proof-of-concept study.

Tulloch¹,

Johnson²,

Demidenko³

et al. 2021

Health Psychology

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Couple distress is associated with cardiovascular disease (CVD) risk factors, whereas support is associated with heart-healthy behaviors and better CVD outcomes. Objective: To assess the clinical benefit of the Healing Hearts Together (HHT) intervention, an attachment-based relationship enhancement program for couples in which 1 partner has CVD, on relationship quality, mental health, and quality of life (QoL). Method: Patients from a tertiary cardiac care center and their partners (N = 78; 39 couples) attended the 8-session HHT group. Participants completed validated, self-report questionnaires pre- and postintervention, including the Dyadic Adjustment Scale (DAS), Couple Satisfaction Index (CSI), Hospital Anxiety and Depression Scale (HADS), and the SF-36 (QoL). At intervention completion, participants completed a satisfaction survey. Between-groups comparisons (patient/partner) were examined with analysis of variance. Paired-sample t tests were used to assess changes over time with HHT participation for the complete sample and for patients and partners separately. Results: Many participants reported relationship and psychological distress at baseline. Clinically and statistically significant changes from pre to postintervention were observed for relationship distress (DAS: +7.8 points; p < .001; CSI changes [+3.6] were clinically significant) and depression (−1.8; p < .001), whereas statistically significant changes occurred for anxiety (−1.5; p < .001), and physical (+2.1; p = .047) and mental (+3.3; p < .001) QoL. Patients, but not partners, reported statistically significant changes in QoL-mental component summary. Clinically and statistically significant changes were observed for anxiety for partners, but not patients. Conclusions: The HHT intervention was beneficial for patients’ and partners’ relationship quality, mental health, and QoL. A larger randomized controlled trial evaluating the impact of this intervention on relationship quality, mental health and QoL is warranted.

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Section: Discussionmentioning

confidence: 99%

An attachment-based intervention for patients with cardiovascular disease and their partners: A proof-of-concept study.

Tulloch¹,

Johnson²,

Demidenko³

et al. 2021

Health Psychology

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“…In recent years, the number of caregivers for a loved one with physical and mental deterioration is dramatically elevated and the majority of them are women [ 135 , 136 ]. The burden of stress is higher if they are a spouse, a sole caregiver, and have a lower income [ 137 ].…”

Section: Factors That Can Affect the Pharmacological Responsementioning

confidence: 99%

The Person’s Care Requires a Sex and Gender Approach

Campesi

Montella

Seghieri³

et al. 2021

JCM

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There is an urgent need to optimize pharmacology therapy with a consideration of high interindividual variability and economic costs. A sex–gender approach (which considers men, women, and people of diverse gender identities) and the assessment of differences in sex and gender promote global health, avoiding systematic errors that generate results with low validity. Care for people should consider the single individual and his or her past and present life experiences, as well as his or her relationship with care providers. Therefore, intersectoral and interdisciplinary studies are urgently required. It is desirable to create teams made up of men and women to meet the needs of both. Finally, it is also necessary to build an alliance among regulatory and ethic authorities, statistics, informatics, the healthcare system and providers, researchers, the pharmaceutical and diagnostic industries, decision makers, and patients to overcome the gender gap in medicine and to take real care of a person in an appropriate manner.

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“…Ennek a területnek a kutatása jóval később kezdődött, mint a rehabilitációs programok elindítása. A "gondozók" olyan nem fizetett ápolók, akik hoszszú ideig gondoskodnak egy közeli hozzátartozóról [1].…”

Section: "Együtt Gyógyul a Szívünk" Párkapcsolaterősítő Program A Kardiológiai Rehabilitáció Folyamatábanunclassified

„Együtt gyógyul a szívünk” párkapcsolaterősítő program a kardiológiai rehabilitáció folyamatában

Gyenis-Kátay¹

2021

IME

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A szívbetegséggel foglalkozó kutatások során egyértelművé vált, hogy a betegek partnerei nem mellőzhetők a rehabilitációs folyamatban, hiszen a párkapcsolati elégedettség erőteljesen befolyásolja az egészség ügyi mutatókat pozitív és negatív irányban egyaránt. A „Együtt gyógyul a szívünk” érzelemfókuszú párterápiás mód szertannal dolgozó, specifikusan szívbeteg párok számára szervezett edukatív csoport a balassagyarmati és a salgótarjáni kórházban 2018-ban egy EFOP pályázat keretében valósult meg. Jelen tanulmány célja az „Együtt gyógyul a szívünk” csoportfolyamat és a szívbetegség párkapcsolatra gyakorolt hatásának bemutatása.

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Caregiver Burden and Cardiovascular Disease: Can We Afford to Keep the Health of Caregivers in Canada Invisible?

Cited by 9 publications

References 17 publications

An attachment-based intervention for patients with cardiovascular disease and their partners: A proof-of-concept study.

An attachment-based intervention for patients with cardiovascular disease and their partners: A proof-of-concept study.

The Person’s Care Requires a Sex and Gender Approach

„Együtt gyógyul a szívünk” párkapcsolaterősítő program a kardiológiai rehabilitáció folyamatában

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