Depressive symptoms in couples living with heart failure: the role of congruent engagement in heart failure management

Lyons, Karen S.; Hiatt, Shirin O.; Gelow, Jill M.; Auld, Jonathan P.; Mudd, James O.; Chien, Christopher; Lee, Christopher S.

doi:10.1080/13607863.2017.1381945

Cited by 15 publications

(21 citation statements)

References 61 publications

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“…For example, spouse depressive symptoms were found to be associated with the interaction of engagement in heart failure management behaviors within the dyad. 40 Implications of incongruence: the empirical Bayes estimates that capture the dyadic mean, magnitude of incongruence and direction of difference within the dyad similar to those generated in this paper can be used individually or in combination as covariates or determinants. 14,41 Longitudinal data: 26,42 longitudinal models most often focus on the associations of baseline covariates with changing outcomes within the dyad.…”

Section: Resultsmentioning

confidence: 90%

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Understanding the family care dyad: A comparison of two multilevel models

Lyons

Lee

2020

European Journal of Cardiovascular Nursing

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Although there has been increasing attention on a dyadic perspective of illness, contemporary dyadic research methods are still rarely utilized in cardiovascular disease. The focus of this paper is to describe the advantages of two types of multilevel dyadic models (the matched pairs model and the lesser known incongruence model). Data exemplars in a sample of heart failure family dyads are used to illustrate the distinct advantages of these two related multilevel dyadic models with particular emphasis on alignment with research questions. The more commonly known matched pairs model examines separate outcomes for each member of the dyad, controlling for the interdependent nature of the data. By re-parameterizing this model into a univariate dyadic outcomes model, researchers can address distinct, and sometimes more appropriate, research questions (e.g. incongruent appraisals of the illness experience). This paper promotes greater application of these methods in cardiovascular research to further understanding of the dyadic experience and more appropriately target interventions.

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Section: Resultsmentioning

confidence: 90%

“…See Table 5 for extensions of each method as well as cited examples of each. 12,14,26,29,30,[40][41][42][43][44][45][46][47]…”

Section: Extensions Of the Modelsmentioning

confidence: 99%

Understanding the family care dyad: A comparison of two multilevel models

Lyons

Lee

2020

European Journal of Cardiovascular Nursing

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“…According to the findings, young patients (≤40 years old) may be more at risk of isolation after the implant of an ICD (Dubin et al, 1996 ; Sears et al, 2009 ; Larimer et al, 2016 ). This leads us to underline the importance of developing research among patients and their relatives, especially couples, to improve their emotional and physical outcomes (Sher et al, 2014 ; Varela Montero and Barrón López de Roda, 2016 ; Lyons et al, 2017 ; Trump and Mendenhall, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

“…Future studies should also include a focus on post-traumatic stress disorder as, despite the vast literature pointing out its prevalence among cardiac patients (Vilchinsky et al, 2017 ), it was not addressed in the included studies. Research could also include caregivers as they were found to be impacted by the disease (Trump and Mendenhall, 2017 ); thus, they may influence both the well-being and the adherence of patients (Sher et al, 2014 ; Varela Montero and Barrón López de Roda, 2016 ; Lyons et al, 2017 ).…”

Section: Discussionmentioning

confidence: 99%

What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review

et al. 2020

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Background: Studies interested in patients coping with a cardiac illness usually focus on children, teenagers, and adults above the age of 55. Apart from the field of congenital heart diseases, there is a general lack of literature regarding young adult cardiac patients (18-55 years old) who seem to cope with psychosocial issues. Therefore, the objective of this paper was to gather all the research carried out concerning the psychological experiences of young adult cardiac patients. Methods and Results: A comprehensive, systematic review was conducted on quantitative, qualitative, and mixed-method studies in PsycINFO, PubMed, ScienceDirect, and Cochrane Library databases. Out of the 10,747 articles found, 32 were included. While we aimed to include many cardiac diseases, coronary patients dominated the data. Five main themes emerged: emotional states (depression, anxiety, emotional distress, and stress), quality of life (health-related quality of life, physical functioning, and sexuality), adjusting to the medical environment (coping with the disease, health behavior change, financial barriers, and interactions with medical professionals), social life (social support and work), and identity (parenthood, new challenges, and new meanings). The results highlighted that their levels of depression, anxiety, stress, and quality of life were sometimes worse than in the general population and than in older and younger patients coping with a cardiac illness. Social isolation, identity changes, work, and parenthood were the specific challenges that this population had to face. Furthermore, young adult cardiac patients showed worse health behavior profiles than the general population and felt that they lacked information from professionals, especially regarding sexuality. Compared to men, women had worse psychosocial outcomes, especially regarding depression, stress, emotional distress, and quality of life. Conclusions: Young adult cardiac patients are to be considered with their own identity and challenges. They may be in need of specific interventions, some dedicated to women, and better communication is necessary with their families and professional caregivers so as to improve the patient's mental health, quality of life, coping skills, and adherence.

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“…Thus far, several studies (Lee et al, 2015, 2017; Lyons & Lee, 2020) have examined the association between dyadic appraisal and dyadic mental health and most of those have focused on the incongruence and congruence of dyadic appraisal. Studies (Lee et al, 2017; Lyons et al, 2018; Lyons, Johnson, & Lee, 2020) showed that congruent appraisal of illness contribute to more dyadic illness management behaviours, which process plays an essential role in optimizing dyadic health outcomes. By contrast, incongruence within dyadic appraisal may lead to less collaboration in dyadic management behaviours and cause adverse effects on dyadic mental health.…”

Section: Introductionmentioning

confidence: 99%

Dyadic appraisals, dyadic coping, and mental health among couples coping with stroke: A longitudinal study protocol

Zhang

Mei

et al. 2020

Journal of Advanced Nursing

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Stroke is one of the major causes of disability in adult worldwide (Feigin et al., 2015). Half of the survivors were unable to perform past work after stroke and nearly two-thirds faced long-term disability (Tanaka, Toyonaga, & Hashimoto, 2014). After the onset of stroke, most survivors have long-term cognitive, physical dysfunction, prone to anxiety and depression, and other psychological problems (Crichton, Bray, McKevitt, Rudd, & Wolfe, 2016). The caregivers also experience poor mental health because of the heavy burden for caring (Hu, Yang, Kong, Hu, & Zeng, 2018; Pucciarelli et al., 2017). A meta-analysis showed that the incidence of depression and anxiety in stroke caregivers was 40.2% and 21.4%, respectively (Loh, Tan, Zhang, & Ho, 2017). Both the stroke survivors (SS) and their spouses caregivers have prominent psychosocial problems (Bucki, Spitz,

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Depressive symptoms in couples living with heart failure: the role of congruent engagement in heart failure management

Abstract: Findings confirm the importance of screening both members of the couple for depression and fostering collaboration within the couple.

Cited by 15 publications

References 61 publications

Understanding the family care dyad: A comparison of two multilevel models

Understanding the family care dyad: A comparison of two multilevel models

What Do We Know About Young Adult Cardiac Patients' Experience? A Systematic Review

Dyadic appraisals, dyadic coping, and mental health among couples coping with stroke: A longitudinal study protocol

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