How are Depression and Type D Personality Associated with Outcomes in Chronic Heart Failure Patients?

Abstract

This review aims to summarize the current evidence for the association of depression and Type D personality with clinical and patient-centred outcomes and self-care in chronic heart failure (CHF) patients. Emotional distress is highly prevalent in CHF patients. In contrast to results in coronary artery disease, there is inconsistent evidence for the adverse effects of depression and Type D on prognosis. Type D and depression are important predictors of impaired health status in CHF, and patients characterised by depression or Type D report reduced self-care. Pathophysiological processes associated with depression and Type D are discussed, as they may contribute to disease progression. Future research may benefit from taking inconsistencies in and problems with assessment of depression and Type D into account, as well as focusing on the network of psychophysiological and behavioural factors to elucidate their precise role in CHF patients with depression or Type D. Furthermore, it is advised that clinicians address the observed differences in self-care behaviours to improve health in CHF patients with depression or Type D personality.

Disability transitions after 30 months in three community-dwelling diagnostic groups in Spain

“…This is well illustrated by the many (often nursing) reports of studies on CHF patients, aimed at assessing the impact on CHF course of limitations in self-care, attributed, among other things, to personality, depression or cognitive decline [26–28]. In contrast, adequate self-care was linked to an improvement in health status, a decrease in the number and duration of hospitalisations, and a decline in the levels of stress biomarkers and intrathoracic impedance [29].…”

Quality of Life in Cardiac Resynchronization Recipients: Association with Response and Impact on Outcome

“…Patients’ self‐perception of a burden they impose on friends and an ability to concentrate or remember things may not be subject to a correction by CRT at all. Also an inability to get along with others, a restricted self‐efficacy as well as the lack of a supportive environment, often present in HF patients, are probably not amenable to CRT …”

“…Physical QoL (eight questions, items 2-7 and 12-13); Mental QoL (five questions, items [17][18][19][20][21]. 13 Data on potential adverse events were collected throughout the entire follow-up period during scheduled and unscheduled visits, via telephone calls, fax, as well as other media from patients, relatives, witnesses, death certificates, hospital records, outpatient notes, letters, device memory, and all other available sources.…”

Psychological Determinants of Heart Failure Self-Care

“…INTRODUCTION P sychological distress (e.g., depression, anxiety) has been associated with poor outcomes in patients with chronic heart failure (HF) and it is assumed that this may, in part, be due to poor self-care (1,2). Effective HF self-care is important for maintaining health and to prevent patients from exacerbation of HF and subsequent hospitalizations due to clinical congestion (3).…”