The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor–Partner Interdependence Model

Chung, Misook L.; Moser, Debra K.; Lennie, Terry A.; Rayens, Mary Kay

doi:10.1016/j.jpsychores.2009.01.009

Cited by 165 publications

(213 citation statements)

References 36 publications

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“…This same result was not found in another study in which 56.9% of family members presented depression symptoms and 46.6% presented anxiety (25) ; these are high levels when compared to the current study. However, these symptoms were only evaluated in spouses considered by the patients as their main caregivers.…”

Section: Discussionsupporting

confidence: 67%

Anxiety, stress and depression in family members of patients with heart failure

Lacerda

Cirelli

Barros

et al. 2017

Rev. esc. enferm. USP

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Objective: Identifying the level of anxiety, stress and depression symptoms in family members of patients with heart failure; identifying the relationship between these feelings with sociodemographic and clinical variables. Method: A cross-sectional study carried out with 100 family members. Depression, anxiety, and stress were evaluated by the Beck Depression and Anxiety Inventories and the Perceived Stress Scale -10. The relationship between feelings and variables was performed through the t-test, Mann-Whitney or Kruskal-Wallis. Results: Mean depression was 8.24, anxiety was 77.95, and stress was 17.43. The correlation coefficient between depression and anxiety and depression and stress was 0.53, and it was 0.66 between anxiety and stress. Females (p=0.002, p=0.031), smoking (p=0.05, p=0.011) and sedentary lifestyle (p=0.023, p=0.001) were related to anxiety and stress, respectively. Family income lower than five minimum wages (p=0.012) was related to depression, and regular/poor self-perceived health status related to the three feelings. Conclusion: Family members did not present high levels of these feelings. The scales were directly correlated with each one another and some variables were related to stress, anxiety and depression. DESCRIPTORS Heart Failure; Family; Anxiety; Stress, Phychological; Depression; Cardiovascular Nursing.Anxiety, stress and depression in family members of patients with heart failure* Ansiedade, estresse e depressão de familiares de pacientes com insuficiência cardíaca Ansiedad, estrés y depresión de familiares de pacientes con insuficiencia cardiaca INTRODUCTIONHeart failure (HF) is the final pathway for various heart diseases representing a major public health problem. According to data from DataSUS, circulatory system diseases were the third leading cause of hospital admission in 2015 (1) . HF is a chronic disease responsible for the greatest number of hospitalizations within the group of circulatory system diseases (1) . An individual affected by a chronic disease such as HF experiences changes in their daily life which are caused by the disease itself (2) , such as changes related to the use of medicines (start taking, changing or increasing number of medications), frequent consultations and recurrent hospitalizations.Such changes to a patient's lifestyle directly influence their family members' living habits, who represent necessary support to the patient for better coping with the disease. It is known that caregivers directly and indirectly contribute to monitoring, maintenance and management of patient self-care (3) . Therefore, understanding psychosocial factors (depression, anxiety and stress) that may be present in family members and understanding the context in which the patient and family are inserted becomes important.It is known that family members may experience negative experiences/situations arising from care which encompass physical and psychological aspects. A study showed that family member caregivers present musculoskeletal and sleep disorders, fatigu...

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Section: Discussionsupporting

confidence: 67%

Anxiety, stress and depression in family members of patients with heart failure

Lacerda

Cirelli

Barros

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

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“…Our results are also in line with the study by Chung et al [39] showing a significant actor effect for depressive and anxiety symptoms on quality of life in both patients with heart failure and their spouses. The increased and ongoing need for care during the postacute recovery phase demands close interactions between patients and their family members.…”

Section: Discussionsupporting

confidence: 93%

Predictors of Posttraumatic Stress and Quality of Life in Family Members of Chronically Critically ill Patients After Intensive Care

Wintermann

Weidner

Strauß

et al. 2016

Journal of Psychosomatic Research

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Background: Prolonged mechanical ventilation for acute medical conditions increases the risk of chronic critical illness (CCI). Close family members are confronted with the life-threatening condition of the CCI patients and are prone to develop posttraumatic stress disorder affecting their health-related quality of life (HRQL). Main aim of the present study was to investigate patient-and family-related risk factors for posttraumatic stress and decreased HRQL in family members of CCI patients. Methods:In a cross-sectional design nested within a prospective longitudinal cohort study, posttraumatic stress symptoms and quality of life were assessed in family members of CCI patients (n = 83, aged between 18 and 72 years) up to 6 months after transfer from ICU at acute care hospital to post-acute rehabilitation. Patients admitted a large rehabilitation hospital for ventilator weaning. The Posttraumatic Stress Scale-10 and the Euro-Quality of life-5D-3L were applied in both patients and their family members via telephone interview.Results: A significant proportion of CCI patients and their family members (14.5 and 15.7 %, respectively) showed clinically relevant scores of posttraumatic stress. Both CCI patients and family members reported poorer HRQL than a normative sample. Factors independently associated with posttraumatic stress in family members were the time following ICU discharge (β = .256, 95 % confidence interval .053-.470) and the patients' diagnosis of PTSD (β = .264, 95 % confidence interval .045-.453). Perceived satisfaction with the relationship turned out to be a protective factor for posttraumatic stress in family members of CCI patients (β = −.231, 95 % confidence interval −.423 to −.015). Regarding HRQL in family members, patients' acute posttraumatic stress at ICU (β = −.290, 95 % confidence interval −.360 to −.088) and their own posttraumatic stress 3 to 6 months post-transfer (β = −.622, 95 % confidence interval −.640 to −.358) turned out to be significant predictors. Conclusions:Posttraumatic stress and HRQL should be routinely assessed in family members of CCI patients at regular intervals starting early at ICU. Preventive family-centered interventions are needed to improve posttraumatic stress and HRQL in both patients and their family members.

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“…Patients whose partners had more depressive symptoms were more likely to indicate their own quality of life as being poorer. Anxiety has similar actor and partner effects as depressive symptoms on quality of life (29).…”

Section: Quality Of Life and Symptoms Of Depression In Heart Failure mentioning

confidence: 99%

Quality of life and symptoms of depression in advanced heart failure patients and their partners

Jaarsma

Johansson

Ågren

et al. 2010

Current Opinion in Supportive &Amp; Palliative Care

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2 Purpose of reviewTo provide an overview of factors related to quality of life and symptoms of depression in heart failure patients and their partners. Furthermore, to give an overview of interventions that can be effective in improving their quality of life and decrease depressive symptoms. Recent findingsQuality of life of patients with heart failure and their partners is poor compared to their age-matched peers from the general population and also compared to patients suffering from other chronic diseases. Furthermore, a considerable amount of heart failure patients is depressed. Depressive symptoms of patients and of their partners seemed to be interrelated, making interventions complicated but needed.Although the number of studies that specifically target improvement of quality of life and depression in heart failure patients and their partners is still small, several interventions are known to improve quality of life and these could be implemented in daily care. SummaryThis review considers demographic and clinical factor that are related to quality of life and depressive symptoms and addresses interventions that can contribute to improvement of quality of life of heart failure patients and their partners and decrease depressive symptoms.Education on self-care management and physical exercise are important to include in a disease management program. A multidisciplinary care approach including optimizing medical therapy and optimal symptom management is advised, focusing both on the patient and the caregiver. Treatment and care should not only focus on heart failure, but also address the consequences of co-morbidities and consequences of symptoms and therapies.

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The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor–Partner Interdependence Model

Cited by 165 publications

References 36 publications

Anxiety, stress and depression in family members of patients with heart failure

Anxiety, stress and depression in family members of patients with heart failure

Predictors of Posttraumatic Stress and Quality of Life in Family Members of Chronically Critically ill Patients After Intensive Care

Quality of life and symptoms of depression in advanced heart failure patients and their partners

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