The level of anxiety, depression and quality of life among patients with heart failure in Greece

Aggelopoulou, Zoi; Fotos, Nikolaos V.; Chatziefstratiou, Anastasia A.; Giakoumidakis, Konstantinos; Elefsiniotis, Ioannis; Brokalaki, Hero

doi:10.1016/j.apnr.2017.01.003

Cited by 70 publications

(85 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…74 Anxiety in HF is related to older age, low level of education, poor socioeconomic status, previous psychiatric disease, decreased quality of life, multiple hospitalizations, increased natriuretic peptide levels, and impaired functional capacity. 75 In a meta-analysis including six studies with 1-3 years of follow-up, anxiety did appear as an independent predictor of all-cause mortality (hazard ratio 1.02; 95% CI 1.00-1.04; P = 0.09) in HF patients. 74 Despite being less well studied in HF trials and neglected by most physicians, it may easily be assessed by using questionnaires like the Patient Health Questionnaire (PHQ), Hospital Anxiety and Depression Scale (HADS), PROMIS anxiety scales, Beck Anxiety Inventory (BAI), State-Trait Anxiety Inventory (STAI), Generalized Anxiety Disorder 7-item Scale (GAD-7).…”

Section: Depression and Anxiety In Patients With Heart Failurementioning

confidence: 95%

“…Anxiety is another frequently encountered disorder in HF patients with a prevalence ranging between 9% to 53% . Anxiety in HF is related to older age, low level of education, poor socioeconomic status, previous psychiatric disease, decreased quality of life, multiple hospitalizations, increased natriuretic peptide levels, and impaired functional capacity . In a meta‐analysis including six studies with 1–3 years of follow‐up, anxiety did appear as an independent predictor of all‐cause mortality (hazard ratio 1.02; 95% CI 1.00–1.04; P = 0.09) in HF patients .…”

Section: B Higher Cortical Functionmentioning

confidence: 99%

See 1 more Smart Citation

Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association

Doehner

Ural

Hæusler

et al. 2017

European J of Heart Fail

144

125

View full text Add to dashboard Cite

Heart failure (HF) is a complex clinical syndrome with multiple interactions between the failing myocardium and cerebral (dys-)functions. Bi-directional feedback interactions between the heart and the brain are inherent in the pathophysiology of HF: (i) the impaired cardiac function affects cerebral structure and functional capacity, and (ii) neuronal signals impact on the cardiovascular continuum. These interactions contribute to the symptomatic presentation of HF patients and affect many co-morbidities of HF. Moreover, neuro-cardiac feedback signals significantly promote aggravation and further progression of HF and are causal in the poor prognosis of HF. The diversity and complexity of heart and brain interactions make it difficult to develop a comprehensive overview. In this paper a systematic approach is proposed to develop a comprehensive atlas of related conditions, signals and disease mechanisms of the interactions between the heart and the brain in HF. The proposed taxonomy is based on pathophysiological principles. Impaired perfusion of the brain may represent one major category, with acute (cardio-embolic) or chronic (haemodynamic failure) low perfusion being sub-categories with mostly different consequences (i.e. ischaemic stroke or cognitive impairment, respectively). Further categories include impairment of higher cortical function (mood, cognition), of brain stem function (sympathetic over-activation, neuro-cardiac reflexes). Treatment-related interactions could be categorized as medical, interventional and device-related interactions. Also interactions due to specific diseases are categorized. A methodical approach to categorize the interdependency of heart and brain may help to integrate individual research areas into an overall picture.

show abstract

Section: Depression and Anxiety In Patients With Heart Failurementioning

confidence: 95%

Section: B Higher Cortical Functionmentioning

confidence: 99%

Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association

Doehner

Ural

Hæusler

et al. 2017

European J of Heart Fail

144

125

View full text Add to dashboard Cite

show abstract

“…Using tri-and tetracyclic antidepressants is not advised, but in exceptional cases, after thorough analysis of risks and benefits, they can be prescribed. Patients responding correctly to pharmacotherapy tend to have better cardiological prognosis [2,3].…”

Section: Psychosomatic Disordersmentioning

confidence: 99%

“…Cardiac disorders with psychosomatic background hypercholesterolaemia, smoking cigarettes, diabetes, obesity, malnutrition, and lack of physical activity [2,3].…”

Section: Psychosomatic Disordersmentioning

confidence: 99%

Cardiac disorders with psychosomatic background

Bielejewska¹,

Bociek²,

Ślusarczyk³

et al. 2017

View full text Add to dashboard Cite

Psychosomatic disorders can be described as psychosocial-derived organic disorders. The influence of depression, sleep disorders, quality of life, addictions, work environment, family situation, and stress on atrial fibrillation, palpitations, syncope, chest pain, coronary heart disease, and heart failure has been analysed in this paper. The correlation between psychosomatic disorders and the cardiovascular system has been shown. It allows us to conclude that an attending physician, while taking medical history of cardiac patients, should take into consideration factors that may have a negative impact on their mental health, which can be risk factors in the development or aggravation of an already present cardiovascular disease. StreszczenieZaburzenia psychosomatyczne to zaburzenia organiczne, w których etiopatogenezie znaczący udział mają czynniki psychospołeczne. W niniejszej pracy przeanalizowano wpływ depresji, zaburzeń snu, samopoczucia, zadowolenia z jakości życia, stosowania substancji uzależniających, sytuacji w miejscu pracy, sytuacji rodzinnej i stresu na występowanie migotania przedsionków, kołatania serca, omdleń, bólów w klatce piersiowej, a także choroby wieńcowej i niewydolności serca. Stwierdzono istnienie korelacji między zaburzeniami psychosomatycznymi a występowaniem wybranych schorzeń układu sercowo-naczyniowego. Pozwala to na wysunięcie wniosku, że podczas zbierania wywiadów u pacjentów kardiologicznych należy uwzględnić również czynniki mające potencjalnie negatywny wpływ na ich zdrowie psychiczne, będące jednocześ-nie czynnikami ryzyka wystąpienia lub zaostrzenia już istniejących chorób układu sercowo-naczyniowego.

show abstract

“…Bibliography research showed three studies exploring QoL in hospitalized HF patients in Greece. Aggelopoulou et al [25] found poor QoL in 231 Greek hospitalized HF patients (mean age: 66.1 ±10.1) using the Minnesota questionnaire (MLHFQ score 65.4 ±20.6). Using the same instrument (MLHFQ) Audi et al [11] demonstrated moderate effects of HF on QoL in 300 hospitalized HF patients, of whom 90% were above 60 years old.…”

Section: Discussionmentioning

confidence: 99%

Hospitalized patients with heart failure: the impact of anxiety, fatigue, and therapy adherence on quality of life

Polikandrioti

Κoutelekos

Panoutsopoulos

et al. 2019

Arch Med Sci Atheroscler Dis

View full text Add to dashboard Cite

Introduction: Heart failure (HF) is a major global health problem associated with increased morbidity and mortality and reduced quality of life (QoL). The aim of the study was to assess the impact of anxiety, fatigue and adherence to therapeutic guidelines on HF patients' QoL. Material and methods: A hundred and twenty hospitalized HF patients were enrolled in the study. Data collection was performed by completion of the Minnesota Living With Heart Failure Questionnaire (MLHFQ), the Greek version of the Modified Fatigue Impact Scale (MFIS-Greek), the Zung Self-Rating Anxiety Scale (SAS) and a questionnaire that measured adherence to therapeutic guidelines. Results: Data analysis showed moderate levels of anxiety and high levels of adherence to therapeutic guidelines as well as moderate to large effects of HF on patients' fatigue and QoL. A statistically significant positive linear association was observed between anxiety and QoL (rho > 0.6) as well as fatigue and QoL (rho > 0.3). An increase in the anxiety or fatigue score indicated an increase also in the QoL score, meaning that the more anxiety and fatigue a patient felt the worse the QoL also was. Moreover, a statistically significant negative linear association was observed between adherence to therapeutic guidelines and QoL (rho <-0.2). An increase in adherence score indicated a decrease in QoL score, meaning that the more adherent a patient was the better was the QoL. Conclusions: The present findings suggest that QoL may be improved when adherence to therapy is increased and fatigue and anxiety are alleviated.

show abstract

The level of anxiety, depression and quality of life among patients with heart failure in Greece

Cited by 70 publications

References 15 publications

Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association

Heart and brain interaction in patients with heart failure: overview and proposal for a taxonomy. A position paper from the Study Group on Heart and Brain Interaction of the Heart Failure Association

Cardiac disorders with psychosomatic background

Hospitalized patients with heart failure: the impact of anxiety, fatigue, and therapy adherence on quality of life

Contact Info

Product

Resources

About