The mediating effect of resilience on the relationship between <scp>Type D</scp> personality and <scp>self‐care</scp> behavior in patients with heart failure

Heo, Ji Min; Kim, Chul-Gyu

doi:10.1111/jjns.12359

Cited by 14 publications

(11 citation statements)

References 37 publications

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“…The finding that adherent participants experienced a positive attitude is consistent with previous research results that suggest that optimism, gratitude, and positive states are key internal factors that motivate adherence to medications and healthy behaviors (Celano et al, 2020; Huffman et al, 2016). Empirical evidence also seems to confirm a positive association between the positive emotions of resilience, optimism, and gratitude, and better adherence to medications in those with a chronic illness (Evans et al, 2016; Freire de Medeiros et al, 2017; Heo & Kim, 2020; Mendoza-Pinto et al, 2021; Millstein et al, 2016).…”

Section: Discussionmentioning

confidence: 91%

Applying Stress and Coping Theory to Understand Diuretic Adherence Experiences in Persons with Heart Failure

et al. 2022

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Despite the benefits of diuretics for treating the symptoms of heart failure (HF), patients may report side effects and intentionally not adhere to diuretic regimens. Positive internal motivators, such as positive emotions, may benefit individuals in their adaptation to medication-related stress. However, there has been limited study of these potential motivators in those with HF. Using a descriptive qualitative approach, 82 adults taking diuretics for HF were interviewed. This study applied stress and coping theory to understand the diuretic-taking experiences of patients with HF. Data analysis revealed three themes: (a) diuretics are bothersome, (b) staying positive in the mid of hardship, and (c) adapting to endure. Findings suggest that adherent participants stayed positive amid the perceived hardship, maintaining resilient and grateful attitudes. Adherent participants adapted to bothersome diuretic effects and utilized creative strategies. More research is needed to understand the relationships between resilience, adaptive coping, and diuretic adherence.

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Section: Discussionmentioning

confidence: 91%

Applying Stress and Coping Theory to Understand Diuretic Adherence Experiences in Persons with Heart Failure

et al. 2022

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“…First, the selection of the items considered to compute subscales may vary between studies; second, the instrument has a limited power to assess QoL in patients with mild HF due to floor effect 21 ; third, a multidimensional assessment of QoL may be limited using the overall summary score of the instrument 49 ; and fourth, construct validity is not homogeneous across all items 50 . In addition, personality, a psychosocial factor that has been related to outcomes in patients with chronic HF, has not been directly assessed in this study 51 …”

Section: Limitationsmentioning

confidence: 99%

“… 50 In addition, personality, a psychosocial factor that has been related to outcomes in patients with chronic HF, has not been directly assessed in this study. 51 …”

Section: Limitationsmentioning

confidence: 99%

“…50 In addition, personality, a psychosocial factor that has been related to outcomes in patients with chronic HF, has not been directly assessed in this study. 51 Finally, the patients in this study were recruited between January 2004 and January 2014. In these years, the paradigm of HF treatment, especially in HFrEF, has undergone changes that could modulate the role of gender in health related QoL.…”

Section: Limitationsmentioning

confidence: 99%

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Psychosocial factors partially explain gender differences in health‐related quality of life in heart failure patients

et al. 2022

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Aims There is little information about the influence of gender on quality of life (QoL) in heart failure. The purpose of this study was to evaluate whether the health‐related QoL gap between men and women can be explained by the interaction between psychosocial factors and clinical determinants in a real‐word cohort of patients with chronic heart failure. Methods and results We conducted a single‐centre, observational, prospective cohort study of 1236 consecutive patients diagnosed with chronic heart failure recruited between 2004 and 2014. To assess QoL, we used the Minnesota Living with Heart Failure Questionnaire (MLHFQ). Female gender was associated with worse global QoL compared to male gender (MLHFQ overall summary score: 49 ± 23 vs. 43 ± 24; P value <0.001, respectively) and similarly had poorer scores in physical and emotional dimensions but scored better on social dimension. In univariate models and in models adjusted for clinical determinants, female gender behaved as a predictor of worse global, physical and emotional QoL, and better social QoL compared with men. In models only including psychosocial determinants and in comprehensive models including all psychosocial and clinical factors, these differences according to gender were no longer significant. Conclusions In this study, we have shown that the gap in health‐related QoL between men and women with chronic heart failure can be partially explained by the interaction between biological and psychosocial factors. Biological factors are the main drivers of QoL in HF patients. However, the contribution of psychosocial factors is essential to definitively understand the role of gender in this field.

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“…Individuals with high NA commonly have feelings of discomfort, depression and worry [44] . Studies have also demonstrated that, compared with patients with non-type D personality, patients with type D personality have negative thoughts about things and are more susceptible to negative stimuli, resulting in a poorer ability to overcome or adapt to stressful events [45] . High SI individuals are vulnerable to feeling inhibited and unsafe in interactions with others because of fears of disapproval and rejection.…”

Section: Type D Personalitymentioning

confidence: 99%

Psychological distress and its associated factors among patients with chronic obstructive pulmonary disease in Hunan, China: a cross-sectional study

Wang

Yan

2022

Preprint

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Background: Patients with chronic obstructive pulmonary disease (COPD) experience a high risk for psychological distress. Understanding what factors contributing to this risk is vital for developing effective interventions to address COPD-related psychological distress. Objectives: To examine psychological distress and its associated factors in COPD patients in China. Methods: This is a cross-sectional study. Using cluster random sampling, 351 COPD patients participated in and completed a questionnaire survey from June 2021 to January 2022. Instruments used in this research included a self-designed social-demographic questionnaire, the Kessler Psychological distress scale (K10), the COPD Knowledge Question (COPD-Q), the Type D Personality Scale (DS-14), the COPD Assessment Test (CAT), and modified Medical Research Council Dyspnea Score (mMRC). Multivariate regressions were used in the final analysis. Results: Among 351 COPD patients, 307 (or 87.5%) had psychological distress. Our binary analysis indicated that psychological distress scores significantly associated with monthly household income (F=2.861, P<0.05), exercise frequency (F=4.039, P<0.01), type D personality (t=5.843, P<0.01), years with COPD (rs=0.156, P＜0.01), frequency of acute exacerbation (rs=0.114, P＜0.05), mMRC score (rs=0.301, P<0.01), and CAT score (rs=0.415, P<0.01). Our final multivariate generalized linear model showed that exercise frequency was an independent protective factor of psychological distress in COPD patients, while type D personality, mMRC score and CAT score were independent risk factors. No relationship was observed between psychological distress and knowledge of COPD. Conclusions: Psychological distress is commonly presented among COPD patients in China. Findings from this study suggest promoting and increasing frequency of exercise will be beneficial in reducing psychological distress among COPD patients. This study also highlights the importance of assessing personality type, dyspnea, and impact of COPD on daily living for preventing and managing psychological distress due to COPD.

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The mediating effect of resilience on the relationship between Type D personality and self‐care behavior in patients with heart failure

Cited by 14 publications

References 37 publications

Applying Stress and Coping Theory to Understand Diuretic Adherence Experiences in Persons with Heart Failure

Applying Stress and Coping Theory to Understand Diuretic Adherence Experiences in Persons with Heart Failure

Psychosocial factors partially explain gender differences in health‐related quality of life in heart failure patients

Psychological distress and its associated factors among patients with chronic obstructive pulmonary disease in Hunan, China: a cross-sectional study

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