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Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model.
Müller-Tasch, Thomas; Löwe, Bernd; Lossnitzer, Nicole; Frankenstein, Lutz; Täger, Tobias; Haass, Markus; Katus, Hugo; Schultz, Jobst-Hendrik; Herzog, Wolfgang.
Afiliação
  • Müller-Tasch T; 1 Department of Psychosomatic Medicine and Psychotherapy, Klinikum am Weissenhof, Germany.
  • Löwe B; 2 Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
  • Lossnitzer N; 3 Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
  • Frankenstein L; 4 Schön Clinic Hamburg-Eilbek, Hamburg, Germany.
  • Täger T; 2 Department of General Internal Medicine and Psychosomatics, University of Heidelberg, Heidelberg, Germany.
  • Haass M; 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
  • Katus H; 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
  • Schultz JH; 6 Department of Cardiology, Theresien Hospital Mannheim, Mannheim, Germany.
  • Herzog W; 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
Eur J Cardiovasc Nurs ; 17(2): 170-177, 2018 02.
Article em En | MEDLINE | ID: mdl-28718661
BACKGROUND: While comprehensive evidence exists regarding negative effects of depression on self-care behaviours in patients with chronic heart failure (CHF), the relation between anxiety and self-care behaviours in patients with CHF is not clear. The aim of this study was to analyse the interactions between anxiety, depression and self-care behaviours in patients with CHF. METHODS: The self-care behaviour of CHF outpatients was measured using the European Heart Failure Self-care Behaviour Scale (EHFScBS). The Patient Health Questionnaire (PHQ) was used to assess anxiety, the PHQ-9 was used to measure depression severity. Differences between patients with and without anxiety were assessed with the respective tests. Associations between anxiety, self-care and other predictors were analysed using linear regressions. RESULTS: Of the 308 participating patients, 35 (11.4%) fulfilled the PHQ criteria for an anxiety disorder. These patients took antidepressants more frequently (11.8% versus 2.3%, p = .02), had had more contacts with their general practitioner within the last year (11.8 ± 16.1 versus 6.7 ± 8.6, p = .02), and had a higher PHQ-9 depression score (12.9 ± 5.7 versus 6.5 ± 4.7, p < .01) than patients without anxiety disorder. Anxiety and self-care were negatively associated (ß = -0.144, r2 = 0.021, p = 0.015). The explanation of variance was augmented in a multivariate regression with the predictors age, sex, education, living with a partner, and New York Heart Association (NYHA) class ( r2 = 0.098) when anxiety was added ( r2 = 0.112). Depression further increased the explanation of variance (ß = -0.161, r2 = 0.131, p = 0.019). CONCLUSIONS: Anxiety is negatively associated with self-care behaviour in patients with CHF. However, this effect disappears behind the stronger influence of depression on self-care. The consideration of mental comorbidities in patients with CHF is important.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Autocuidado / Comportamentos Relacionados com a Saúde / Transtorno Depressivo / Insuficiência Cardíaca Sistólica Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Cardiovasc Nurs Assunto da revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Alemanha País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Transtornos de Ansiedade / Autocuidado / Comportamentos Relacionados com a Saúde / Transtorno Depressivo / Insuficiência Cardíaca Sistólica Tipo de estudo: Prognostic_studies / Qualitative_research Limite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Eur J Cardiovasc Nurs Assunto da revista: ANGIOLOGIA / CARDIOLOGIA / ENFERMAGEM Ano de publicação: 2018 Tipo de documento: Article País de afiliação: Alemanha País de publicação: Reino Unido