scholarly journals Relationship of Depressive Symptoms to the Impact of Physical Symptoms on Functional Status in Women With Heart Failure

2009 ◽  
Vol 18 (4) ◽  
pp. 348-356 ◽  
Author(s):  
Eun Kyeung Song ◽  
Debra K. Moser ◽  
Terry A. Lennie
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Functional Status ◽  
Multiple Regression ◽  
Mediation Analysis ◽  
Physical Symptoms ◽  
Hierarchical Multiple Regression ◽  
Influence Functional ◽  
The Impact ◽  
The Relationship

Background Among patients with heart failure, women have worse functional status than do men, but little research has focused on determining factors that influence functional status in either sex. Objectives To compare factors that influence functional status in men and women with heart failure and to test whether depressive symptoms mediate the relationship between physical symptoms and functional status. Methods A cross-sectional, descriptive study design was used. A total of 231 patients, 133 men and 98 women, were recruited from an inpatient heart failure clinic in South Korea. Functional status (the Korean Activity Scale/Index), physical symptoms (the Symptom Status Questionnaire), depressive symptoms (the Beck Depression Inventory), and situational factors (living status, socioeconomic status) were measured. Hierarchical multiple regression and mediation analysis were used for data analysis. Results Women (mean score, 24.5; SD, 17.3) had worse functional status than did men (mean score, 31.9; SD, 20.1; P = .004). Dyspnea on exertion (β = −0.16), ankle swelling (β = −0.19), fatigue (β = −0.20), and depressive symptoms (β = −0.19) were independently associated with functional status in women, whereas only dyspnea on exertion (β = −0.30) influenced functional status of men in hierarchical multiple regression analysis. Mediation analysis indicated that depressive symptoms mediated the relationship between physical symptoms and functional status in women with heart failure, but not in men. Conclusions Distinct physical and psychological symptoms influence functional status in women with heart failure. A systematic multidimensional intervention may be required to target depressive symptoms to improve functional status in women with heart failure.

Depressive Symptoms Have a Role in the Relationship between Inflammation and Physical Symptoms in Patients with Heart Failure

2013 ◽  
Vol 19 (8) ◽  
pp. S56
Author(s):  
Seongkum Heo ◽  
Debra K. Moser ◽  
Sandra B. Dunbar ◽  
Susan J. Pressler ◽  
Terry A. Lennie
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Physical Symptoms ◽  
Patients With Heart Failure ◽  
The Relationship

scholarly journals The multiple mediating effects of illness perceptions and coping strategies on the relationship between physical symptoms and depressive symptoms in patients with heart failure

2019 ◽  
Vol 19 (2) ◽  
pp. 125-133 ◽  
Author(s):  
Cancan Chen ◽  
Wenjie Fang ◽  
Yan An ◽  
Lyu Wang ◽  
Xiuzhen Fan
Keyword(s):  
Heart Failure ◽  
Depressive Symptoms ◽  
Confidence Interval ◽  
Coping Strategies ◽  
Indirect Effect ◽  
Illness Perceptions ◽  
Physical Symptoms ◽  
Multiple Mediation ◽  
Patients With Heart Failure ◽  
The Relationship

Background: Depressive symptoms are prevalent and cause poor health outcomes in patients with heart failure. Studies show that the physical symptoms of heart failure are associated with depressive symptoms. However, little is known about the underlying mechanisms of this relationship. Aims: The purpose of our study was to examine the associations between physical symptoms, illness perceptions, coping strategies and depressive symptoms and to test the multiple mediation effects of illness perceptions and coping strategies on the relationship between physical symptoms and depressive symptoms in patients with heart failure. Methods: Physical symptoms, illness perceptions, coping strategies and depressive symptoms were assessed using self-reported questionnaires among 302 patients (64.2±11.9 years, 54% male) with heart failure in a tertiary general hospital. A serial multiple mediation model was tested using the PROCESS macro for SPSS. Results: Depressive symptoms were positively correlated with physical symptoms ( r=0.487, p<0.01), illness perceptions ( r=0.499, p<0.01) and acceptance–resignation coping ( r=0.580, p<0.01). The relationship between physical symptoms and depressive symptoms was mediated by illness perceptions (indirect effect: 0.036, confidence interval (0.014, 0.059)) and by acceptance-resignation (indirect effect: 0.034, confidence interval (0.019, 0.053)), respectively, and by these two in serial (indirect effect: 0.021, confidence interval (0.013, 0.033)). Conclusion: Patients with heart failure who have more physical symptoms are vulnerable to the development of depression. Healthcare providers should implement interventions focused on changing illness perceptions and reducing acceptance–resignation coping to relieve depressive symptoms.

O107 Depressive symptoms mediate the relationship between sleep quality and health-related quality of life in heart failure

Global Heart ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e29
Author(s):  
An-Yun Yeh ◽  
Susan J. Pressler ◽  
Seongkum Heo ◽  
Debra K. Moser ◽  
Sandra B. Dunbar ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Relationship

Abstract 279: The Impact of Heart Failure on Depression and Quality of Life is Greater in Men than Women

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Rory Hachamovitch ◽  
Brian Griffin ◽  
Alan Klein ◽  
Benjamin Nutter ◽  
Irene Katzan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Demographic Data ◽  
Cardiovascular Assessment ◽  
Related Quality ◽  
Health Related ◽  
The Difference ◽  
The Impact ◽  
The Relationship

Background. Patients (pts) diagnosed with congestive heart failure (HF) have been reported to have more frequent depression and worsened health related quality of life (HRQOL). Although depression is more common in women than men in this condition, the impact of HF on depression and HRQOL in men versus women is unclear. We sought to examine the relationship between pt sex, HF diagnosis, and pt-perceived depression and HRQOL. Methods. Depression (PHQ-9) and HRQOL (EQ5D) data were collected using tablet computers from pts presenting for routine outpatient cardiovascular assessment at our institution between November, 2010 and December, 2011. Demographic, clinical, and historical data was collected as per routine. We examined the association of pt sex and clinical diagnosis of HF with instrument results after adjusting for potential confounding information using mutliple linear regression. Results. Of 3046 pts (age 61±15), 39% were female and 8.7% were diagnosed with HF. Overall, PHQ-9 was greater, and minor or major depression (PHQ-9≥10) was more frequent, in women than men (4.6±4.6 vs. 3.3±4.4; 14.0% vs. 8.9%, both p<0.05) and in HF pts than pts without HF (5.9±5.6 vs. 3.6±4.3, 22.0% versus 9.6%; both p<0.05). Similarly, HRQOL was worse in women than men (EQ-5D 0.80±0.18 vs. 0.87±0.16; p<0.01) and in HF pts than no HF (EQ-5D 0.76±0.18 vs. 0.85±0.17; p<0.01). However, the difference in PHQ-9 between pts with versus without HF was greater in men (6.23±6.06 vs. 3.02±4.06, p<0.01) than women (5.43±4.85 vs. 4.55±4.58, p=0.09). After adjusting for cardiovascular diagnoses, comorbidities, clinical and demographic data, multivariable modeling of PHQ-9 revealed a significant interaction between pt sex and HF diagnosis (p=0.001; see Figure) such that women had greater PHQ-9 scores compared to men without HF, but in the setting of HF, mens' PHQ-9 scores were greater. Modeling of EQ-5D also revealed that after risk-adjustment an interaction between HF diagnosis and sex was present with a similar pattern of findings. Conclusion. Although depression is more frequent and severe in women compared to men, and in pts with versus without HF, HF appears to impact depression severity more in men compared to women.

scholarly journals When Words Hurt: Affective Word Use in Daily News Coverage Impacts Mental Health

2018 ◽  
Vol 9 ◽  
Author(s):  
Jolie B. Wormwood ◽  
Madeleine Devlin ◽  
Yu-Ru Lin ◽  
Lisa Feldman Barrett ◽  
Karen S. Quigley
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Computational Linguistics ◽  
News Coverage ◽  
Physical Symptoms ◽  
Physiological Reactivity ◽  
Data Set ◽  
Affective Content ◽  
Aversive Stimuli ◽  
The Impact

Media exposure influences mental health symptomology in response to salient aversive events, like terrorist attacks, but little has been done to explore the impact of news coverage that varies more subtly in affective content. Here, we utilized an existing data set in which participants self-reported physical symptoms, depressive symptoms, and anxiety symptoms, and completed a potentiated startle task assessing their physiological reactivity to aversive stimuli at three time points (waves) over a 9-month period. Using a computational linguistics approach, we then calculated an average ratio of words with positive vs. negative affective connotations for only articles from news sources to which each participant self-reported being exposed over the prior 2 weeks at each wave of data collection. As hypothesized, individuals exposed to news coverage with more negative affective tone over the prior 2 weeks reported significantly greater physical and depressive symptoms, and had significantly greater physiological reactivity to aversive stimuli.

scholarly journals Shame Mediates the Relationship Between Pain Invalidation and Depression

2021 ◽  
Vol 12 ◽  
Author(s):  
Brandon L. Boring ◽  
Kaitlyn T. Walsh ◽  
Namrata Nanavaty ◽  
Vani A. Mathur
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Social Withdrawal ◽  
Well Being ◽  
Poor Mental Health ◽  
Future Research ◽  
Internalized Shame ◽  
Self Worth ◽  
The Impact ◽  
The Relationship

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.

Abstract 1818: Beneficial Effects of Weight Loss Associated with a High Protein Diet on Cardiovascular Risk Profile, Functional Status and Quality of Life in Obese Heart Failure Patients: A Feasibility Study

Circulation ◽  
2007 ◽  
Vol 116 (suppl_16) ◽  
Author(s):  
Lorraine S Evangelista ◽  
David Heber ◽  
Zhaoping Li ◽  
Michele Hamilton ◽  
Gregg C Fonarow
Keyword(s):  
Heart Failure ◽  
Weight Loss ◽  
Body Weight ◽  
Functional Status ◽  
High Protein ◽  
Control Group ◽  
Long Term Effects ◽  
Weight Changes ◽  
Cardiovascular Risks ◽  
The Impact

OBJECTIVE: Clinical management of chronic heart failure (HF) related to adequate nutritional intake currently lacks a strong scientific basis. This study was conducted to evaluate the impact of 3 diet interventions on body weight and its potential to reduce cardiovascular risks and improve functional status. METHOD: Fourteen obese HF patients (BMI > 27 kg/m2) were randomized to1 of 3 diets: high protein (HP); low fat (LF) or average diet/control group (CG). Body anthropometrics (weight, BMI, waist circumference), indices of cardiovascular risks including (% body fat, blood pressure, cholesterol, triglycerides), and measures of functional status (6-minute walk, max VO2) were obtained at baseline and after a 12-week nutritional support program. Statistics included two-way RMANOVA. RESULTS: There were no significant differences in age (59±10 years), gender (78% male), NYHA (43% class II; 57% class III), HF etiology (57% non-ischemic), or ejection fraction (0.26±0.07) between the groups. The HP diet resulted in moderate reductions in body weight (Figure ) and improvements in several health parameters (Table ). CONCLUSION: The data show that in a small group of obese HF patients, a 12-week HP diet resulted in moderate weight loss that was associated with reduced cardiovascular risks and better functional status. However, the long-term effects of a HP diet remain uncertain. Figure Comparison of Weight Changes in the HP, LF and CG from Baseline to 12 Weeks Mean changes in outcomes from baseline to 12 weeks, by diet group and time

Impacts of Leadership Styles on Motivations of Employees

2019 ◽  
pp. 205-217
Author(s):  
Irfan Ullah ◽  
Alina Kiran ◽  
Bin Liu
Keyword(s):  
Standard Deviation ◽  
Data Collection ◽  
Leadership Styles ◽  
Multiple Regression ◽  
Employee Motivation ◽  
Descriptive Statistics ◽  
Cronbach Alpha ◽  
The Impact ◽  
The Relationship ◽  
Survey Approach

The aim of this study to investigate the different leadership styles and impact on employee motivation. Leadership is the most important phenomena. Therefore, leadership plays a very important role, and this research study emphasizes the impact of leadership styles on motivation of employees. In this chapter, a survey approach using structured questionnaire was used for data collection. Questionnaire consists of four styles of leadership with employees' motivation. All constructs were measured using five-point Likert scale. Descriptive statistics and inferential were used. Mean and standard deviation and Cronbach alpha were used in descriptive statistics and correlation, and multiple regression was used for inferential regression. The aim of this chapter is to identify the relationship between leadership styles and motivation of employees.

scholarly journals The impact of medication nonadherence on the relationship between mortality risk and depression in heart failure.

2017 ◽  
Vol 36 (9) ◽  
pp. 839-847 ◽  
Author(s):  
Emily C. Gathright ◽  
Mary A. Dolansky ◽  
John Gunstad ◽  
Joseph D. Redle ◽  
Richard A. Josephson ◽  
...  
Keyword(s):  
Heart Failure ◽  
Mortality Risk ◽  
Medication Nonadherence ◽  
The Impact ◽  
The Relationship
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