Self-care and depression in patients with chronic heart failure.
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Self-care and depression in patients with chronic heart failure. / Holzapfel, Nicole; Löwe, Bernd; Wild, Beate; Schellberg, Dieter; Zugck, Christian; Remppis, Andrew; Katus, Hugo A; Haass, Markus; Rauch, Bernhard; Jünger, Jana; Herzog, Wolfgang; Müller-Tasch, Thomas.
in: HEART LUNG, Jahrgang 38, Nr. 5, 5, 2009, S. 392-397.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Self-care and depression in patients with chronic heart failure.
AU - Holzapfel, Nicole
AU - Löwe, Bernd
AU - Wild, Beate
AU - Schellberg, Dieter
AU - Zugck, Christian
AU - Remppis, Andrew
AU - Katus, Hugo A
AU - Haass, Markus
AU - Rauch, Bernhard
AU - Jünger, Jana
AU - Herzog, Wolfgang
AU - Müller-Tasch, Thomas
PY - 2009
Y1 - 2009
N2 - BACKGROUND: Although chronic heart failure (CHF) is often complicated by comorbid depression and poor self-care, little is known about their specific association in patients with CHF. OBJECTIVE: To investigate self-care behavior among patients with CHF with different degrees of depression severity. METHODS: A total of 287 patients with documented CHF, New York Heart Association functional class II to IV, completed the European Heart Failure Self-Care Behavior Scale. The Structured Clinical Interview for DSM (SCID) IV served as the criterion standard for the presence of a depressive disorder. RESULTS: Analyses of covariance and linear regression analyses revealed that patients with CHF with minor depression reported significantly lower levels of self-care than patients with major depression (P = .003) and nondepressed patients (P = .014). In addition to minor depression, age (P <or = .001), multimorbidity (P = .01), left ventricular ejection fraction (P = .001), and family status (P = .01) were determinants of self-care. CONCLUSION: Our results demonstrate that patients with CHF with minor depression and not major depression are at higher risk for poor self-care and its resulting consequences, such as symptom deterioration and frequent hospitalization.
AB - BACKGROUND: Although chronic heart failure (CHF) is often complicated by comorbid depression and poor self-care, little is known about their specific association in patients with CHF. OBJECTIVE: To investigate self-care behavior among patients with CHF with different degrees of depression severity. METHODS: A total of 287 patients with documented CHF, New York Heart Association functional class II to IV, completed the European Heart Failure Self-Care Behavior Scale. The Structured Clinical Interview for DSM (SCID) IV served as the criterion standard for the presence of a depressive disorder. RESULTS: Analyses of covariance and linear regression analyses revealed that patients with CHF with minor depression reported significantly lower levels of self-care than patients with major depression (P = .003) and nondepressed patients (P = .014). In addition to minor depression, age (P <or = .001), multimorbidity (P = .01), left ventricular ejection fraction (P = .001), and family status (P = .01) were determinants of self-care. CONCLUSION: Our results demonstrate that patients with CHF with minor depression and not major depression are at higher risk for poor self-care and its resulting consequences, such as symptom deterioration and frequent hospitalization.
M3 - SCORING: Zeitschriftenaufsatz
VL - 38
SP - 392
EP - 397
IS - 5
M1 - 5
ER -
