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Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model

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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.

In: EUR J CARDIOVASC NUR, Vol. 17, No. 2, 02.2018, p. 170-177.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Müller-Tasch, T, Löwe, B, Lossnitzer, N, Frankenstein, L, Täger, T, Haass, M, Katus, H, Schultz, J-H & Herzog, W 2018, 'Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model', EUR J CARDIOVASC NUR, vol. 17, no. 2, pp. 170-177. https://doi.org/10.1177/1474515117722255

APA

Müller-Tasch, T., Löwe, B., Lossnitzer, N., Frankenstein, L., Täger, T., Haass, M., Katus, H., Schultz, J-H., & Herzog, W. (2018). Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model. EUR J CARDIOVASC NUR, 17(2), 170-177. https://doi.org/10.1177/1474515117722255

Vancouver

Müller-Tasch T, Löwe B, Lossnitzer N, Frankenstein L, Täger T, Haass M et al. Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model. EUR J CARDIOVASC NUR. 2018 Feb;17(2):170-177. https://doi.org/10.1177/1474515117722255

Bibtex

@article{e6cd1888f311469f8ad1a78c7b4b11a9,
title = "Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model",
abstract = "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.",
keywords = "Journal Article",
author = "Thomas M{\"u}ller-Tasch and Bernd L{\"o}we and Nicole Lossnitzer and Lutz Frankenstein and Tobias T{\"a}ger and Markus Haass and Hugo Katus and Jobst-Hendrik Schultz and Wolfgang Herzog",
year = "2018",
month = feb,
doi = "10.1177/1474515117722255",
language = "English",
volume = "17",
pages = "170--177",
journal = "EUR J CARDIOVASC NUR",
issn = "1474-5151",
publisher = "Elsevier",
number = "2",

}

RIS

TY - JOUR

T1 - Anxiety and self-care behaviour in patients with chronic systolic heart failure: A multivariate model

AU - Müller-Tasch, Thomas

AU - Löwe, Bernd

AU - Lossnitzer, Nicole

AU - Frankenstein, Lutz

AU - Täger, Tobias

AU - Haass, Markus

AU - Katus, Hugo

AU - Schultz, Jobst-Hendrik

AU - Herzog, Wolfgang

PY - 2018/2

Y1 - 2018/2

N2 - 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.

AB - 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.

KW - Journal Article

U2 - 10.1177/1474515117722255

DO - 10.1177/1474515117722255

M3 - SCORING: Journal article

C2 - 28718661

VL - 17

SP - 170

EP - 177

JO - EUR J CARDIOVASC NUR

JF - EUR J CARDIOVASC NUR

SN - 1474-5151

IS - 2

ER -