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 A.; Schultz, Jobst‐Hendrik; Herzog, Wolfgang

doi:10.1177/1474515117722255

Cited by 56 publications

(53 citation statements)

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“…Anxiety and depression related to the demands of HF self‐care are well recognised and have been well researched (Kessing et al, ). Similarly, previous findings of an association between adherence to treatment and self‐care and psychological distress suggest that increased levels of anxiety and depression reduce a patient's self‐care ability (Moser et al, ; Müller‐Tash et al, ). This study proposes that the emotional burden is an important aspect of living with HF in terms of patients’ adherence, well‐being and quality of life.…”

Section: Discussionmentioning

confidence: 72%

“…These self‐care tasks consist of weight monitoring, taking multiple medications, symptom management and restrictions on physical activity and diet (Kessing et al, ). Additionally, anxiety seems to contribute to inadequate self‐care (Müller‐Tash et al, ). Psychological problems such as anxiety and depression are common among HF patients, with a prevalence of 40% for anxiety symptoms and up to 30% for depressive symptoms (Moser et al, ).…”

Section: Introductionmentioning

confidence: 99%

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Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Nordfonn

Morken

Bru

et al. 2019

Journal of Clinical Nursing

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Aims and objectives To explore chronic heart failure patients’ perceptions of the burden related to treatment and self‐care. Background Living with chronic heart failure entails following a demanding treatment regimen, with daily self‐care, which could make patients vulnerable to experiencing treatment burden. Burden of treatment is defined as the “work” the healthcare system passes on to the patients with respect to self‐care at home, and the impact this has on well‐being and quality of life. However, the burden of treatment is an emergent framework, and further research exploring burden among heart failure patients is required. Design Qualitative study employing semi‐structured interviews and content analysis. The study complied with the Consolidated Criteria for Reporting Qualitative Research (COREQ). Methods A sample of 17 heart failure patients recruited from an outpatient clinic in Norway. Interview transcripts were coded in Nvivo 11 and analysed using Malterud's systematic text condensation. Results Two main themes “emotional challenge” and “troublesome self‐care” emerged from the analysis. The first theme contained the following subthemes: “a new life situation,” “monitoring body signals,” “difficult transitions” and “feelings of guilt.” The second theme consisted of the subthemes “poor care coordination,” “lack of information and education” and “troublesome medication.” Conclusion Heart failure treatment constitutes challenges related both to self‐care and to emotional burden. The latter not previously clearly articulated in the concept of burden of treatment. Many patients are struggling emotionally, and this affects their self‐care ability in addition to affecting their well‐being and quality of life. Relevance to Clinical Practice Nurses are in a strategic position to play a pivotal role in identifying and responding to the emotional burden of treatment in heart failure patients, furthermore to guide and support in discharge planning and in outpatient setting to reduce the patients’ emotional distress and fear of failing.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Nordfonn

Morken

Bru

et al. 2019

Journal of Clinical Nursing

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show abstract

“…Зарубежные авторы отмечают, что лабиль-ность АД зачастую связана с тревогой и требует как вмешательства кардиолога, так и психотропной те-рапии и/или психотерапевтического вмешательства [21]. Известно, что дисбаланс вегетативной нервной системы, который часто сопровождает тревогу, явля-Таблица 2 Сила и достоверность корреляционной связи между числом баллов по предлагаемой шкале и различными конечными точками (n = 1031) Psychology and psychiatry ется важным фактором возникновения нарушений сердечного ритма [23].…”

Section: Discussionunclassified

“…Наличие лабильности АГ, что не является патогномоничным признаком ГБ в соответствии с со-временными представлениями [2], а рассматривается как состояние с важным вкладом психологического компонента [21].…”

Section: материал и методыunclassified

About the Allocation of Mental Disorders Risk Groups in the Practice of Cardiology Department

Дорофейкова¹,

Zadvorev²,

Zadvorev³

et al. 2018

Acta Biomedica Scientifica

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“…However, this effect disappears behind the stronger influence of depression on self-care. It is important to consider mental comorbidities in patients with CHF [123].…”

Section: Strong Evidencementioning

confidence: 99%

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

Angelino

Porta

Abatello

et al. 2018

Monaldi Arch Chest Dis

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Recent guidelines on cardiovascular disease prevention suggest multimodal behavioral interventions for psychosocial risk factors and referral for psychotherapy in the case of clinically significant symptoms of depression and anxiety overall. Accordingly, psychologists of the Italian Association for Cardiovascular Prevention, Rehabilitation and Epidemiology (GICR-IACPR) have reviewed the key components of psychological activities in cardiovascular prevention and rehabilitation (CPR). The aim of this study was to elaborate a position paper on the best practice in routine psychological activities in CPR based on efficacy, effectiveness and sustainability. The steps followed were: i) a review of the latest international guidelines and position papers; ii) analysis of the evidence-based literature; iii) a qualitative analysis of the psychological services operating in some reference Italian cardiac rehabilitation facilities; iv) classification of the psychological activities in CPR as low or high intensity based on the NICE Guidelines on psychological interventions on anxiety and depression. We confirm the existence of an association between depression, anxiety, social factors, stress, personality and illness onset/outcome and coronary heart disease. Evidence for an association between depression, social factors and disease outcome emerges particularly for chronic heart failure. Some positive psychological variables (e.g., optimism) are associated to illness outcome. Evidence is reported on the impact of psychological activities on 'new' conditions which are now indicated for cardiac rehabilitation: pulmonary hypertension, grown-up congenital heart, end-stage heart failure, implantable cardioverter-defribrillator and mechanical ventricular assist devices, frail and oldest-old patients, and end-of-life care. We also report evidence related to caregivers. The Panel divided evidence-based psychological interventions into: i) low intensity (counseling, psycho-education, self-care, self-management, telemedicine, self-help); or ii) high intensity (individual, couples and/or family and group psychotherapy, such as stress management). The results show that psychotherapy is mainly consisting of cognitive-behavior therapy, interpersonal therapy, and short-term psycho-dynamic therapy. The current data further refine the working tools available for psychological activities in CPR, giving clear directions about the choice of interventions, which should be evidence-based and have at least a minimum standard. This document provides a comprehensive update on new knowledge and new paths for psychologists working in the CPR settings.

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

Abstract: 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.

Cited by 56 publications

References 45 publications

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

Patients’ experience with heart failure treatment and self‐care—A qualitative study exploring the burden of treatment

About the Allocation of Mental Disorders Risk Groups in the Practice of Cardiology Department

Best practice in psychological activities in cardiovascular prevention and rehabilitation: Position Paper

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