Dyadic effects of anxiety and depression on quality of life among couples facing cardiovascular disease

Bouchard, Karen; Gareau, Alexandre; Gallant, Natasha L.; Lalande, Kathleen; Greenman, Paul S.; Sztajerowska, Karolina

doi:10.1016/j.jpsychores.2021.110601

Cited by 7 publications

(4 citation statements)

References 49 publications

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“…This suggested that psychological and physical symptoms have a greater effect on quality of life, and illustrated that heart failure, as a mind–body disease, is closely related to adverse emotional experiences. Maladaptive mental problems can increase the incidence of adverse cardiac events in patients, coupled with an increase in the frequency of physical symptoms and a decrease quality of life (Bouchard et al., 2021). This confirmed the conceptual model proposed mentioned above, that a patient's mental problems could determine the occurrence and severity of physical symptoms.…”

Section: Discussionmentioning

confidence: 99%

Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Wang,

Yang,

Liu

et al. 2023

Journal of Clinical Nursing

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AimsTo determine the contributions of different kinds of symptoms to the quality of life and mediating effect of psychological and physical symptoms between heart failure symptoms and quality of life.DesignA multi‐centre cross‐sectional study.Methods2006 chronic heart failure patients from four cities were recruited in China from January 2021 to December 2022. Patients' symptoms and quality of life were self‐reported, and data were analysed using correlation analysis, dominance analysis and mediating effects analysis.ResultsThe dominance analysis revealed that the overall mean contributions of heart failure, psychological and physical symptoms were .083, .085 and .111; 29.5%, 30.2% and 39.5% of the known variance. And heart failure symptoms could negatively affect quality of life through psychological and physical symptoms, accounting for 28.39% and 22.95% of the total effect. Heart failure symptoms could also affect quality of life through the chain‐mediated effect of physical and psychological symptoms, accounting for 16.74%.ConclusionsPhysiological symptoms had the strongest effect on quality of life and heart failure symptoms had the weakest. Most of the effect for heart failure symptoms on quality of life in chronic heart failure patients was mediated by psychological and physiological symptoms.Relevance to Clinical PracticeIt is important to design non‐pharmacological intervention plans for the enhancement of physical and psychological symptoms' management skills, to reduce the adverse impact of heart failure symptoms on quality of life.Reporting MethodStudy methods and results reported in adherence to the STROBE checklist.No Patient or Public ContributionNo patients or members of the public were involved in the study.

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Section: Discussionmentioning

confidence: 99%

Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Wang,

Yang,

Liu

et al. 2023

Journal of Clinical Nursing

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“…Coronary heart disease (CHD) has high morbidity and mortality, leading to low health-related quality of life (HRQoL). 1,2 It can narrow blood vessel lumens, decrease blood circulations, and cause cardiac ischemia, 3,4 posing a great risk to human health. Unfortunately, considerable numbers of people suffered from CHD: 126.5 million patients globally in 2017 5 and 17.06 million in China in 2018, 6 among which more than 0.9 million needed interventional treatment.…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life and Influencing Factors in Coronary Heart Disease Based on the Scale QLICD-CHD (V2.0): A Cross-Sectional Study

Rao,

Xu,

Wan

et al. 2023

IJGM

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Coronary heart disease (CHD) is difficult to cure, so more attention should be paid to improving patients' health-related quality of life (HRQoL). This paper focuses on identifying factors that affect HRQoL. Patients and Methods: Overall, 189 in-patients with coronary heart disease were investigated at the Affiliated Hospital of Guangdong Medical University between 2015 and 2016. The scale Quality of Life Instruments for Chronic Diseases-Coronary heart disease (QLICD-CHD V2.0) was used to evaluate HRQoL and collect demographic information. Medical records were applied to collect patients' clinical indicators. A simple correlation analysis, Student's t-test, and a one-way analysis of variance were first performed to filter factors that might associate with HRQoL, and multiple linear regression was applied to finally identify related factors. Results: Findings from multiple linear regression showed that the total score was related to family economy, treatment, indirect bilirubin, and albumin with regression coefficient B=5.209, −6.615, 0.378, and 0.548, respectively. The physical functions were related to treatment, albumin, globular proteins, chloride, and red blood cell count with B=−9.031, 1.000, 0.612, 1.320, and 5.161, respectively. The psychological function was in association with family economy, clinical course, serum phosphorus, and percentage of lymphocyte population with B=7.487, 6.411, −16.458, and 0.090, respectively. The social function was associated with family economy, blood urea nitrogen, serum creatinine, and platelet distribution width with B=7.391, 1.331, −0.060, and −0.929, respectively. The special module was in association with treatment, indirect bilirubin, and serum calcium with B=−7.791, 0.414, and 23.017, respectively. Conclusion: Clinical indicators including albumin, globular proteins, chloride, red blood cell count, serum phosphorus, percentage of lymphocyte population, blood urea nitrogen, serum creatinine, platelet distribution width, indirect bilirubin, and serum calcium, as well as socio-demographic factors including the family economy, clinical course, and treatment, may affect coronary heart disease patients' HRQoL.

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“…Older adults had a higher risk of COVID-19 infection and mortality rate than other individuals, which can detriment their mental health ( 14 , 15 ). Some studies showed that older adults with chronic disease and their family caregivers experienced more psychological distress, such as depression, anxiety and sleep problems ( 16 – 18 ). Many studies on mental health at work concentrated on the anxiety and depressive symptoms of caregivers ( 19 ).…”

Section: Introductionmentioning

confidence: 99%

“…Although anxiety, depression and sleep problems were often studied on an individual level, the effect of interpersonal factors has increasingly become the focus of researchers in recent years ( 28 , 29 ). Analyses of the dyadic data indicated inter-person correlations between chronic disease patients' and their caregivers' emotions (e.g., anxiety, depression) ( 16 – 18 ). Similarly, the congruence in emotions and sleep has also been reported in cancer patients and their spouses ( 30 ).…”

Section: Introductionmentioning

confidence: 99%

Depression, anxiety and insomnia in Chinese older adults and their family caregivers during the COVID-19 pandemic: an actor-partner interdependence model approach

Ding

et al. 2023

Front. Public Health

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AimsThis study aimed to explore the dyadic effects of depression and anxiety on insomnia symptoms in Chinese older adults and their caregivers living in a community setting.MethodsData were collected from 1,507 pairs of older adults and their caregivers who were in the Guangdong Mental Health Survey in China. The 9-item Patient Health Questionnaire (PHQ-9), Generalized Anxiety Disorder module 7 (GAD-7), and Insomnia Severity Index (ISI) were used to measure depression, anxiety, and insomnia symptoms. Actor-Partner Interdependence Models (APIM) were used to determine whether anxiety or depression symptoms predicted individual or dyadic insomnia.ResultsOlder adults' and caregivers' depression and anxiety had significant positive correlations with their own and their caregivers' insomnia symptoms (all P < 0.001). Actor effects were found between depression and insomnia symptoms in both older adults and caregivers (B = 0.695, P < 0.001; B = 0.547, P < 0.001, respectively), with one significant partner effects (B = 0.080, P = 0.007). Actor effects were also found between anxiety and insomnia symptoms in both older adults and caregivers (B = 0.825, P < 0.001; B = 0.751, P < 0.001, respectively), with one significant partner effects (B = 0.097, P = 0.004). However, the caregivers' depression and anxiety were not associated with older adults' insomnia symptoms in the APIM analyses.ConclusionsOlder adults and their caregivers had an interrelationship between psychological distress and insomnia. Consequently, healthcare providers might consider involving dyads when designing programs to reduce insomnia and improve psychological distress for family caregivers.

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Dyadic effects of anxiety and depression on quality of life among couples facing cardiovascular disease

Cited by 7 publications

References 49 publications

Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Psychosomatic mechanisms of heart failure symptoms on quality of life in patients with chronic heart failure: A multi‐centre cross‐sectional study

Health-Related Quality of Life and Influencing Factors in Coronary Heart Disease Based on the Scale QLICD-CHD (V2.0): A Cross-Sectional Study

Depression, anxiety and insomnia in Chinese older adults and their family caregivers during the COVID-19 pandemic: an actor-partner interdependence model approach

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