Quality of life in patients with heart failure: Do gender differences exist?

Riedinger, Mary S.; Dracup, Kathleen; Brecht, Mary‐Lynn; Padilla, Geraldine; Sarna, Linda; Ganz, Patricia A.

doi:10.1067/mhl.2001.114140

Cited by 162 publications

(123 citation statements)

References 32 publications

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“…Contrary to predictions, and inconsistent with previous research in CD (15,19,21) and across a wide variety of health conditions (53,54), no gender differences in QOL were observed.…”

Section: Insert Table 2 Here Study 1 Discussioncontrasting

confidence: 55%

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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“…Contrary to predictions, and inconsistent with previous research in CD (15,19,21) and across a wide variety of health conditions (53,54), no gender differences in QOL were observed.…”

Section: Insert Table 2 Here Study 1 Discussioncontrasting

confidence: 55%

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Sainsbury

Mullan

Sharpe

2013

Journal of Psychosomatic Research

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“…Other fi ndings suggest that depressive symptoms have an important impact on HRQOL (Dracup et al, 1992;Hawthorne & Hixon, 1994;Carels, 2004). Women reported signifi cantly lower HRQOL because of physical symptoms, whereas depression affected HRQOL in men (Riedinger et al, 2001;Heo et al, 2006). The association between functional status, as measured with NYHA and HRQOL has been reported in several studies but other signs of cardiac dysfunction, such as LVEF, peripheral edema and natriuretic peptide (BNP) have limited infl uence on HRQOL (Bennett et al, 2002b;Juenger et al, 2002;Rector et al, 2006).…”

Section: Symptoms In Patients With Chronic Heart Failurementioning

confidence: 97%

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Falk

Swedberg

Gaston‐Johansson

et al. 2007

European Journal of Cardiovascular Nursing

102

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Although fatigue is a prevalent and distressing symptom in patients with chronic heart failure (CHF), it is an underestimated problem in the care of patients, and consequently, insuffi ciently investigated. The primary aim of this thesis was, therefore, to advance the knowledge from the patients' perspective by describing characteristics of the fatigue experience and its consequences in daily life in patients with CHF. A secondary aim was to investigate the relationships between fatigue and selected physiological and psychological factors associated with fatigue. Both quantitative and qualitative methods have been used and three samples of patients have been interviewed on different occasions. In two of the quantitative studies 93 patients, and in another study 112 patients, consecutively included, were interviewed at the hospital. Fifteen patients were included in the qualitative study. These 15 participants were enrolled when they visited an outpatient clinic and most of them were interviewed in their homes. These interviews were supplemented with the content of an Internet discussion with persons living with CHF.The results of the studies indicated that fatigue embraces the individual's body, emotions and cognitive abilities, forcing the person to physical restrictions that, in turn, perpetuate emotional discomfort. However, the physical sensation of fatigue followed by functional limitations seemed to be the most prevalent and distressing experience in patients with CHF. The patients described fatigue as lacking strength, which was associated in connection with physical efforts and lacking energy, viewed as an annoying sensation after both mental and physical strain. Another dimension of fatigue was described as being sleepy, often with a rapid and unforeseen onset. Consequences of fatigue, such as refraining from daily chores, denying oneself opportunities for rejoice and social isolation, further exaggerated the experience of fatigue. Restorative activities that engaged, absorbed or distracted the patients counteracted these negative consequences. Depressed mood was related to those fatigue dimensions that compromised functional ability and motivation to start any activities, whereas anxiety was associated with cognitive impairment. Feelings of uncertainty were related to physical tiredness, possibly infl icted by limitations in performing activities. Symptom distress that was caused by a number of reported symptoms other than fatigue had a diminutive infl uence on fatigue and separate symptoms that were associated with fatigue were, with the exception of breathlessness, not the fi rst and most pressing symptom reported by the patients. Anemic patients reported more fatigue compared with non-anemic patients and functional status, according to the New York Heart Association (NYHA) functional classifi cation criteria, was associated with those fatigue dimensions that encompassed physical tiredness and reduced functioning.The fi ndings provide new insights on the characteristics of fatigue and its con...

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“…This provides evidence that the association between heart problems and divorce depends on the gender of the spouse who becomes ill. Prior work has shown that the physiological symptoms of cardiovascular disease, such as heart attacks, vary by gender (Riedinger et al 2001). Our work suggests that the impacts of cardiovascular disease on marriage, at least in the case of divorce, also vary by gender.…”

mentioning

confidence: 67%

Authors’ Explanation of the Retraction

Karraker

Latham

2015

J Health Soc Behav

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There is an important error in the coding of the dependent variable (marital status: continuously married, divorced, widowed) that yields a divorcerisk estimate (6%) that differs substantially from that (32%) reported in the previously published paper (Karraker and Latham 2015). Because this error reflects a miscoding of attrition, the attrition estimate now stands at 35%-compared with less than 1% reported in the original paper. This miscoding also affected the coding of some continuously married marriages, reducing the percentage of continuously married marriages from 44% reported in the original paper to 36% in the corrected analysis. This miscoding alters all results and invalidates the previously published results. As such, we retract the prior findings and refer readers to the paragraphs below and current paper for correct results and their interpretation. We first describe the overall differences between previously reported and corrected results and then describe specific details regarding the discovery of the error and specific results.In the corrected analysis, we find that wife's (pooled) illness onset is a statistically significant predictor of divorce but husband's is not, as we reported in the previously published paper. However, in the corrected analysis, we fail to reject the null hypothesis of no difference between the coefficients for wife's pooled illness onset and husband's pooled illness onset. This is contrary to the previously published findings in which we reported that we rejected this null hypothesis. Based on the corrected analysis, we conclude that there are not gender differences in the relationship between gender, pooled illness onset, and divorce.There are also differences in the results for the disease-specific model between the corrected analysis and those previously reported. In the prior paper, we reported a significant relationship between wife's lung disease onset and subsequent divorce as well as a marginally significant relationship between husband's stroke and divorce. We also reported that we failed to reject the null hypothesis of disease-specific coefficients by gender in all cases. In the corrected analysis, we find that in the case of heart problems and stroke, wife's onset is a statistically significant predictor of divorce, while husband's is not. Further, in the case of heart problems, we reject the null hypothesis of equality of coefficients for husband's and wife's onset (p < .05) in the corrected analysis, providing evidence of a gendered relationship between heart problems and divorce risk. We now describe the error and how it affects results in detail.This error was brought to our attention following queries from Drs. I-Fen Lin and Susan Brown at Bowling Green State University regarding the paper's estimate of the percentage of marriages that ended via divorce. After reviewing the Stata .do file that we supplied to them, Drs. Lin and Brown identified an error in one line of code in which marriages lost to attrition (due to attrition of either spouse) were erron...

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Quality of life in patients with heart failure: Do gender differences exist?

Cited by 162 publications

References 32 publications

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Reduced quality of life in coeliac disease is more strongly associated with depression than gastrointestinal symptoms

Fatigue is a Prevalent and Severe Symptom Associated with Uncertainty and Sense of Coherence in Patients with Chronic Heart Failure

Authors’ Explanation of the Retraction

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