Social support and the consequences of heart failure compared with other cardiac diseases: The contribution of support received within an attachment relationship

Maunder, Robert G.; Nolan, Robert P.; Park, Jamie S.; James, Richard; Newton, Gary E.

doi:10.1016/j.acvd.2015.03.005

Cited by 6 publications

(8 citation statements)

References 25 publications

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“…However, insecure attachment regulatory styles can be considered as risk factors for maladaptive behaviors when habitual attachment-related mechanisms no longer match the regulatory task, especially in the face of stress and strain. In other words, the adaptiveness of both high attachment anxiety and avoidance may break down under certain conditions (Gillath et al, 2009), influencing the perception and interpersonal modulation of stress, the psychobiological stress response, self-regulation, and health behavior, ultimately affecting health-related outcomes (Maunder et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Graf¹,

Junne²,

Ehrenthal

et al. 2020

Front. Psychol.

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Objective: Attachment anxiety and avoidance are known risk factors for the development of unmet needs and poor well-being among patients with chronic diseases. Few studies have addressed this in individuals with cancer. We aimed to explore the relationship between supportive care needs, attachment styles and distress in women with breast and gynecological cancer. Methods: Using a cross-sectional paper-pencil (n = 157) and online survey (n = 614), a total of 771 patients with breast or gynecological cancer completed a set of validated questionnaires. From September 2013 to January 2014, consecutive inpatients and outpatients of the university hospital Tuebingen were included in the study. Further, participants were recruited through social media, patient internet platforms, self-help group leaders and patient networks. We used the Supportive Care Needs Survey (SCNS-SF-34) with the need dimensions: health system, patient care, psychological, physical, and sexual needs, as well as the Experiences in Close Relationships-Revised Questionnaire, and the Distress Thermometer. A multiple linear regression model was used to analyze the influence of attachment styles (anxiety and avoidance) on the SCNS-SF-34 dimensions. A moderation analysis was used to explore the influence of the interaction between attachment anxiety and distress for all SCNS-SF-34 dimensions. Results: Attachment anxiety was a significant determinant and led to higher unmet supportive care needs in all dimensions, whereas attachment avoidance was not significant. Distress did moderate the relationship between attachment anxiety and

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Section: Introductionmentioning

confidence: 99%

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Graf¹,

Junne²,

Ehrenthal

et al. 2020

Front. Psychol.

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“…Some research has focused on perceived social support, 11,[35][36][37][38] whereas other studies have used measures of received functional support. [39][40][41] Received support is confounded by need and used less frequently. Figure 1 presents a typical view in the social support literature of how social support has been conceptualized for research studies.…”

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confidence: 99%

Perceived social support and the risk of cardiovascular disease and all-cause mortality in the Women's Health Initiative Observational Study

et al. 2019

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Objective: Previous studies have shown social support to be inversely associated with cardiovascular disease (CVD) in men, whereas fewer studies have assessed the relationship in women. The purpose of this study was to evaluate the relationship between perceived social support and cardiovascular outcomes among postmenopausal women enrolled in the Women's Health Initiative Observational Study.Methods: We examined the relationships between perceived social support and (1) incident coronary heart disease (CHD), (2) total CVD, and (3) all-cause mortality. Participants were Women's Health Initiative Observational Study women, ages 50 to 79 years, enrolled between 1993 and 1998 and followed for up to 10.8 years. Social support was ascertained at baseline via nine questions measuring the following functional support components: emotional/informational, tangible, positive social interaction, and affectionate support.Results: Among women with prior CVD (n ¼ 17,351) and no prior CVD (n ¼ 73,421), unadjusted hazard ratios ranged from 0.83 to 0.93 per standard deviation increment of social support. Adjustment for potential confounders, such as smoking and physical activity levels, eliminated the statistical significance of the associations with CHD and CVD. However, for all-cause mortality and among women free of baseline CVD, the association was modest but remained statistically significant after this adjustment (hazard ratio ¼ 0.95 [95% confidence interval, 0.91-0.98]). No statistically significant association was observed among women with a history of CVD.Conclusions: After controlling for potential confounding variables, higher perceived social support is not associated with incident CHD or CVD. However, among women free of CVD at baseline, perceived social support is associated with a slightly lower risk of all-cause mortality.

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“…One social determinant that affects outcomes is the availability of a spouse or other family caregiver to take care of a patient, a factor which has been associated with the patient's health status, self-care, and prognosis (Graven & Grant, 2014;Heo, Lennie, Moser, & Kennedy, 2014;Stamp et al, 2016). Patients with HF who live alone or in a situation of social isolation are more vulnerable and tend to have a lower level of self-care (Maunder, Nolan, Park, James, & Newton, 2015). Moreover, the lack of family support for patients with HF is associated with greater perceived severity and higher rates of hospitalization (Saunders, 2008).…”

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confidence: 99%

“…Those acting as caregivers may also experience positive effects (Poulin et al, 2010;Brown et al, 2009). The underlying causes of the different responses to the role of family caregiver, whether positive or negative, have yet to be clarified (Maunder et al, 2015;Mroz et al, 2018). The quality of the relationship and communication also seem to be important for the health and well-being of patients with HF and their family caregivers (Hooker, Grigsby, Riegel, & Bekelman, 2015).…”

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confidence: 99%

“…The quality of the relationship and communication also seem to be important for the health and well-being of patients with HF and their family caregivers (Hooker, Grigsby, Riegel, & Bekelman, 2015). In summary, issues such as availability, sociodemographic characteristics, the type of care provided, health-related quality of life, the quality of the relationship and communication, and patients' hospital admissions are important factors that must be analyzed in order to determine their influence on the patient-family caregiver dyad (Maunder et al, 2015;(Hooker et al, 2015;Bidwell, Lyons, & Lee, 2017).…”

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confidence: 99%

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Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study

Timonet-Andreu

Morales‐Asencio

Gutiérrez

et al. 2020

J of Nursing Scholarship

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Background Heart failure (HF) causes high rates of hospital admissions. It is known that disease progression impacts the health‐related quality of life (HRQoL) of both patients and caregivers, yet to date, this finding is based on cross‐sectional studies with limited samples. Objectives The study aim is to analyze the relationship between HF patients’ use of hospital services (a proxy for disease progression) and the HRQoL of their family caregivers. Methods This work is a multicenter nested case‐control study on a population of patients admitted to hospitals in southern Spain due to heart failure. The sample comprised 530 patient‐caregiver dyads. Hospital admission data were retrospectively collected for the 5 years prior to inclusion in the study. Bivariate analyses and multivariate logistic regression were used to determine associations between patient deterioration and caregivers’ quality of life. Results Patients’ use of hospital services was associated with worsened quality of life for family caregivers, with an overall OR of 1.48 (95% CI: 1.23‐1.79). A positive correlation was found between patients’ perceptions of their physical health and the perceived mental health of caregivers (r = 0.127, p = 0.004) and between the perceived mental health of both (r = 0.291; p <0.0001). Conclusions Greater use of hospital services by patients with HF is an independent predictor of deterioration of family caregivers’ HRQoL. The physical and mental components of patients’ and their family caregivers’ HRQoL interact and influence each other. Additional factors, such as the nature and intensity of care provided, also determine the worsening of a family caregiver’s HRQoL. Clinical Relevance These results can be used to identify family caregivers of people with heart failure at risk of suffering a deterioration in their health‐related quality of life. Increased use of hospital services is an independent predictor of the deterioration of the family caregivers’ health‐related quality of life. Since clinical nurses are the main provider who gives support and education to family caregivers, they should be alert to this situation and individualize interventions to prevent this deterioration.

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Social support and the consequences of heart failure compared with other cardiac diseases: The contribution of support received within an attachment relationship

Abstract: Having someone other than a spouse to provide attachment support is more common in cardiac patients who have heart failure and is associated with an increased risk of depressive symptoms.

Cited by 6 publications

References 25 publications

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Unmet Supportive Care Needs Among Women With Breast and Gynecological Cancer: Relevance of Attachment Anxiety and Psychological Distress

Perceived social support and the risk of cardiovascular disease and all-cause mortality in the Women's Health Initiative Observational Study

Health‐Related Quality of Life and Use of Hospital Services by Patients with Heart Failure and Their Family Caregivers: A Multicenter Case‐Control Study

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