Life satisfaction, depressive symptoms and perceived social support in heart failure patients

  1. Pérez García, Ana María
  2. Olivan Torres, Silvia
  3. Bover Freire, Ramón
Revista:
Revista de psicopatología y psicología clínica

ISSN: 1136-5420

Año de publicación: 2013

Volumen: 18

Número: 2

Páginas: 93-105

Tipo: Artículo

DOI: 10.5944/RPPC.VOL.18.NUM.2.2013.12766 DIALNET GOOGLE SCHOLAR lock_openAcceso abierto editor

Otras publicaciones en: Revista de psicopatología y psicología clínica

Resumen

En esta investigación se analizaron la satisfacción vital, los síntomas depresivos y el apoyo social percibido en dos grupos de adultos (N =120; rango = 40-89 años), uno formado por pacientes no hospitalizados con insuficiencia cardiaca (IC) estable y otro control con personas de similar edad. El apoyo social percibido fue el único predictor significativo de la satisfacción vital en el grupo control, mientras que en el grupo con IC, se asociaba con más apoyo social y menos síntomas depresivos. El género fue también un predictor importante de la satisfacción vital (hombres > mujeres), aunque de forma más significativa en el grupo con IC. Todas las mujeres informaban más síntomas depresivos y menos satisfacción vital que los hombres. En el grupo IC, las mujeres también percibían más apoyo social que los varones. Finalmente, se encontró en este grupo que la asociación entre apoyo social y satisfacción vital estaba parcialmente mediada por los síntomas depresivos.

Referencias bibliográficas

  • AHA (American Heart Association) (2006). Heart Disease and Stroke Statistics-2006 Update. Dallas, TX: American Heart Association.
  • Allman, E., Berry, D., & Nasir, L. (2009). Depression and coping in heart failure patients: A review of the literature. Journal of Cardiovascular Nursing, 24, 106-117.
  • Atienza, F.L., Pons, D., Balaguer, I., & García-Merita, M. (2000). Psychometric properties of the Satisfaction With Life Scale in adolescents. Psicothema, 12, 314– 319.
  • Baron, R., & Kenny, D. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.
  • Barth, J., Schneider, S., & von Känel, R. (2010). Lack of social support in the etiology and the prognosis of coronary heart disease: A systematic review and metaanalysis. Psychosomatic Medicine, 72, 229-238.
  • Bekelman, D.B., Dy, S.M., Becker, D.M., Wittstein, I.S., Hendricks, D.E., Yamashita, T.E., & Gottlieb, S.H. (2007). Spiritual well-being and depression in patients with heart failure. Journal of General Internal Medicine, 22, 470-477.
  • Bennett, S.J., Baker, S.L., & Huster, G.A. (1998). Quality life in women with heart failure. Health Care for Women International, 19, 217-229.
  • Bennett, S.J., Perkins, S.M., Lane, K.A., Dee, M., Brater, D.C., & Murray, M.D. (2001). Social support and health-related quality of life in chronic heart failure patients. Quality of Life Research, 10, 671-682.
  • Carels, R.A. (2004). The association between disease severity, functional status, depression and daily quality of life in congestive heart failure patients. Quality of Life Research, 13, 63-72.
  • Chen, L.H., Li, C.Y., Shieh, S.M., Yin, W.H., & Chiou, A.F. (2010). Predictors of fatigue in patients with heart failure. Journal of Clinical Nursing, 19, 1588-1596.
  • Chin, M.H., & Goldman, L. (1998). Gender differences in 1-year survival and quality of life among patients admitted with congestive heart failure. Medical Care, 36, 1033-1046.
  • Clarke, S.P., Frasure-Smith, N., Lesperance, F., & Bourassa, M.G. (2000). Psychosocial factors as predictors of functional status at 1 year in patients with left ventricular dysfunction. Research in Nursing and Health, 23, 290–300.
  • Cordova, M., Cunningham, L., Carlson, C., & Andrykowski, M. (2001). Posttraumatic growth following breast cancer: A controlled comparison study. Health Psychology, 20, 176-185.
  • Cully, J.A., Phillips, L.L., Kunik, M.E., Stanley, M.A., & Deswal, A. (2010). Predicting quality of life in veterans with heart failure: The role of disease severity, depression, and comorbid anxiety. Behavioral Medicine, 36, 70-76.
  • Diener, E. (2000). Subjective well-being. The science of happiness and a proposal for a national index. American Psychologist, 55, 34-43.
  • Diener, E., Emmons, R.A., Larsen, R.J., & Griffi n, S. (1985). The Satisfaction with Life Scale. Journal of Personality Assessment, 49, 71-75.
  • Diener, E., Lucas, R., & Oishi, S. (2002). Subjective wellbeing: The science of happiness and life satisfaction. In C.R. Snyder & S.J. Lopez (Eds.), Handbook of positive psychology (pp. 63-73). New York: Oxford University Press.
  • DiMatteo, M.R. (2004). Social support and patient adherence to medical treatment: A meta-analysis. Health Psychology, 23, 207-218.
  • Eriksen, W. (1994). The role of social support in the pathogenesis of coronary heart disease: A literature review. Family Practice, 11, 201-209.
  • Everson-Rose, S.A., & Lewis, T.T. (2005). Psychosocial factors and cardiovascular diseases. Annual Review of Public Health, 26, 469-500.
  • Falcoz, P., Chocron, S., Laluc, F., Puyraveau, M., Kaili, D., Mercier, M., & Etievent, J. (2006). Gender analysis after elective open heart surgery: A two-year comparative study of Quality of Life. Annals of Thoracic Surgery, 81, 1637-1643.
  • Frasure-Smith, N., Lesperance, F., Gravel, G., Masson, A., Juneau, M., Talajic, M., & Bourassa, M.G. (2000). Social support, depression, and mortality during the fi rst year after myocardial infarction. Circulation, 25, 1919-1924.
  • Friedman, M.M., & King, K.B. (1994). The relationship of emotional and tangible support to psychological well-being among older women with heart failure. Research in Nursing & Health, 17, 433-440.
  • Garin, O., Ferrer, M., Pont, A., Rué, M., Kotzeva, A., Wiklund, I., et al. (2009). Disease-specifi c health-related quality of life questionnaires for heart failure: A systematic review with meta-analyses. Quality of Life Research, 18, 71-85.
  • Gary, R.A., Dunbar, S.B., Higgins, M.K., Musselman, D.L., & Smith, A.L. (2010). Improving outcomes for African Americans with chronic heart failure: A comparison of two home care management delivery methods. Journal of Psychosomatic Research, 62, 119- 131.
  • Gottlieb, S.S, Khatta, M., Friedmann, E., Einbinder, L., Katzen, S., Baker, B., et al. (2004). The infl uence of age, sex and race on the prevalence of depression in heart failure patients. Journal of the American College of Cardiology, 43, 1542-1549.
  • Hansson, R.O., Jones, W.H., & Fletcher, W.L. (1990). Troubled relationships in later life: Implications for support. Journal of Social and Personal Relations, 7, 451–463.
  • Hildingh, C., Segesten, K., & Fridlund, B. (1997). Elderly persons’ social network and need for social support after their fi rst myocardial infarction. Scandinavian Journal of Caring Sciences, 11, 5-11.
  • Holahan, C.K., Moerkbak, M., & Suzuki, R. (2006). Social support, coping, and depressive symptoms in cardiac illness among Hispanic and non-Hispanic White cardiac patients. Psychology and Health, 21, 615-631.
  • Holmbeck, G. (2002). Post-hoc probing of signifi cant moderation and mediational effects in studies of pediatric populations. Journal of Pediatric Psychology, 27, 87-96.
  • Klein, D.M., Turvey, C.L., & Pies, C.J. (2007). Relationship of coping styles with quality of life and depressive symptoms in older heart failure patients. Journal of Aging and Health, 19, 22-38.
  • Krethong, P., Jirapaet, V., Jitpanya, C., & Sloan, R. (2008). A causal model of health-related quality of life with heart-failure. Journal of Nursing Scholarship, 40, 254- 260.
  • Kristofferzon, M.L., Lofmark, R., & Carlsson, M. (2003). Myocardial infarction: Gender differences in coping and social support. Journal of Advance Nursing, 44, 360-374.
  • Krumholz, H., Butler, J., Miller, J., Vacarino, V., Williams, C.S., Mendes de Leon, C.F., et al. (1998). Prognosis importance of emotional support for elderly patients hospitalized with heart failure. Circulation, 97, 958- 964.
  • Kuppens, P., Realo, A., & Diener, E. (2008). The role of positive and negative emotions in life satisfaction judgment across nations. Journal of Personality and Social Psychology, 95, 66-75.
  • Leach, L., Christensen, H., Mackinnon, A., Windsor, T., & Butterworth, P. (2008). Gender differences in depression and anxiety across the adult lifespan: The role of psychosocial mediators. Social Psychiatry and Psychiatric Epidemiology, 43, 983-998.
  • Lett, H.S., Blumenthal, J.A., Babyak, M.A., Strauman, T.J., Robins, C., & Sherwood, A. (2005). Social support and coronary heart disease: Epidemiologic evidence and implications for treatment. Psychosomatic Medicine, 67, 869-878.
  • Lossnitzer, N., Müller-Tasch, T., Löwe, B., Zugck, C., Nelles, M., Remppis, A., et al. (2009). Exploring potential associations of suicidal ideation and ideas of self-harm in patients with congestive heart failure. Depression and Anxiety, 26, 764-768.
  • Luijendijk, H.J., Tiemeier, H., van den Berg, J.F., Bleumink, G.S., Hofman, A., & Stricker, B.H.C. (2010). Heart failure and incident late-life depression. Journal of the American Geriatrics Society, 58, 1441-1448.
  • Martín, A., Vicente, P., Vicente, E., Sánchez, M., Galindo, P., & Martín, M. (2010). Depression and health-related quality of life in patients with osteoarthritis: Gender differences. Revista de Psicopatología y Psicología Clínica, 15, 125-132.
  • McCall, D. (1992). Recognition and management of asymptomatic patients with left ventricular dysfunction. American Journal of Cardiology, 69, 139G-140G.
  • Montero, P., Rueda, B., & Bermúdez, J. (2012). Relationship of type D personality and vital exhaustion with negative emotions and psychological adjustment to heart disease. Revista de Psicopatología y Psicología Clínica, 17, 93-106.
  • Murberg, T.A. (2004). Long-term effect of social relationships on mortality in patients with congestive heart failure. International Journal of Psychiatry in Medicine, 34, 207-217.
  • Murberg, T.A., Bru, E., Aarsland, T., & Svebak, S. (1998). Social support, social disability and their role as predictors of depression among patients with hear failure. Scandinavian Journal of Social Medicine, 26, 87-95.
  • Park, C.L., Fenster, J.R., Suresh, D.B., & Bliss, D.E. (2006). Social support, appraisals, and coping as predictors of depression in congestive heart failure patients. Psychology and Health, 21, 773-789.
  • Paukert, A.L., LeMaire, A., & Cully, J.A. (2009). Predictors of depressive symptoms in older veterans with heart failure. Aging and Mental Health, 13, 601-610.
  • Penninx, B.W., Kriegsman, D.M., Van Eijk, J.T., Boeke, A.J., & Deeg, D.J. (1996). Differential effect of social support on the course of chronic disease: A criteriabased literature study. Families, Systems & Health, 14, 223-244.
  • Pérez-García, A.M., Ruiz, M.A., Sanjuán, P., & Rueda, B. (2011). The association of social support and gender with life satisfaction, emotional symptoms and mental adjustment in patients following a fi rst cardiac coronary event. Stress and Health, 27, e252-e260.
  • Plach, S.K. (2008). Psychological well-being in women with heart failure: Can social roles make a difference? Health Care for Women International, 29, 54-75.
  • Riedinger, M.S., Dracup, K.A., & Brecht, M. (2002). Quality of life in women with heart failure, normative groups, and patients with other chronic conditions. American Journal of Critical Care, 11, 211–219.
  • Rueda, B. (2004). Competencia percibida y salud: aproximación general y aplicación a la enfermedad cardiovascular [Perceived competence and health: General approach and application to cardiovascular disease]. (Unpublished doctoral dissertation). UNED, Madrid.
  • Rueda, B., & Pérez-García, A.M. (2006). Gender and social support in the context of cardiovascular disease. Women & Health, 43, 59-73.
  • Ruiz, M.A., & Baca, E. (1993). Design and validation of the Quality of Life Questionnaire (Cuestionario de Calidad de Vida, CCV): A generic health-related quality of life instrument. European Journal of Psychological Assessment, 9, 19-32
  • Rumsfeld, J.S., Jones, P.G., Whooley, M.A., Sullivan, M.D., Pitt, B., Weintraub, W.S., & Spertus, J.A. (2005). Depression predicts mortality and hospitalization in patients with myocardial infarction complicated by heart failure. American Heart Journal, 150, 961-967.
  • Rutledge, T., Reis, V.A., Linke, S.E., Greenberg, B.H., & Mills, P.J. (2006). Depression in heart failure: A metaanalytic review of prevalence, intervention effects, and associations with clinical outcomes. Journal of the American college of Cardiology, 48, 1527-1537.
  • Sanjuán, P., Ruiz, M.A., & Pérez, A. (2011). Life satisfaction and positive adjustment as predictors of emotional distress in men with coronary heart disease. Journal of Happiness Studies, 12, 1035-1047.
  • Sayers, S.L., Riegel, B., Pawlowski, S., Coyne, J.C., & Samaha, F.F. (2008). Social support and self-care of patients with heart failure. Annals of Behavioral Medicine, 35, 70-79.
  • Shen, B., Eisenberg, S.A., Maeda, U., Farrell, K.A., Schwarz, E.R., Penedo, F.J., et al. (2011). Depression and anxiety predict decline in physical health functioning in patients with heart failure. Annals of Behavioral Medicine, 41, 373-382.
  • Sirri, L., Magelli, C., & Grand, S. (2011). Predictors of perceived social support in long-term survivors of cardiac transplant: The role of psychological distress, quality of life, demographic characteristics and clinical course. Psychology and Health, 26, 77–94.
  • Song, E.K., Moser, D.K., & Lennie, T.A. (2009). Relationship of depressive symptoms to the impact of physical symptoms on functional status in women with heart failure. American Journal of Critical Care, 18, 348- 356.
  • Tang, W.R., Yu, C.G., & Yeh, C.Y. (2010). Fatigue and its related factors in patients with chronic heart failure. Journal of Clinical Nursing, 19, 69-78.
  • Task Force on heart failure of the European Society of Cardiology (2008). ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal, 29, 2388–2442.
  • The Criteria Committee of the New York Heart Association (1964). Diseases of the heart and blood vessels. Nomenclatures and criteria for diagnosis (6th edition). Boston, MA: Little, Brown.
  • Trivedi, R.B., Blumenthal, J.A., O’Connor, C., Adams, K., Hinderliter, A., Dupree, C., et al. (2009). Coping styles in heart patients with depressive symptoms. Journal of Psychosomatic Research, 67, 339-346.
  • Uchino, B.N., Cacioppo, J.T., & Kiecolt-Glaser, J.K. (1996). The relationship between social support and physiological processes: A review with emphasis on underlying mechanisms and implication for health. Psychological Bulletin, 119, 488-531.
  • Urizar, G.G., & Sears, S.F. (2006). Psychosocial and cultural infl uences on cardiovascular health and quality of life among Hispanic cardiac patients in South Florida. Journal of Behavioral Medicine, 29, 255-268.
  • Volz, A., Schmid, J.P., Zwahlen, M., Kohls, S., Saner, H., & Barth, J. (2011). Predictors of readmission and health related quality of life in patients with chronic heart failure: A comparison of different psychosocial aspects. Journal of Behavioral Medicine, 34, 13-22.
  • Zigmond, A.S., & Snaith, R.P. (1983). The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandinavica, 67, 361-370.