Assessing the quality of life and depression among patients with heart failure and heart attack
DOI:
https://doi.org/10.5114/hpr.2020.95910Keywords:
quality of life, depression, heart failure, heart attackAbstract
Background
Health-related quality and of life and depression are major issues among patients with heart diseases. The aim of the current study was to assess the levels of quality of life and depression among patients with heart failure and heart attack as well as the correlation between these domains and the differences in both categories.
Participants and procedure
In this cross-sectional study the following tools were used: a) the Missoula-VITAS Quality of Life Index (MVQoLI-15), which examines 5 domains of quality of life, and b) the Center for Epidemiological Studies Depression Scale (CES-D), which measures depression among patients. Finally, a questionnaire about sociodemographic elements was completed by the patients. Data were analyzed through IBM Statistics SPSS 20.0. The statistical level was set at 0.05%.
Results
The mean value of CES-D Total and MVQoLI-15 were higher for the patients suffering from heart failure than those suffering from a heart attack. However, the dimensions of MVQoLI-15 Interpersonal Relationships, Well-Being and Transcendence were lower for heart failure patients compared to the levels of the patients suffering from a heart attack. According to the Pearson r test, there was a statistically significant negative correlation between the quality of life and depression (p = .001) in the overall sample.
Conclusions
Patients with heart failure experience more depression and lower quality of life than heart attack patients.
Downloads
References
Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Stathoulis, J., Babatsikou, F., Fradelos, E., & Zyga, S. (2019). The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Quality of Life Research, 28, 73–83. https://doi. org/10.1007/s11136-018-1989-y.
Alpert, C. M., Smith, M. A., Hummel, S. L., & Hummel, E. K. (2017). Symptom burden in heart failure: assessment, impact on outcomes, and management. Heart Failure Reviews, 22, 25–39. https://doi. org/10.1007/s10741-016-9581-4.
Banik, A., Schwarzer, R., Knoll, N., Czekierda, K., & Luszczynska, A. (2018). Self-efficacy and quality of life among people with cardiovascular diseases: a meta-analysis. Rehabilitation Psychology, 63, 295–312. https://doi.org/10.1037/rep0000199.
Barham, A., Ibraheem, R., & Zyoud, S. H. (2019). Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine. BMC Cardiovascular Disorders, 19, article 290. https://doi.org/10.1186/s12872-019-01281-7.
Brown, R. I. (2000). Quality of life: Challenges and confrontation. In K. D. Keith & R. L. Schalock (Eds.), Cross-cultural perspectives on quality of life (pp. 347–362). Washington, DC: American Association on Mental Retardation.
Bundgaard, J. S., Thune, J. J., Gislason, G., Fosbøl, E. L., Torp-Pedersen, C., Aagaard, D., Nielsen, J. C., Haarbo, J., Thøgersen, A. M., Videbæk, L., Jensen, G., Olesen, L. L., Kristensen, S. L., Pedersen, S. S., Køber, L., & Mogensen, U. M. (2020). Quality of life and the associated risk of all-cause mortality in nonischemic heart failure. International Journal of Cardiology, 305, 92–98. https://doi.org/10.1016/ j.ijcard.2020.02.008.
Byock, I. R. (1996). The nature of suffering and the nature of opportunity at the end of life. Clinics in Geriatric Medicine, 12, 237–252.
Byock, I. R., & Merriman, M. P. (1998). Measuring quality of life for patients with terminal illness: The Missoula-VITAS Quality of Life Index. Palliative Medicine, 12, 231–244. https://doi.org/10.1191/ 026921698670234618.
DeVon, H. A., Vuckovic, K., Ryan, C. J., Barnason, S., Zerwic, J. J., Pozehl, B., Schulz, P., Seo, Y., & Zimmerman, L. (2017). Systematic review of symptom clusters in cardiovascular disease. European Journal of Cardiovascular Nursing, 16, 6–17. https://doi. org/10.1177/1474515116642594.
Dunlay, S. M., Manemann, S. M., Chamberlain, A. M., Cheville, A. L., Jiang, R., Weston, S. A., & Roger, V. L. (2015). Activities of daily living and outcomes in heart failure. Circulation Heart Failure, 8, 261–267. https://doi.org/10.1161/CIRCHEARTFAILURE. 114.001542.
Fountoulakis, K. N., Iacovides, A., Kleanthous, S., Samolis, S., Gougoulias, K., Kaprinis, G. S., & Bech, P. (2003). The Greek translation of the symptoms rating scale for depression and anxiety: preliminary results of the validation study. BMC Psychiatry, 3, article 21. https://doi.org/10.1186/1471-244X-3-21.
Fountoulakis, K., Iacovides, A., Kleanthous, S., Samolis, S., Kaprinis, S. G., Sitzoglou, K., Kaprinis, G. S., & Bech, P. (2001). Reliability, validity and psychometric properties of the Greek translation of the Center for Epidemiological Studies-Depression (CES-D) Scale. BMC Psychiatry, 1, article 3. https:// doi.org/10.1186/1471-244x-1-3.
Herlitz, J., Wiklund, I., Caidahl, K., Karlson, B. W., Sjöland, H., Hartford, M., Haglid, M., & Karlsson, T. (1999). Determinants of an impaired quality of life five years after coronary artery bypass surgery. Heart, 81, 342–346. https://doi.org/10.1136/ hrt.81.4.342.
Hiriscau, E. I., & Bodolea, C. (2019). The role of depression and anxiety in frail patients with heart failure. Diseases, 7, 45. https://doi.org/10.3390/diseases7020045.
Hoekstra, T., Jaarsma, T., van Veldhuisen, D. J., Hillege, H. L., Sanderman, R., & Lesman-Leegte, I. (2013). Quality of life and survival in patients with heart failure. European Journal of Heart Failure, 15, 94–102. https://doi.org/10.1093/eurjhf/hfs148.
Höfer, S., Lim, L., Guyatt, G., & Oldridge, N. (2004). The MacNew Heart Disease health-related quality of life instrument: a summary. Health and Quality of Life Outcomes, 2, article 3. https://doi. org/10.1186/1477-7525-2-3.
Huffman, J. C., Adams, C. N., & Celano, C. M. (2018). Collaborative care and related interventions in patients with heart disease: an update and new directions. Psychosomatics, 59, 1–18. https://doi. org/10.1016/j.psym.2017.09.003.
Joekes, K., Van Elderen, T., & Schreurs, K. (2007). Selfefficacy and overprotection are related to quality of life, psychological well-being and self-management in cardiac patients. Journal of Health Psychology, 12, 4–16. https://doi.org/10.1177/1359105306069096.
Juenger, J., Schellberg, D., Kraemer, S., Haunstetter, A., Zugck, C., Herzog, W., & Haass, M. (2002). Health related quality of life in patients with congestive heart failure: Comparison with other chronic diseases and relation to functional variables. Heart, 87, 235–241. https://doi.org/10.1136/heart.87.3.235.
Kourkouta, L., Papathanasiou, V., Koukourikos, K., Kleisiaris, C., Fradelos, C. E., & Tsaloglidou, A. (2015). Circulatory system’s diseases in the elderly. Journal of Pharmacy and Pharmacology, 3, 591–595. https://doi.org/10.17265/2328-2150/2015.12.006.
Lefteriotis, C. (2013). Depression in heart failure patients. Health Science Journal, 7, 349–355.
Lewis, E. F., Johnson, P. A., Johnson, W., Collins, C., Griffin, L., & Stevenson, L. W. (2001). Preferences for quality of life or survival expressed by patients with heart failure. Journal of Heart & Lung Transplantation, 20, 1016–1024. https://doi.org/10.1016/ s1053-2498(01)00298-4.
Lukkarinen, H., & Hentinen, M. (1997). Assessment of quality of life with the Nottingham Health Profile among patients with coronary heart disease. Journal of Advanced Nursing, 26, 73–84. https://doi. org/10.1046/j.1365-2648.1997.1997026073.x.
Mbakwem, A., Aina, F., & Amadi, C. (2016). Depression in patients with heart failure: Is enough being done? Cardiac Failure Review, 2, 110–112. https:// doi.org/10.15420/cfr.2016:21:1.
McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Böhm, M., Dickstein, K., … ESC Committee for Practice Guidelines (2012). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. European Heart Journal, 33, 1787–1847. https://doi. org/10.1093/eurheartj/ehs104.
Moryś, J. M., Bellwon, J., Höfer, S., Rynkiewicz, A., & Gruchała, M. (2016). Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Archives of Medical Science, 12, 326–333. https://doi.org/10.5114/ aoms.2014.47881.
Mougias, A. A., Politis, A., Mougias, M. A., Kotrotsou, I., Skapinakis, P., Damigos, D., & Mavreas, V. G. (2015). The burden of caring for patients with dementia and its predictors. Psychiatriki, 26, 28–37.
Powel, L. H., Catellier, D., Freedland, K. E., Burg, M. M., Woods, S. L., Bittner, V., Calvin, J. E., & Blumenthal, J. A. (2005). Depression and heart failure in patients with a new myocardial infarction. American Heart Journal, 149, 851–855. https://doi.org/10.1016/ j.ahj.2004.08.007.
Radloff, L. S. (1977). The CES-D scale: a self report depression scale for research in the general population. Applied Psychological Measurements, 1, 385–401. https://doi.org/10.1177/014662167700100306.
Saran, R. K., Puri, A., & Agarwal, M. (2012). Depression and the heart. Indian Heart Journal, 64, 397– 401. https://doi.org/10.1016/j.ihj.2012.06.004.
Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: Related quality of life in hemodialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQoLI-15) in Greece. Health Psychology Research, 1, e17. https://doi.org/10.4081/hpr.2013.e17.
Theofilou, P., Kapslis, F., & Panagiotaki, H. (2012). Greek version of MVQoLI-15: Translation and cultural adaptation. International Journal of Caring Sciences, 5, 289–294.
Unsar, S., Sut, N., & Durna, Z. (2007). Health-related quality of life in patients with coronary artery disease. Journal of Cardiovascular Nursing, 22, 501–507. https://doi.org/10.1097/01.JCN.0000297382.91131.8d.
Zyga, S., Alikari, V., Sachlas, A., Stathoulis, J., Aroni, A., Theofilou, P., & Panoutsopoulos, G. (2015). Management of pain and quality of life in patients with chronic kidney disease undergoing hemodialysis. Pain Management Nursing, 16, 712–720. https://doi. org/10.1016/j.pmn.2015.03.004.