The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations

Heart failure is a physically debilitating and psychologically distressing chronic condition. Although depressive disorder is a strong predictor of short-term deterioration of heart failure symptoms and mortality, only few studies have focused on habit and daily routines. The present study aimed...

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Main Authors: Jaafar MH,, Villiers-Tuthill A,, Mcgee H,, Morgan K,
Format: Article
Language:English
Published: Pusat Perubatan Universiti Kebangsaan Malaysia 2019
Online Access:http://journalarticle.ukm.my/15550/1/8_ms0301_pdf_16206.pdf
http://journalarticle.ukm.my/15550/
https://www.medicineandhealthukm.com/toc/14/2
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spelling my-ukm.journal.155502020-11-04T15:42:31Z http://journalarticle.ukm.my/15550/ The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations Jaafar MH, Villiers-Tuthill A, Mcgee H, Morgan K, Heart failure is a physically debilitating and psychologically distressing chronic condition. Although depressive disorder is a strong predictor of short-term deterioration of heart failure symptoms and mortality, only few studies have focused on habit and daily routines. The present study aimed to investigate the relationship between depression and anxiety and heart failure patients’ self-care behaviour. Interviews were completed with 161 patients at hospital outpatient clinics in Belfast and Dublin. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). Self-care behaviour was assessed using the European Heart Failure Self-Care Behaviour Scale (EHFSCBS). ‘Probable’ clinical depression was indicated in 18%, and ‘probable’ caseness of anxiety disorder in 16% of patients. Self-care behaviour adherence varied considerably across behaviours and was higher for taking medication as prescribed (93.1%), and taking it easy if breathless (75.1%) and lower for daily self-weighing (13.6%), regular exercise (33.6%) and limiting fluid intake (38.5%). No significant relationship was found between overall reported self-care adherence and anxiety or depression. However, significant association with depression were found for five of the 12 self-care items, and also with anxiety for two of these. Our results demonstrated that mental well-being in patients with heart failure plays a significant role in the patients’ ability to adhere to self-care regimens. Pusat Perubatan Universiti Kebangsaan Malaysia 2019 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/15550/1/8_ms0301_pdf_16206.pdf Jaafar MH, and Villiers-Tuthill A, and Mcgee H, and Morgan K, (2019) The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations. Medicine & Health, 14 (2). pp. 87-96. ISSN 2289-5728 https://www.medicineandhealthukm.com/toc/14/2
institution Universiti Kebangsaan Malaysia
building Tun Sri Lanang Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Kebangsaan Malaysia
content_source UKM Journal Article Repository
url_provider http://journalarticle.ukm.my/
language English
description Heart failure is a physically debilitating and psychologically distressing chronic condition. Although depressive disorder is a strong predictor of short-term deterioration of heart failure symptoms and mortality, only few studies have focused on habit and daily routines. The present study aimed to investigate the relationship between depression and anxiety and heart failure patients’ self-care behaviour. Interviews were completed with 161 patients at hospital outpatient clinics in Belfast and Dublin. Depression and anxiety were assessed using the Hospital Anxiety and Depression Scale (HADS). Self-care behaviour was assessed using the European Heart Failure Self-Care Behaviour Scale (EHFSCBS). ‘Probable’ clinical depression was indicated in 18%, and ‘probable’ caseness of anxiety disorder in 16% of patients. Self-care behaviour adherence varied considerably across behaviours and was higher for taking medication as prescribed (93.1%), and taking it easy if breathless (75.1%) and lower for daily self-weighing (13.6%), regular exercise (33.6%) and limiting fluid intake (38.5%). No significant relationship was found between overall reported self-care adherence and anxiety or depression. However, significant association with depression were found for five of the 12 self-care items, and also with anxiety for two of these. Our results demonstrated that mental well-being in patients with heart failure plays a significant role in the patients’ ability to adhere to self-care regimens.
format Article
author Jaafar MH,
Villiers-Tuthill A,
Mcgee H,
Morgan K,
spellingShingle Jaafar MH,
Villiers-Tuthill A,
Mcgee H,
Morgan K,
The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
author_facet Jaafar MH,
Villiers-Tuthill A,
Mcgee H,
Morgan K,
author_sort Jaafar MH,
title The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
title_short The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
title_full The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
title_fullStr The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
title_full_unstemmed The relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
title_sort relationship between depression and anxiety and heart failure patients’ adherence to self-care recommendations
publisher Pusat Perubatan Universiti Kebangsaan Malaysia
publishDate 2019
url http://journalarticle.ukm.my/15550/1/8_ms0301_pdf_16206.pdf
http://journalarticle.ukm.my/15550/
https://www.medicineandhealthukm.com/toc/14/2
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score 13.160551