Effects of Mutuality,Anxiety,and Depression on Quality of Life of Patients with Heart Failure: A Cross-Sectional Study

Abstract

This study aimed to describe the impact of mutuality, anxiety, and depression on quality of life (QoL) in patients with heart failure (HF) using cross-sectional, convenient, and consecutive sampling. A total of 97 patients were recruited. Sociodemographic and clinical variables and self-report measures of anxiety, depression, mutuality, and QoL were collected. The results highlighted the pivotal role of mutuality (specifically the domain of shared values between patients and their caregivers) in determining perceptions of physical health. Conversely, depression was a negative determinant of perceptions of both physical and mental health. Future research is needed to describe in-depth and longitudinally the associations between mutuality and QoL in patients with HF.

Keywords

heart failure patient-caregiver dyads mutuality quality of life

Get full access to this article

View all access options for this article.

References

Audi

Korologou

Koutelekos

Vasilopoulos

Karakostas

Makrygianaki

, & Polikandrioti

(2017). Factors Affecting Health Related Quality of Life in Hospitalized Patients with Heart Failure. Cardiology Research and Practice 2017 4690458. https://doi.org/10.1155/2017/4690458.

Ball

Snow

A. L.

Steele

A. B.

Morgan

R. O.

Davila

J. A.

Wilson

, & Kunik

M. E.

(2010). Quality of relationships as a predictor of psychosocial functioning in patients with dementia. Journal of Geriatric Psychiatry and Neurology 23(2), 109–114. https://doi.org/10.1177/0891988710363709.

Bursac

Gauss

C. H.

Williams

D. K.

, & Hosmer

D. W.

(2008). Purposeful selection of variables in logistic regression. Source Code for Biology and Medicine 3 17. https://doi.org/10.1186/1751-0473-3-17.

Celano

C. M.

Villegas

A. C.

Albanese

A. M.

Gaggin

H. K.

, & Huffman

J. C.

(2018). Depression and anxiety in heart failure: A review. Harvard Review of Psychiatry 26(4), 175–184. https://doi.org/10.1097/HRP.0000000000000162.

Costantini

Musso

Viterbori

Bonci

Del Mastro

Garrone

Venturini

, & Morasso

(1999). Detecting psychological distress in cancer patients: Validity of the Italian version of the hospital anxiety and depression scale. Supportive Care in Cancer 7(3), 121–127. https://doi.org/10.1007/s005200050241.

Danielsen

Thorgeirsson

Einarsson

Ólafsson

Aspelund

Harris

T. B.

Launer

, & Gudnason

(2017). Prevalence of heart failure in the elderly and future projections: The AGES-reykjavík study. Scandinavian Cardiovascular Journal 51(4), 183–189. https://doi.org/10.1080/14017431.2017.1311023.

Dellafore

Arrigoni

Pittella

Conte

Magon

, & Caruso

(2018). Paradox of self-care gender differences among Italian patients with chronic heart failure: Findings from a real-world cross-sectional study. BMJ Open 8 e021966. https://doi.org/10.1136/bmjopen-2018-021966.

Dellafore

Buck

H. G.

Pucciarelli

Barbaranelli

Paturzo

Alvaro

, & Vellone

(2018). Psychometric characteristics of the mutuality scale in heart failure patients and caregivers. Heart and Lung 47(6), 553–561. https://doi.org/10.1016/j.hrtlng.2018.05.018.

Dellafore

Chung

M. L.

Alvaro

Durante

Colaceci

Vellone

, & Pucciarelli

(2019). The association between mutuality, anxiety, and depression in heart failure patient-caregiver dyads: An actor-partner interdependence model analysis. Journal of Cardiovascular Nursing 34(6), 465–473. https://doi.org/10.1097/JCN.0000000000000599.

10.

Dormann

C. F.

Elith

Bacher

Buchmann

Carl

Carré

Marquéz García

R. J.

Gruber

Lafourcade

Leitão

P. J.

Münkemüller

McClean

Osborne

P. E.

Reineking

Schröder

Skidmore

A. K.

, & Lautenbach

(2013). Collinearity: A review of methods to deal with it and a simulation study evaluating their performance. Ecography 36(1), 27–46. https://doi.org/10.1111/j.1600-0587.2012.07348.x.

11.

Erceg

Despotovic

Milosevic

D. P.

Soldatovic

Mihajlovic

Vukcevic

Mitrovic

Markovic-Nikolic

Micovic

Mitrovic

, & Davidovic

(2019). Prognostic value of health-related quality of life in elderly patients hospitalized with heart failure. Clinical Interventions in Aging 14 935–945. https://doi.org/10.2147/CIA.S201403.

12.

Flocco

S. F.

Caruso

Dellafore

Pittella

Giamberti

Micheletti

Gabriela Negura

Piazza

, & Chessa

(2018). Gli effetti di un set standardizzato di interventi educazionali sulla percezione della salute di adolescenti con cardiopatia congenita (modello Transition): Risultati preliminari di uno studio quasi-sperimentale. Giornale Italiano Di Cardiologia 19(6), 386–393. https://doi.org/10.1714/2922.29372.

13.

Flocco

S. F.

Dellafore

Caruso

Giamberti

Micheletti

Negura

D. G.

Piazza

Carminati

, & Chessa

(2019). Improving health perception through a transition care model for adolescents with congenital heart disease. Journal of Cardiovascular Medicine 20(4), 253–260. https://doi.org/10.2459/JCM.0000000000000770.

14.

Friedmann

Thomas

S. A.

Liu

Morton

P. G.

Chapa

, & Gottlieb

S. S.

(2006). Relationship of depression, anxiety, and social isolation to chronic heart failure outpatient mortality. American Heart Journal 152(5), 940. e1–940.e8. https://doi.org/10.1016/j.ahj.2006.05.009.

15.

Garin

Herdman

Vilagut

Ferrer

Ribera

Rajmil

Valderas

J. M.

Guillemin

Revicki

, & Alonso

(2014). Assessing health-related quality of life in patients with heart failure: A systematic, standardized comparison of available measures. Heart Failure Reviews 19(3), 359–367. https://doi.org/10.1007/s10741-013-9394-7.

16.

Kodraliu

Mosconi

Groth

Carmosino

Perilli

Gianicolo

E. A. L.

Rossi

Apolone

Groth

Arpinelli

Berto

Donzelli

Garattini

Grilli

Grossi

Iacobelli

Mannino

Nante

Nicolosi

… Ruffo

(2001). Subjective health status assessment: Evaluation of the Italian version of the SF-12 health survey. Results from the MiOS project. Journal of Epidemiology and Biostatistics 6(3), 305–316. https://doi.org/10.1080/135952201317080715.

17.

Moradi

Daneshi

Behzadmehr

Rafemanesh

Bouya

, & Raeisi

(2019). Quality of life of chronic heart failure patients: A systematic review and meta-analysis. Heart Failure Reviews 25(6), 993–1006. https://doi.org/10.1007/s10741-019-09890-2.

18.

Ostwald

S. K.

Godwin

K. M.

, & Cron

S. G.

(2009). Predictors of life satisfaction in stroke survivors and spousal caregivers after inpatient rehabilitation. Rehabilitation Nursing 34(4), 160–167. https://doi.org/10.1002/j.2048-7940.2009.tb00272.x.

19.

Park

E. O.

, & Schumacher

K. L.

(2014). The state of the science of family caregiver-care receiver mutuality: A systematic review. Nursing Inquiry 21(2), 140–152. https://doi.org/10.1111/nin.12032.

20.

Pelle

A. J.

Pedersen

S. S.

Schiffer

A. A.

Szabó

Widdershoven

J. W.

, & Denollet

(2010). Psychological distress and mortality in systolic heart failure. Circulation: Heart Failure 3(2), 261–267. https://doi.org/10.1161/CIRCHEARTFAILURE.109.871483.

21.

Polikandrioti

Panoutsopoulos

Tsami

Gerogianni

Saroglou

Thomai

, & Leventzonis

(2019). Assessment of quality of life and anxiety in heart failure outpatients. Archives of Medical Science-Atherosclerotic Diseases 4(1), 38–46. https://doi.org/10.5114/amsad.2019.84444.

22.

Ponikowski

Voors

A. A.

Anker

S. D.

Bueno

Cleland

J. G. F.

Coats

A. J. S.

Falk

González-Juanatey

J. R.

Harjola

V. P.

Jankowska

E. A.

Jessup

Linde

Nihoyannopoulos

Parissis

J. T.

Pieske

Riley

J. P.

Rosano

G.M. C.

Ruilope

L. M.

Ruschitzka

, … Davies

(2016). 2016 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure. European Heart Journal 37(27), 2129–2200. https://doi.org/10.1093/eurheartj/ehw128.

23.

Post

M. W. M.

(2014). Definitions of quality of life: What has happened and how to move on. Topics in Spinal Cord Injury Rehabilitation 20(3), 167–180. https://doi.org/10.1310/sci2003-167.

24.

Rutledge

Reis

V. A.

Linke

S. E.

Greenberg

B. H.

, & Mills

P. J.

(2006). Depression in heart failure. A meta-analytic review of prevalence, intervention effects, and associations with clinical outcomes. Journal of the American College of Cardiology 48(8), 1527–1537. https://doi.org/10.1016/j.jacc.2006.06.055.

25.

Savarese

, & Lund

L. H.

(2017). Global public health burden of heart failure. Cardiac Failure Review 3(1), 7–11. https://doi.org/10.15420/cfr.2016:25:2.

26.

Vellone

Chung

M. L.

Alvaro

Paturzo

, & Dellafore

(2018). The influence of mutuality on self-care in heart failure Patients and Caregivers: A Dyadic Analysis. Journal of Family Nursing 24(4), 563–584. https://doi.org/10.1177/1074840718809484.

27.

Vellone

Dellafore

Chung

M. L.

, & Alvaro

(2018, June 1). Mutuality and self-care in heart failure patient and caregiver dyads. European Journal of Cardiovascular Nursing 18 245–252. https://doi.org/10.1177/1474515117740482.

28.

Wang

T.-C.

Huang

J.-L.

W.-C.

, & Chiou

A.-F.

(2016). Effects of a supportive educational nursing care programme on fatigue and quality of life in patients with heart failure: A randomized controlled trial. European Journal of Cardiovascular Nursing: Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 15(2), 157–167. https://doi.org/10.1177/1474515115618567.