Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects

Volz, Andreas; Schmid, Jean-Paul; Zwahlen, Marcel; Kohls, Sonja; Saner, Hugo; Barth, Jürgen (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(1), pp. 13-22. New York, N.Y.: Springer US; http://www.springer-ny.com 10.1007/s10865-010-9282-8

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Psychological distress is common in patients with chronic heart failure. The impact of different psychological variables on prognosis has been shown but the comparative effects of these variables remain unclear. This study examines the impact of depression, anxiety, vital exhaustion, Type D personality, and social support on prognosis in chronic heart failure patients. One hundred eleven patients (mean age 57 ± 14 years) having participated in an exercise based ambulatory cardiac rehabilitation program were enrolled in a prospective cohort study. Psychological baseline data were assessed at program entry. Mortality, readmission, and health-related quality of life were assessed at follow up (mean 2.8 ± 1.1 years). After controlling for disease severity none of the psychological variables were associated with mortality, though severe anxiety predicted readmission [HR = 3.21 (95% CI, 1.04-9.93; P = .042)]. Health-related quality of life was independently explained by vital exhaustion, anxiety and either body mass index (physical dimension) or sex (emotional dimension). As psychological variables have a strong impact on health-related quality of life they should be routinely assessed in chronic heart failure patients` treatment.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM)
04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiology

UniBE Contributor:

Volz, Andreas; Schmid, Jean-Paul; Zwahlen, Marcel; Saner, Hugo and Barth, Jürgen

ISSN:

0160-7715

Publisher:

Springer US; http://www.springer-ny.com

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:09

Last Modified:

24 Oct 2019 08:56

Publisher DOI:

10.1007/s10865-010-9282-8

PubMed ID:

20658185

Web of Science ID:

000286470300003

BORIS DOI:

10.7892/boris.985

URI:

https://boris.unibe.ch/id/eprint/985 (FactScience: 201595)

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