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Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers: Testing dyadic dynamics using the Actor-Partner Interdependence Model


Autoři: Patricia Thomson aff001;  Kate Howie aff002;  Stephen J. Leslie aff003;  Neil J. Angus aff004;  Federico Andreis aff001;  Robert Thomson aff005;  Andrea R. M. Mohan aff001;  Catherine Mondoa aff006;  Misook L. Chung aff007
Působiště autorů: Faculty of Health Sciences and Sport, University of Stirling, Stirling, United Kingdom aff001;  Faculty of Natural Sciences, University of Stirling, Stirling, United Kingdom aff002;  Cardiac Unit, Raigmore Hospital, NHS Highland, Inverness, Scotland, United Kingdom aff003;  Centre for Health Science, School of Health, Social Care and Life Sciences, University of the Highlands and Islands, Inverness, Scotland, United Kingdom aff004;  College of Medicine, Dentistry & Nursing, University of Glasgow, Glasgow, Scotland, United Kingdom aff005;  Cardiology Unit, Forth Valley Royal Hospital, NHS Forth Valley, Larbert, Scotland, United Kingdom aff006;  College of Nursing, University of Kentucky, Lexington, KY, United States of America aff007
Vyšlo v časopise: PLoS ONE 15(1)
Kategorie: Research Article
doi: https://doi.org/10.1371/journal.pone.0227129

Souhrn

Purpose

1) To compare levels of emotional symptoms and health-related quality of life between patients with heart failure and their family caregivers; and 2) to examine whether patients’ and caregivers’ emotional symptoms were associated with their own, as well as their partner’s health-related quality of life.

Method

In this cross-sectional study, 41 patients-caregiver dyads (78% male patients, aged 68.6 years; and 83% female caregivers, aged 65.8 years) completed all nine dimensions of the Brief Symptom Inventory and the Minnesota Living with Heart failure Questionnaire. Dyadic data were analysed for 6 sub-scales of the Brief Symptom Inventory, using the Actor–Partner Interdependence Model.

Results

There were no statistically significant differences in emotional symptoms and health-related quality of life between patients with heart failure and their caregivers. Patients’ and caregivers’ emotional symptoms were associated with their own health-related quality of life. Caregivers’ anxiety, phobic anxiety, obsession-compulsion, depression and hostility negatively influenced their partner’s (i.e. the patient’s) health-related quality of life. There were no partner effects of patients’ emotional symptoms on the health-related quality of life of caregivers.

Conclusions

The results of this study suggest that patients may be particularly vulnerable to the emotional distress, i.e. thoughts, impulses and actions of their caregivers. It may be possible to improve patients’ health-related quality of life by targeting specific detrimental emotional symptoms of caregivers.

Klíčová slova:

Anxiety – Depression – Emotions – Health informatics – Heart failure – Mental health and psychiatry – Patients – Quality of life


Zdroje

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