PMID- 11524062
OWN - NLM
STAT- MEDLINE
DCOM- 20010927
LR  - 20190622
IS  - 0002-9149 (Print)
IS  - 0002-9149 (Linking)
VI  - 88
IP  - 5
DP  - 2001 Sep 1
TI  - Prognostic importance of marital quality for survival of congestive heart 
      failure.
PG  - 526-9
AB  - Mounting evidence indicates that social support is associated with better 
      outcomes of cardiovascular disease and reduced all-cause mortality. Much less is 
      known about the specific contribution of marital functioning to these outcomes, 
      and the potential prognostic significance of marital quality for congestive heart 
      failure (CHF) has not been explored. Interview and observational measures of 
      marital quality obtained from 189 patients with CHF (139 men and 50 women) and 
      their spouses were examined as predictors of patient survival up to 48 months 
      after assessment and compared with prediction based on illness severity (New York 
      Heart Association [NYHA] class). Four-year survival rates were 52.5% and 68% for 
      male patients and female patients, respectively. In Cox regression analyses, a 
      composite measure of marital quality predicted 4-year survival as well as the 
      patient's concurrent NYHA class did (both p <0.001). Adjusting for CHF severity 
      did not diminish the prognostic significance of marital functioning, and 
      prediction of survival from marital quality appeared stronger for female than for 
      male patients. Thus, when marital quality and NYHA class are considered jointly, 
      they both make independent, statistically significant contributions to the 
      prediction of patient mortality.
FAU - Coyne, J C
AU  - Coyne JC
AD  - Department of Psychiatry, University of Pennsylvania School of Medicine, 
      Philadelphia, Pennsylvania 19104-4283, USA. jcoyne@mail.med.upenn.edu
FAU - Rohrbaugh, M J
AU  - Rohrbaugh MJ
FAU - Shoham, V
AU  - Shoham V
FAU - Sonnega, J S
AU  - Sonnega JS
FAU - Nicklas, J M
AU  - Nicklas JM
FAU - Cranford, J A
AU  - Cranford JA
LA  - eng
GR  - HL45594-01A1/HL/NHLBI NIH HHS/United States
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, U.S. Gov't, P.H.S.
PL  - United States
TA  - Am J Cardiol
JT  - The American journal of cardiology
JID - 0207277
SB  - IM
MH  - Adult
MH  - Age Distribution
MH  - Aged
MH  - Data Collection
MH  - *Family Relations
MH  - Female
MH  - Heart Failure/diagnosis/*mortality/*psychology
MH  - Humans
MH  - Male
MH  - *Marital Status
MH  - Middle Aged
MH  - Probability
MH  - Prognosis
MH  - Proportional Hazards Models
MH  - Quality of Life
MH  - Sensitivity and Specificity
MH  - Severity of Illness Index
MH  - Sex Distribution
MH  - Social Support
MH  - Surveys and Questionnaires
MH  - Survival Analysis
MH  - Survival Rate
EDAT- 2001/08/29 10:00
MHDA- 2001/09/28 10:01
CRDT- 2001/08/29 10:00
PHST- 2001/08/29 10:00 [pubmed]
PHST- 2001/09/28 10:01 [medline]
PHST- 2001/08/29 10:00 [entrez]
AID - S0002-9149(01)01731-3 [pii]
AID - 10.1016/s0002-9149(01)01731-3 [doi]
PST - ppublish
SO  - Am J Cardiol. 2001 Sep 1;88(5):526-9. doi: 10.1016/s0002-9149(01)01731-3.