PMID- 28718661
OWN - NLM
STAT- MEDLINE
DCOM- 20190403
LR  - 20220409
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Linking)
VI  - 17
IP  - 2
DP  - 2018 Feb
TI  - Anxiety and self-care behaviour in patients with chronic systolic heart failure: 
      A multivariate model.
PG  - 170-177
LID - 10.1177/1474515117722255 [doi]
AB  - BACKGROUND: While comprehensive evidence exists regarding negative effects of 
      depression on self-care behaviours in patients with chronic heart failure (CHF), 
      the relation between anxiety and self-care behaviours in patients with CHF is not 
      clear. The aim of this study was to analyse the interactions between anxiety, 
      depression and self-care behaviours in patients with CHF. METHODS: The self-care 
      behaviour of CHF outpatients was measured using the European Heart Failure 
      Self-care Behaviour Scale (EHFScBS). The Patient Health Questionnaire (PHQ) was 
      used to assess anxiety, the PHQ-9 was used to measure depression severity. 
      Differences between patients with and without anxiety were assessed with the 
      respective tests. Associations between anxiety, self-care and other predictors 
      were analysed using linear regressions. RESULTS: Of the 308 participating 
      patients, 35 (11.4%) fulfilled the PHQ criteria for an anxiety disorder. These 
      patients took antidepressants more frequently (11.8% versus 2.3%, p = .02), had 
      had more contacts with their general practitioner within the last year (11.8 +/- 
      16.1 versus 6.7 +/- 8.6, p = .02), and had a higher PHQ-9 depression score (12.9 +/- 
      5.7 versus 6.5 +/- 4.7, p < .01) than patients without anxiety disorder. Anxiety 
      and self-care were negatively associated (ss = -0.144, r(2) = 0.021, p = 0.015). 
      The explanation of variance was augmented in a multivariate regression with the 
      predictors age, sex, education, living with a partner, and New York Heart 
      Association (NYHA) class ( r(2) = 0.098) when anxiety was added ( r(2) = 0.112). 
      Depression further increased the explanation of variance (ss = -0.161, r(2) = 
      0.131, p = 0.019). CONCLUSIONS: Anxiety is negatively associated with self-care 
      behaviour in patients with CHF. However, this effect disappears behind the 
      stronger influence of depression on self-care. The consideration of mental 
      comorbidities in patients with CHF is important.
FAU - Muller-Tasch, Thomas
AU  - Muller-Tasch T
AD  - 1 Department of Psychosomatic Medicine and Psychotherapy, Klinikum am Weissenhof, 
      Germany.
AD  - 2 Department of General Internal Medicine and Psychosomatics, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Lowe, Bernd
AU  - Lowe B
AD  - 3 Department of Psychosomatic Medicine and Psychotherapy, University Medical 
      Centre Hamburg-Eppendorf, Hamburg, Germany.
AD  - 4 Schon Clinic Hamburg-Eilbek, Hamburg, Germany.
FAU - Lossnitzer, Nicole
AU  - Lossnitzer N
AD  - 2 Department of General Internal Medicine and Psychosomatics, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Frankenstein, Lutz
AU  - Frankenstein L
AD  - 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
FAU - Tager, Tobias
AU  - Tager T
AD  - 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
FAU - Haass, Markus
AU  - Haass M
AD  - 6 Department of Cardiology, Theresien Hospital Mannheim, Mannheim, Germany.
FAU - Katus, Hugo
AU  - Katus H
AD  - 5 Department of Cardiology, University of Heidelberg, Heidelberg, Germany.
FAU - Schultz, Jobst-Hendrik
AU  - Schultz JH
AD  - 2 Department of General Internal Medicine and Psychosomatics, University of 
      Heidelberg, Heidelberg, Germany.
FAU - Herzog, Wolfgang
AU  - Herzog W
AD  - 2 Department of General Internal Medicine and Psychosomatics, University of 
      Heidelberg, Heidelberg, Germany.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20170718
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Adult
MH  - Aged
MH  - Anxiety Disorders/complications/*psychology
MH  - Chronic Disease
MH  - Comorbidity
MH  - Depressive Disorder/complications/*psychology
MH  - Female
MH  - *Health Behavior
MH  - Heart Failure, Systolic/*psychology/*therapy
MH  - Humans
MH  - Linear Models
MH  - Male
MH  - Middle Aged
MH  - *Self Care
OTO - NOTNLM
OT  - Chronic heart failure
OT  - anxiety disorders
OT  - depressive disorders
OT  - self-care behaviour
EDAT- 2017/07/19 06:00
MHDA- 2019/04/04 06:00
CRDT- 2017/07/19 06:00
PHST- 2017/07/19 06:00 [pubmed]
PHST- 2019/04/04 06:00 [medline]
PHST- 2017/07/19 06:00 [entrez]
AID - 10.1177/1474515117722255 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2018 Feb;17(2):170-177. doi: 10.1177/1474515117722255. 
      Epub 2017 Jul 18.