Key result
Higher functional capacity, social support, dispositional optimism, self-care confidence, and health literacy were independently associated with lower depressive symptom scores in heart failure patients.
Why the study?
Depressive symptoms are common in HF and may exacerbate disease progression, making the identification of associated factors essential to develop effective interventions.
Cross-Sectional (n=321)
No
Impaired functional capacity, low social support, low dispositional optimism, low self-care confidence, and low health literacy are independently associated with more severe depressive symptoms in patients with heart failure.
Identifies correlates of depressive symptoms in HF; leaves open whether targeting them improves outcomes.
Objectives Depressive symptoms are common in heart failure (HF) patients and they may exacerbate the progression of HF. Thus, identifying associations with depressive symptoms is essential to develop effective interventions to alleviate patients’ depressive symptoms. Therefore, this study aimed to explore the factors related to HF patients’ depressive symptoms. Methods Potential hospitalized patients were recruited from a university-affiliated hospital by convenience sampling. This study included 321 HF patients who had completed information about depressive symptoms, functional capacity, social support, dispositional optimism, self-care confidence, and health literacy. Descriptive statistics were used to characterize the sample. Independent group t -tests and one-way analysis of variance were used to assess the difference in depressive symptoms score in demographic and clinical characteristics, while Pearson's correlation was used to assess the associations among continuous variables. Results The scores for functional capacity, social support, dispositional optimism, self-care confidence, and health literacy were negatively associated with the score for depressive symptoms. The interaction effect between the functional capacity and the dispositional optimism on depressive symptoms was significant. Conclusions Interventions targeted improving the above-mentioned factors may be beneficial to reduce depressive symptoms in HF patients.
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He et al. (2021) conducted a cross-sectional in Heart failure (n=321). Psychosocial and functional factors (functional capacity, social support, dispositional optimism, self-care confidence, health literacy) was evaluated on Depressive symptoms (HADS-D score). Higher functional capacity, social support, dispositional optimism, self-care confidence, and health literacy were independently associated with lower depressive symptom scores in heart failure patients.
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