Key result
Positive and negative affect correlate with self-care behaviors in HF outpatients, whereas anhedonia does not.
Why the study?
Poor self-care in HF is associated with clinical deterioration and hospitalization, and mood status may influence compliance with self-care behaviors.
Is affective status associated with self-care behaviors in patients with heart failure?
Cross-Sectional (n=372)
No
Is affective status associated with self-care behaviors in patients with heart failure?
Effect estimate: β=0.341 for negative affect; β=0.113 for positive affect
p-value: p=<0.001 for negative affect; 0.046 for positive affect
Positive and negative affective states are significant contributors to self-care behaviors in heart failure patients, highlighting the importance of incorporating psychological assessment into rehabilitation programs.
Affect should not yet guide HF self-care interventions; leaves open prospective confirmation of associations.
Background: Poor self-care in patients with Heart Failure (HF) is directly associated with the patient’s general health getting deteriorated and hospitalized. Objectives: One of the factors influencing compliance with self-care behaviors is mood status. The aim of this study was to determine the relationship between affective status with self-care behaviors in patients with HF. Materials & Methods: In this analytical cross-sectional study, 372 HF outpatients referring to a specialized heart clinic have been included using convenient sampling method. Study tools had 4 parts including demographic and social factors, the European Heart Failure Self-care Behaviors scale, and positive and negative affect scales. The collected data were analyzed using multivariate linear regression model. Results: The multivariate model adjusted for patient’s education, suffering from chronic obstructive pulmonary disease, and heart failure duration showed that positive affects (β=0.113, Standard Error (SE) =0.056, P=0.046) and negative affect (β=0.341, SE=0.053, P<0.001) were significantly related to self-care behaviors, but anhedonia did not have any significant relation with self-care behaviors (β= -0.105, SE=0.097, P=0.280). The separate models accounted for 8 to 11% of the variance in the self-care behaviors. Conclusion: The result of current study indicates that patients’ mood statue including positive and negative affect are significant contributors of self-care behaviors. So, it is recommended that in addition to the patient’s physical condition, the rehabilitation program of the heart failure patients should incorporate their psychological and mental status
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Balasi et al. (2022) conducted a cross-sectional in Heart Failure (n=372). Affective status (positive and negative affect) was evaluated on Self-care behaviors (β=0.341 for negative affect; β=0.113 for positive affect, p=<0.001 for negative affect; 0.046 for positive affect). In heart failure outpatients, positive affect (β=0.113, P=0.046) and negative affect (β=0.341, P<0.001) were significantly related to self-care behaviors, whereas anhedonia was not.
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