Journal
HEART & LUNG
Volume 40, Issue 2, Pages 111-121Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.hrtlng.2009.12.008
Keywords
Illness beliefs; Depression; Anxiety; Quality of life; Heart failure
Funding
- Royal Brompton and Harefield National Health Service Trust
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BACKGROUND: Mood is an independent predictor of mortality and quality of life (QoL) for people with heart failure. However, the underlying belief systems involved in mood are unknown. OBJECTIVE: We sought to identify psychological and clinical variables predicting mood and QoL for people diagnosed with heart failure (HF). METHODS: One hundred and forty-six HF patients were assessed with standardized measures, to determine their beliefs about HF, coping styles, mood, and QoL. RESULTS: Patients with more negative beliefs about the consequences of HF and with less perceived control over symptoms showed maladaptive coping styles such as denial and behavioral disengagement, and more severe levels of depression and anxiety. Depression also independently predicted QoL outcomes. CONCLUSIONS: Anxious and depressed patients have more negative beliefs about HF, leading to negative coping behaviors and poor QoL. Our evidence suggests that changing negative beliefs may improve the psychological well-being and QoL of patients, irrespective of disease severity. Cite this article: Hallas, C. N., Wray, J., Andreou, P., & Banner, N. R. (2011, MARCH/APRIL). Depression and perceptions about heart failure predict quality of life in patients with advanced heart failure. Heart & Lung, 40(2), 111-121. doi:10.1016/j.hrtlng.2009.12.008.
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