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Quality of Life Research
Gepubliceerd in:

31-05-2016

Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy

Auteurs: Maria Daniela Giammanco, Lara Gitto

Gepubliceerd in: Quality of Life Research | Uitgave 11/2016

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Abstract

Objectives

Being hospitalized often causes psychological distress and compromises patients’ psychological well-being, thereby augmenting the burden of illness. The aim of this paper is to investigate two possible determinants of anxiety and depression among hospitalized cardiac patients, namely uncertainty in illness, and coping strategies, controlling for the perceived health-related quality of life, and distinguishing between borderline and pathological levels of anxiety and depression.

Methods

Data on anxiety, depression, coping style, uncertainty in illness and self-assessed quality of life concerning 200 cardiac inpatients from a university hospital were collected through validated questionnaires. A biprobit analysis, whose dependent variables are hospital anxiety and depression, was carried out.

Results

Uncertainty in illness has a significant impact on the possibility of crossing the borderline level of both anxiety and depression. The coping strategy of Positive Reappraisal and Growth is inversely and significantly correlated to anxiety and depression, be it borderline or pathological; the Restraint Coping strategy is positively and significantly related to borderline anxiety.

Conclusions

The reduction of uncertainty in illness and the development of adequate coping strategies should be promoted in order to decrease the patients’ risk of crossing the borderline threshold of anxiety and depression.
vorige artikel Factors associated with quality of life of caregivers of Mexican cancer patients
volgende artikel Main predictors in health-related quality of life in Chinese patients with type 2 diabetes mellitus
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Voetnoten
1
The strongest effect on the probability of reporting both anxiety and depression (or neither of them) might appear to result from the variable EQ-5D. However, this is due to the fact that the EQ-5D has a numerically small range from −0.06 to 1 while other variables, such as health uncertainty (MUIS), have, by definition, a much larger range.
 
2
The marginal effects show the impact of the unit change of each covariate on the probability of reporting the outcome considered: for example, a unit change in the MUIS score (i.e. in the uncertainty measured with the MUIS scale) determines a higher probability of reporting both anxiety and depression (+1.3 in percentage terms). A unit change in the score for COPE positive interpretation item leads to a decrease in the probability of reporting anxiety and depression (−2.8 %).
 
3
These are: the probability of experiencing anxiety and depression, only anxiety, only depression, no anxiety and no depression.
 
Literatuur
1.
Moussavi, S., Chatterji, S., Verdes, E., Tandon, A., Patel, V., & Ustun, B. (2007). Depression, chronic diseases, and decrements in health: results from the World Health Surveys. The Lancet, 370(9590), 851–858.CrossRef
2.
Miceli, M., & Castelfranchi, C. (2005). Anxiety as an “epistemic” emotion: An uncertainty theory of anxiety. Anxiety, Stress, and Coping, 18(4), 291–319.CrossRef
3.
Katon, W., Lin, E. H., & Kroenke, K. (2007). The association of depression and anxiety with medical symptom burden in patients with chronic medical illness. General Hospital Psychiatry, 29(2), 147–155.PubMedCrossRef
4.
Scott, K. M., Hwang, I., Chiu, W. T., Kessler, R. C., Sampson, N. A., Angermeyer, M., et al. (2010). Chronic physical conditions and their association with first onset of suicidal behavior in the world mental health surveys. Psychosomatic Medicine, 72(7), 712–719.PubMedCrossRef
5.
de Voogd, J. N., Sanderman, R., Postema, K., van Sonderen, E., & Wempe, J. B. (2011). Relationship between anxiety and dyspnea on exertion in patients with chronic obstructive pulmonary disease. Anxiety, Stress & Coping, 24(4), 439–449.CrossRef
6.
McInnis, O. A., Matheson, K., & Anisman, H. (2014). Living with the unexplained: coping, distress, and depression among women with chronic fatigue syndrome and/or fibromyalgia compared to an autoimmune disorder. Anxiety, Stress, & Coping, 27(6), 601–618.CrossRef
7.
Barefoot, J. C., & Schroll, M. (1996). Symptoms of depression, acute myocardial infarction, and total mortality in a community sample. Circulation, 93(11), 1976–1980.PubMedCrossRef
8.
Rosengren, A., Hawken, S., Ôunpuu, S., Sliwa, K., Zubaid, M., Almahmeed, W. A., & INTERHEART investigators. (2004). Association of psychosocial risk factors with risk of acute myocardial infarction in 11,119 cases and 13,648 controls from 52 countries (the INTERHEART study): case-control study. The Lancet, 364(9438), 953–962.CrossRef
9.
Januzzi, J. L., Stern, T. A., Pasternak, R. C., & De Sanctis, R. W. (2000). The influence of anxiety and depression on outcomes of patients with coronary artery disease. Archives of Internal Medicine, 160(13), 1913–1921.PubMedCrossRef
10.
Scherer, M., Himmel, W., Stanske, B., Scherer, F., Koschack, J., Kochen, M. M., & Herrmann-Lingen, C. (2007). Psychological distress in primary care patients with heart failure: A longitudinal study. British Journal of General Practice, 57(543), 801–807.PubMedPubMedCentral
11.
Yohannes, A. M., Willgoss, T. G., Baldwin, R. C., & Connolly, M. J. (2010). Depression and anxiety in chronic heart failure and chronic obstructive pulmonary disease: prevalence, relevance, clinical implications and management principles. International Journal of Geriatric Psychiatry, 25(12), 1209–1221.PubMedCrossRef
12.
Mayou, R. A., Gill, D., Thompson, D. R., Day, A., Hicks, N., Volmink, J., & Neil, A. (2000). Depression and anxiety as predictors of outcome after myocardial infarction. Psychosomatic Medicine, 62(2), 212–219.PubMedCrossRef
13.
Frasure-Smith, N., Lespérance, F., & Talajic, M. (1995). Depression and 18-month prognosis after myocardial infarction. Circulation, 91(4), 999–1005.PubMedCrossRef
14.
Frasure-Smith, N., & Lesperance, F. (2008). Depression and anxiety as predictors of 2-year cardiac events in patients with stable coronary artery disease. Archives of General Psychiatry, 65(1), 62–71.PubMedCrossRef
15.
Carney, R. M., Saunders, R. D., Freedland, K. E., Stein, P., Rich, M. W., & Jaffe, A. S. (1995). Association of depression witk reduced heart rate variability in coronary artery disease. The American Journal of Cardiology, 76(8), 562–564.PubMedCrossRef
16.
Grewal, K., Gravely-Witte, S., Stewart, D. E., & Grace, S. L. (2011). A simultaneous test of the relationship between identified psychosocial risk factors and recurrent events in coronary artery disease patients. Anxiety, Stress & Coping, 24(4), 463–475.CrossRef
17.
Nekouei, Z. K., Yousefy, A., Doost, H. T. N., Manshaee, G., & Sadeghei, M. (2014). Structural Model of psychological risk and protective factors affecting on quality of life in patients with coronary heart disease: A psychocardiology model. Journal of Research in Medical Sciences: The Official Journal of Isfahan University of Medical Sciences, 19(2), 90.
18.
McCabe, P. J. (2010). Psychological distress in patients diagnosed with atrial fibrillation: the state of the science. Journal of Cardiovascular Nursing, 25(1), 40–51.PubMedCrossRef
19.
Ekici, B., Ercan, E. A., Cehreli, S., & Töre, H. F. (2013). The effect of emotional status and health-related quality of life on the severity of coronary artery disease. Kardiologia Polska, 72(7), 617–623.
20.
Kop, W. J. (1997). Acute and chronic psychological risk factors for coronary syndromes: Moderating effects of coronary artery disease severity. Journal of Psychosomatic Research, 43(2), 167–181.PubMedCrossRef
21.
Kop, W. J. (1999). Chronic and acute psychological risk factors for clinical manifestations of coronary artery disease. Psychosomatic Medicine, 61(4), 476–487.PubMedCrossRef
22.
Koenig, H. G. (2006). Differences between depressed patients with heart failure and those with pulmonary disease. The American Journal of Geriatric Psychiatry, 14(3), 211–219.PubMedCrossRef
23.
Haworth, J. E., Moniz-Cook, E., Clark, A. L., Wang, M., Waddington, R., & Cleland, J. G. F. (2005). Prevalence and predictors of anxiety and depression in a sample of chronic heart failure patients with left ventricular systolic dysfunction. European Journal of Heart Failure, 7(5), 803–808.PubMedCrossRef
24.
Fielding, R. (1991). Depression and acute myocardial infarction: A review and reinterpretation. Social Science and Medicine, 32(9), 1017–1027.PubMedCrossRef
25.
Taylor-Clift, A., Hobfoll, S. E., Gerhart, J. I., Richardson, D., Calvin, J. E., & Powell, L. H. (2015). Posttraumatic stress and depression: Potential pathways to disease burden among heart failure patients. Anxiety, Stress, & Coping, (ahead-of-print), 1–14.
26.
27.
Winters, C. A. (1999). Heart failure: Living with uncertainty. Progress in Cardiovascular Nursing, 14(3), 85.PubMed
28.
Lazarus, R. S., & Folkman, S. (1984). Stress appraisal and coping. New York: Springer.
29.
Hilton, B. A. (1989). The relationship of uncertainty, control, commitment, and threat of recurrence to coping strategies used by women diagnosed with breast cancer. Journal of Behavioral Medicine, 12(1), 39–54.PubMedCrossRef
30.
Christman, N. J., McConnell, E. A., Pfeiffer, C., Webster, K. K., Schmitt, M., & Ries, J. (1988). Uncertainty, coping, and distress following myocardial infarction: Transition from hospital to home. Research in Nursing & Health, 11(2), 71–82.CrossRef
31.
Christman, N. J. (1990). Uncertainty and adjustment during radiotherapy. Nursing Research, 39(1), 17–20.PubMedCrossRef
32.
Mishel, M. H., & Sorenson, D. S. (1991). Uncertainty in gynecological cancer: A test of the mediating functions of mastery and coping. Nursing Research, 40(3), 167–171.PubMedCrossRef
33.
Pérez-García, A. M., Oliván, S., & Bover, R. (2014). Subjective well-being in heart failure patients: Influence of coping and depressive symptoms. International Journal of Behavioral Medicine, 21(2), 258–265.PubMedCrossRef
34.
Holahan, C. J., Moos, R. H., Holahan, C. K., & Brennan, P. L. (1995). Social support, coping, and depressive symptoms in a late-middle-aged sample of patients reporting cardiac illness. Health Psychology, 14(2), 152.PubMedCrossRef
35.
Kang, Y. (2006). Effect of uncertainty on depression in patients with newly diagnosed atrial fibrillation. Progress in Cardiovascular Nursing, 21(2), 83–88.PubMedCrossRef
36.
Del Rosso, A., Mikhaylova, S., Baccini, M., Lupi, I., Matucci Cerinic, M., & Maddali Bongi, S. (2013). In systemic sclerosis, anxiety and depression assessed by hospital anxiety depression scale are independently associated with disability and psychological factors. BioMed Research International. doi:10.​1155/​2013/​507493 PubMedPubMedCentral
37.
Mullins, L. L., Chaney, J. M., Balderson, B., & Hommel, K. A. (2000). The relationship of illness uncertainty, illness intrusiveness, and asthma severity to depression in young adults with long-standing asthma. International Journal of Rehabilitation and Health, 5(3), 177–186.CrossRef
38.
Lynch, S. G., Kroencke, D. C., & Denney, D. R. (2001). The relationship between disability and depression in multiple sclerosis: The role of uncertainty, coping, and hope. Multiple Sclerosis, 7(6), 411–416.PubMedCrossRef
39.
Jiang, X., & He, G. (2012). Effects of an uncertainty management intervention on uncertainty, anxiety, depression, and quality of life of chronic obstructive pulmonary disease outpatients. Research in Nursing & Health, 35(4), 409–418.CrossRef
40.
Mykletun, A., Stordal, E., & Dahl, A. A. (2001). Hospital Anxiety and Depression (HAD) scale: Factor structure, item analyses and internal consistency in a large population. The British Journal of Psychiatry, 179(6), 540–544.PubMedCrossRef
41.
Herrmann, C. (1997). International experiences with the Hospital Anxiety and Depression Scale-a review of validation data and clinical results. Journal of Psychosomatic Research, 42(1), 17–41.PubMedCrossRef
42.
Bjelland, I., Dahl, A. A., Haug, T. T., & Neckelmann, D. (2002). The validity of the Hospital Anxiety and Depression Scale: An updated literature review. Journal of Psychosomatic Research, 52(2), 69–77.PubMedCrossRef
43.
Costantini, M., Musso, M., Viterbori, P., Bonci, F., Del Mastro, L., Garrone, o, et al. (1999). Detecting psychological distress in cancer patients: Validity of the Italian version of the Hospital Anxiety and Depression Scale. Supportive Care in Cancer, 7(3), 121–127.PubMedCrossRef
44.
Vedana, L., Baiardi, P., Sommaruga, M., Galli, M., Neri, M., Pedretti, R. F., et al. (2002). Clinical validation of an anxiety and depression screening test for intensive in-hospital rehabilitation. Monaldi Archives Chest Disease, 58(2), 101–106.
45.
Iani, L., Lauriola, M., & Costantini, M. (2014). A confirmatory bifactor analysis of the hospital anxiety and depression scale in an Italian community sample. Health and Quality of Life Outcomes, 12(1), 1–8.CrossRef
46.
Bass, C., Chambers, J. B., Kiff, P. J., Cooper, D., & Gardner, W. N. (1988). Panic anxiety and hyperventilation in patients with chest pain: A controlled study. Quarterly Journal of Medicine, 69(3), 949–959.PubMed
47.
Goodacre, S., & Nicholl, J. (2004). A randomised controlled trial to measure the effect of chest pain unit care upon anxiety, depression, and health-related quality of life [ISRCTN85078221]. Health and Quality of Life Outcomes, 2(1), 39.PubMedPubMedCentralCrossRef
48.
Bambauer, K. Z., Locke, S. E., Aupont, O., Mullan, M. G., & McLaughlin, T. J. (2005). Using the Hospital Anxiety and Depression Scale to screen for depression in cardiac patients. General Hospital Psychiatry, 27(4), 275–284.PubMedCrossRef
49.
Kuijpers, P. M., Denollet, J., Wellens, H. J., Crijns, H. M., & Honig, A. (2007). Noncardiac chest pain in the emergency department: the role of cardiac history, anxiety or depression and Type D personality. European Journal of Cardiovascular Prevention & Rehabilitation, 14(2), 273–279.CrossRef
50.
Bauer, L. K., Caro, M. A., Beach, S. R., Mastromauro, C. A., Lenihan, E., Januzzi, J. L., & Huffman, J. C. (2012). Effects of depression and anxiety improvement on adherence to medication and health behaviors in recently hospitalized cardiac patients. The American Journal of Cardiology, 109(9), 1266–1271.PubMedCrossRef
51.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scand., 67(6), 361–370.CrossRef
52.
Hopwood, P., Howell, A., & Maguire, P. (1991). Screening for psychiatric morbidity in patients with advanced breast cancer: Validation of two self-report questionnaires. British Journal of Cancer, 64(2), 353.PubMedPubMedCentralCrossRef
53.
Le Fevre, P., Devereux, J., Smith, S., Lawrie, S. M., & Cornbleet, M. (1999). Screening for psychiatric illness in the palliative care inpatient setting: A comparison between the Hospital Anxiety and Depression Scale and the General Health Questionnaire-12. Palliative Medicine, 13(5), 399–407.PubMedCrossRef
54.
Dowson, C., Laing, R., Barraclough, R., Town, I., Mulder, R., Norris, K., & Drennan, C. (2001). The use of the Hospital Anxiety and Depression Scale (HADS) in patients with chronic obstructive pulmonary disease: A pilot study. The New Zealand Medical Journal, 114(1141), 447–449.PubMed
55.
Carver, C. S., Scheier, M. F., & Weintraub, J. K. (1989). Assessing coping strategies: A theoretically based approach. Journal of Personality and Social Psychology, 56(2), 267.PubMedCrossRef
56.
Scheier, M. F., Matthews, K. A., Owens, J. F., Magovern, G. J., Lefebvre, R. C., Abbott, R. A., & Carver, C. S. (1989). Dispositional optimism and recovery from coronary artery bypass surgery: The beneficial effects on physical and psychological well-being. Journal of Personality and Social Psychology, 57(6), 1024.PubMedCrossRef
57.
Ben-Zur, H., Rappaport, B., Ammar, R., & Uretzky, G. (2000). Coping strategies, life style changes, and pessimism after open-heart surgery. Health & Social Work, 25(3), 201–209.CrossRef
58.
Whitmarsh, A., Koutantji, M., & Sidell, K. (2003). Illness perceptions, mood and coping in predicting attendance at cardiac rehabilitation. British Journal of Health Psychology, 8(2), 209–221.PubMedCrossRef
59.
Sica, C., Novara, C., Dorz, S., & Sanavio, E. (1997). Coping strategies: Evidence for cross-cultural differences? A preliminary study with the Italian version of coping orientations to problems experienced (COPE). Personality and Individual Differences, 23(6), 1025–1029.CrossRef
60.
Sica, C., Magni, C., Ghisi, M., Altoè, G., Sighinolfi, C., Chiri, L. R., & Franceschini, S. (2008). Coping Orientation to Problems Experienced-Nuova Versione Italiana (COPE-NVI): Uno strumento per la misura degli stili di coping. Psicoterapia Cognitiva e Comportamentale, 14(1), 27.
61.
Giammanco, M. D., Gitto, L., Barberis, N., & Santoro, D. (2015). Adaptation of the Mishel Uncertainty of Illness Scale (MUIS) for chronic patients in Italy. Journal of Evaluation in Clinical Practice, 21(4), 649–655.PubMedCrossRef
62.
Mishel, M. H. (1981). The measurement of uncertainty in illness. Nursing Research, 30(5), 258–263.PubMedCrossRef
63.
Mishel, M. H. (1997). Uncertainty in illness scales manual. Unpublished manual. Chapel Hill, NC: University of North Carolina.
64.
Staples, P., & Jeffrey, J. (1996). Quality of life, hope, and uncertainty of cardiac patients and their spouses before coronary artery bypass surgery. Canadian Journal of Cardiovascular = Journal canadien en soins infirmiers cardio-vasculaires, 8(1), 7–16.
65.
Carroll, S. L., & Arthur, H. M. (2010). A comparative study of uncertainty, optimism and anxiety in patients receiving their first implantable defibrillator for primary or secondary prevention of sudden cardiac death. International Journal of Nursing Studies, 47(7), 836–845.PubMedCrossRef
66.
67.
Parkin, D., Rice, N., Jacoby, A., & Doughty, J. (2004). Use of a visual analogue scale in a daily patient diary: Modelling cross-sectional time-series data on health-related quality of life. Social Science and Medicine, 59(2), 351–360.PubMedCrossRef
68.
Heckman, J. (1978). Dummy endogenous variables in a simultaneous equation system. Econometrica, 46(4), 931–959.CrossRef
69.
Maddala, G. S. (1986). Limited-dependent and qualitative variables in econometrics (No. 3). Cambridge: Cambridge University Press.
70.
Gitto, L., Santoro, D., & Sobbrio, G. (2006). Choice of dialysis treatment and type of medical unit (private vs public): Application of a recursive bivariate probit. Health Economics, 15(11), 1251–1256.PubMedCrossRef
71.
72.
StataCorp. (2007). Stata statistical software: Release 10. College Station, TX: StataCorp LP.
73.
Hardin, J. W. (1996). Bivariate probit models. Stata Technical Bulletin 33, 15–20. Reprinted in Stata Technical Bulletin Reprints, vol. 6, pp. 152–158. College Station, TX: Stata Press.
74.
Jorm, A. F. (2000). Does old age reduce the risk of anxiety and depression? A review of epidemiological studies across the adult life span. Psychological Medicine, 30(01), 11–22.PubMedCrossRef
75.
Groot, W. (2000). Adaptation and scale of reference bias in self-assessments of quality of life. Journal of Health Economics, 19(3), 403–420.PubMedCrossRef
76.
Menzel, P., Dolan, P., Richardson, J., & Olsen, J. A. (2002). The role of adaptation to disability and disease in health state valuation: a preliminary normative analysis. Social Science and Medicine, 55(12), 2149–2158.PubMedCrossRef
77.
Tyrer, P., Cooper, S., Salkovskis, P., Tyrer, H., Crawford, M., Byford, S., et al. (2014). Clinical and cost-effectiveness of cognitive behaviour therapy for health anxiety in medical patients: a multicentre randomised controlled trial. The Lancet, 383(9913), 219–225.CrossRef
78.
Van der Zee, K. I., Huet, R. G., Cazemier, C., & Evers, K. (2002). The influence of the premedication consult and preparatory information about anesthesia on anxiety among patients undergoing cardiac surgery. Anxiety, Stress & Coping, 15(2), 123–133.CrossRef
79.
80.
Thorne, B., & Lambers, E. (1999). Person-centred therapy. A European perspective. Thousand Oaks: Sage Publications.
81.
Ekman, I., Swedberg, K., Taft, C., Lindseth, A., Norberg, A., Brink, E., et al. (2011). Person-centered care—Ready for prime time. European Journal of Cardiovascular Nursing, 10(4), 248–251.PubMedCrossRef
Metagegevens
Titel
Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy
Auteurs
Maria Daniela Giammanco
Lara Gitto
Publicatiedatum
31-05-2016
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 11/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1323-5

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