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Gepubliceerd in: Journal of Behavioral Medicine 1/2011

01-02-2011

Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects

Auteurs: Andreas Volz, Jean-Paul Schmid, Marcel Zwahlen, Sonja Kohls, Hugo Saner, Jürgen Barth

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 1/2011

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Abstract

Psychological distress is common in patients with chronic heart failure. The impact of different psychological variables on prognosis has been shown but the comparative effects of these variables remain unclear. This study examines the impact of depression, anxiety, vital exhaustion, Type D personality, and social support on prognosis in chronic heart failure patients. One hundred eleven patients (mean age 57 ± 14 years) having participated in an exercise based ambulatory cardiac rehabilitation program were enrolled in a prospective cohort study. Psychological baseline data were assessed at program entry. Mortality, readmission, and health-related quality of life were assessed at follow up (mean 2.8 ± 1.1 years). After controlling for disease severity none of the psychological variables were associated with mortality, though severe anxiety predicted readmission [HR = 3.21 (95% CI, 1.04–9.93; P = .042)]. Health-related quality of life was independently explained by vital exhaustion, anxiety and either body mass index (physical dimension) or sex (emotional dimension). As psychological variables have a strong impact on health-related quality of life they should be routinely assessed in chronic heart failure patients` treatment.
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Metagegevens
Titel
Predictors of readmission and health related quality of life in patients with chronic heart failure: a comparison of different psychosocial aspects
Auteurs
Andreas Volz
Jean-Paul Schmid
Marcel Zwahlen
Sonja Kohls
Hugo Saner
Jürgen Barth
Publicatiedatum
01-02-2011
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 1/2011
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-010-9282-8

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