Predicting depressive symptoms and self-care in patients with heart failure

Am J Health Behav. 2015 Jan;39(1):77-87. doi: 10.5993/AJHB.39.1.9.

Abstract

Objective: To examine relationships among heart failure (HF) physical symptoms, social support, social problem-solving, depressive symptoms, and self-care behaviors in outpatients with HF.

Methods: Cross-sectional data were collected from 201 outpatients. Structural equation modeling was used in this preliminary analysis to examine the relationships among the study variables.

Results: HF physical symptoms and social support were predictors of depressive symptoms and self-care behaviors. Social problem-solving also predicted self-care behaviors. Social support mediated the relationship between HF physical symptoms and depressive symptoms.

Conclusions: Social support may influence depressive symptoms and self-care behaviors, whereas social problem-solving may impact self-care behaviors. Future research should examine causality and sub-components of social problem-solving on these outcome variables.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Depression / complications
  • Depression / psychology*
  • Female
  • Heart Failure / complications
  • Heart Failure / diagnosis
  • Heart Failure / psychology*
  • Humans
  • Male
  • Middle Aged
  • Outpatients / psychology
  • Problem Solving
  • Self Care / psychology*
  • Social Support