ORIGINAL PAPER
Assessing the quality of life and depression among patients with heart failure and heart attack
 
More details
Hide details
1
Department of Psychology, University of Central Lancashire, Preston, UK
2
College for Humanistic Sciences – ICPS, Athens, Greece
3
Department of Nursing, University of West Attica, Athens, Greece
4
National Centre of Public Administration & Local Government, Athens, Greece
5
European Association of Hospital Managers (ΕΑΗΜ), Bertrange, Luxemburg
6
Hellenic Health Services Management Association (HHSMA), Athens, Greece
7
Errikos Ntynan Hospital Center, Athens, Greece
8
General Direction of Health Services, Ministry of Health, Athens, Greece
Submission date: 2020-04-07
Final revision date: 2020-05-10
Acceptance date: 2020-05-10
Online publication date: 2020-06-01
Publication date: 2020-06-01
 
Health Psychology Report 2020;8(3):211–218
 
KEYWORDS
TOPICS
ABSTRACT
Background:
Health-related quality and of life and depression are major issues among patients with heart diseases. The aim of the current study was to assess the levels of quality of life and depression among patients with heart failure and heart attack as well as the correlation between these domains and the differences in both categories.

Participants and procedure:
In this cross-sectional study the following tools were used: a) the Missoula-VITAS Quality of Life Index (MVQoLI-15), which examines 5 domains of quality of life, and b) the Center for Epidemiological Studies Depression Scale (CES-D), which measures depression among patients. Finally, a questionnaire about sociodemographic elements was completed by the patients. Data were analyzed through IBM Statistics SPSS 20.0. The statistical level was set at 0.05%.

Results:
The mean value of CES-D Total and MVQoLI-15 were higher for the patients suffering from heart failure than those suffering from a heart attack. However, the dimensions of MVQoLI-15 Interpersonal Relationships, Well-Being and Transcendence were lower for heart failure patients compared to the levels of the patients suffering from a heart attack. According to the Pearson r test, there was a statistically significant negative correlation be-tween the quality of life and depression (p = .001) in the overall sample.

Conclusions:
Patients with heart failure experience more depression and lower quality of life than heart attack patients.

 
REFERENCES (35)
1.
Alikari, V., Tsironi, M., Matziou, V., Tzavella, F., Stathoulis, J., Babatsikou, F., Fradelos, E., & Zyga, S. (2019). The impact of education on knowledge, adherence and quality of life among patients on haemodialysis. Quality of Life Research, 28, 73–83. https://doi.org/10.1007/s11136....
 
2.
Alpert, C. M., Smith, M. A., Hummel, S. L., & Hummel, E. K. (2017). Symptom burden in heart failure: assessment, impact on outcomes, and management. Heart Failure Reviews, 22, 25–39. https://doi.org/10.1007/s10741....
 
3.
Banik, A., Schwarzer, R., Knoll, N., Czekierda, K., & Luszczynska, A. (2018). Self-efficacy and quality of life among people with cardiovascular diseases: a meta-analysis. Rehabilitation Psychology, 63, 295–312. https://doi.org/10.1037/rep000....
 
4.
Barham, A., Ibraheem, R., & Zyoud, S. H. (2019). Cardiac self-efficacy and quality of life in patients with coronary heart disease: a cross-sectional study from Palestine. BMC Cardiovascular Disorders, 19, article 290. https://doi.org/10.1186/s12872....
 
5.
Brown, R. I. (2000). Quality of life: Challenges and confrontation. In K. D. Keith & R. L. Schalock (Eds.), Cross-cultural perspectives on quality of life (pp. 347–362). Washington, DC: American Association on Mental Re-tardation.
 
6.
Bundgaard, J. S., Thune, J. J., Gislason, G., Fosbøl, E. L., Torp-Pedersen, C., Aagaard, D., … Mogensen, U. M. (2020). Quality of life and the associated risk of all-cause mortality in nonischemic heart failure. International Journal of Cardiology, 305, 92–98. https://doi.org/10.1016/j.ijca....
 
7.
Byock, I. R. (1996). The nature of suffering and the nature of opportunity at the end of life. Clinics in Geriatric Medicine, 12, 237–252.
 
8.
Byock, I. R., & Merriman, M. P. (1998). Measuring quality of life for patients with terminal illness: The Mis-soula-VITAS Quality of Life Index. Palliative Medicine, 12, 231–244. https://doi.org/10.1191/.
 
9.
026921698670234618.
 
10.
DeVon, H. A., Vuckovic, K., Ryan, C. J., Barnason, S., Zerwic, J. J., Pozehl, B., Schulz, P., Seo, Y., & Zimmerman, L. (2017). Systematic review of symptom clusters in cardiovascular disease. European Journal of Cardiovascular Nursing, 16, 6–17. https://doi.org/10.1177/147451....
 
11.
Dunlay, S. M., Manemann, S. M., Chamberlain, A. M., Cheville, A. L., Jiang, R., Weston, S. A., & Roger, V. L. (2015). Activities of daily living and outcomes in heart failure. Circulation Heart Failure, 8, 261–267. https://doi.org/10.1161/CIRCHE....
 
12.
Fountoulakis, K. N., Iacovides, A., Kleanthous, S., Samolis, S., Gougoulias, K., Kaprinis, G. S., & Bech, P. (2003). The Greek translation of the symptoms rating scale for depression and anxiety: preliminary results of the valida-tion study. BMC Psychiatry, 3, article 21. https://doi.org/10.1186/1471-2....
 
13.
Fountoulakis, K., Iacovides, A., Kleanthous, S., Samolis, S., Kaprinis, S. G., Sitzoglou, K., Kaprinis, G. S., & Bech, P. (2001). Reliability, validity and psychometric properties of the Greek translation of the Center for Epidemio-logical Studies-Depression (CES-D) Scale. BMC Psychiatry, 1, article 3. https://doi.org/10.1186/1471-2....
 
14.
Herlitz, J., Wiklund, I., Caidahl, K., Karlson, B. W., Sjöland, H., Hartford, M., Haglid, M., & Karlsson, T. (1999). De-terminants of an impaired quality of life five years after coronary artery bypass surgery. Heart, 81, 342–346. https://doi.org/10.1136/hrt.81....
 
15.
Hiriscau, E. I., & Bodolea, C. (2019). The role of depression and anxiety in frail patients with heart failure. Diseas-es, 7, 45. https://doi.org/10.3390/diseas....
 
16.
Hoekstra, T., Jaarsma, T., van Veldhuisen, D. J., Hillege, H. L., Sanderman, R., & Lesman-Leegte, I. (2013). Quality of life and survival in patients with heart failure. European Journal of Heart Failure, 15, 94–102. https://doi.org/10.1093/eurjhf....
 
17.
Höfer, S., Lim, L., Guyatt, G., & Oldridge, N. (2004). The MacNew Heart Disease health-related quality of life in-strument: a summary. Health and Quality of Life Outcomes, 2, article 3. https://doi.org/10.1186/1477-7....
 
18.
Huffman, J. C., Adams, C. N., & Celano, C. M. (2018). Collaborative care and related interventions in patients with heart disease: an update and new directions. Psychosomatics, 59, 1–18. https://doi.org/10.1016/j.psym....
 
19.
Joekes, K., Van Elderen, T., & Schreurs, K. (2007). Self-efficacy and overprotection are related to quality of life, psychological well-being and self-management in cardiac patients. Journal of Health Psychology, 12, 4–16. https://doi.org/10.1177/135910....
 
20.
Juenger, J., Schellberg, D., Kraemer, S., Haunstetter, A., Zugck, C., Herzog, W., & Haass, M. (2002). Health related quality of life in patients with congestive heart failure: Comparison with other chronic diseases and relation to functional variables. Heart, 87, 235–241. https://doi.org/10.1136/heart.....
 
21.
Kourkouta, L., Papathanasiou, V., Koukourikos, K., Kleisiaris, C., Fradelos, C. E., & Tsaloglidou, A. (2015). Circulato-ry system’s diseases in the elderly. Journal of Pharmacy and Pharmacology, 3, 591–595. https://doi.org/10.17265/2328-....
 
22.
Lefteriotis, C. (2013). Depression in heart failure patients. Health Science Journal, 7, 349–355.
 
23.
Lewis, E. F., Johnson, P. A., Johnson, W., Collins, C., Griffin, L., & Stevenson, L. W. (2001). Preferences for quality of life or survival expressed by patients with heart failure. Journal of Heart & Lung Transplantation, 20, 1016–1024. https://doi.org/10.1016/s1053-....
 
24.
Lukkarinen, H., & Hentinen, M. (1997). Assessment of quality of life with the Nottingham Health Profile among patients with coronary heart disease. Journal of Advanced Nursing, 26, 73–84. https://doi.org/10.1046/j.1365....
 
25.
Mbakwem, A., Aina, F., & Amadi, C. (2016). Depression in patients with heart failure: Is enough being done? Car-diac Failure Review, 2, 110–112. https://doi.org/10.15420/cfr.2....
 
26.
McMurray, J. J., Adamopoulos, S., Anker, S. D., Auricchio, A., Böhm, M., Dickstein, K., … ESC Committee for Prac-tice Guidelines (2012). ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The task force for the diagnosis and treatment of acute and chronic heart failure 2012 of the European Society of Cardiology. European Heart Journal, 33, 1787–1847. https://doi.org/10.1093/eurhea....
 
27.
Moryś, J. M., Bellwon, J., Höfer, S., Rynkiewicz, A., & Gruchała, M. (2016). Quality of life in patients with coronary heart disease after myocardial infarction and with ischemic heart failure. Archives of Medical Science, 12, 326–333. https://doi.org/10.5114/aoms.2....
 
28.
Mougias, A. A., Politis, A., Mougias, M. A., Kotrotsou, I., Skapinakis, P., Damigos, D., & Mavreas, V. G. (2015). The burden of caring for patients with dementia and its predictors. Psychiatriki, 26, 28–37.
 
29.
Powel, L. H., Catellier, D., Freedland, K. E., Burg, M. M., Woods, S. L., Bittner, V., Calvin, J. E., & Blumenthal, J. A. (2005). Depression and heart failure in patients with a new myocardial infarction. American Heart Journal, 149, 851–855. https://doi.org/10.1016/j.ahj.....
 
30.
Radloff, L. S. (1977). The CES-D scale: a self report depression scale for research in the general population. Ap-plied Psychological Measurements, 1, 385–401. https://doi.org/10.1177/014662....
 
31.
Saran, R. K., Puri, A., & Agarwal, M. (2012). Depression and the heart. Indian Heart Journal, 64, 397–401. https://doi.org/10.1016/j.ihj.....
 
32.
Theofilou, P., Aroni, A., Ralli, M., Gouzou, M., & Zyga, S. (2013). Measuring health: Related quality of life in he-modialysis patients. Psychometric properties of the Missoula-VITAS Quality of Life Index (MVQoLI-15) in Greece. Health Psychology Research, 1, e17. https://doi.org/10.4081/hpr.20....
 
33.
Theofilou, P., Kapslis, F., & Panagiotaki, H. (2012). Greek version of MVQoLI-15: Translation and cultural adapta-tion. International Journal of Caring Sciences, 5, 289–294.
 
34.
Unsar, S., Sut, N., & Durna, Z. (2007). Health-related quality of life in patients with coronary artery disease. Jour-nal of Cardiovascular Nursing, 22, 501–507. https://doi.org/10.1097/01.JCN....
 
35.
Zyga, S., Alikari, V., Sachlas, A., Stathoulis, J., Aroni, A., Theofilou, P., & Panoutsopoulos, G. (2015). Management of pain and quality of life in patients with chronic kidney disease undergoing hemodialysis. Pain Management Nursing, 16, 712–720. https://doi.org/10.1016/j.pmn.....
 
eISSN:2353-5571
ISSN:2353-4184