Background
Although chronic heart failure (CHF) is often complicated by comorbid depression and
poor self-care, little is known about their specific association in patients with
CHF.
Objective
To investigate self-care behavior among patients with CHF with different degrees of
depression severity.
Methods
A total of 287 patients with documented CHF, New York Heart Association functional
class II to IV, completed the European Heart Failure Self-Care Behavior Scale. The
Structured Clinical Interview for DSM (SCID) IV served as the criterion standard for
the presence of a depressive disorder.
Results
Analyses of covariance and linear regression analyses revealed that patients with
CHF with minor depression reported significantly lower levels of self-care than patients
with major depression (P = .003) and nondepressed patients (P = .014). In addition to minor depression, age (P ≤ .001), multimorbidity (P = .01), left ventricular ejection fraction (P = .001), and family status (P = .01) were determinants of self-care.
Conclusion
Our results demonstrate that patients with CHF with minor depression and not major
depression are at higher risk for poor self-care and its resulting consequences, such
as symptom deterioration and frequent hospitalization.
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Article info
Publication history
Published online: January 22, 2009
Footnotes
The study was supported by the German Heart Failure Network, funded by the German Ministry of Education and Research (BMBF), FKZ 01GI0205.
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
