Correlates of psychological distress in elderly patients with congestive heart failure

Yu, Doris S. F., Lee, Diana T. F., Woo, Jean and Thompson, David R. (2004) Correlates of psychological distress in elderly patients with congestive heart failure. Journal of Psychosomatic Research, 57 6: 573-581. doi:10.1016/j.jpsychores.2004.04.368

Author Yu, Doris S. F.
Lee, Diana T. F.
Woo, Jean
Thompson, David R.
Title Correlates of psychological distress in elderly patients with congestive heart failure
Journal name Journal of Psychosomatic Research   Check publisher's open access policy
ISSN 0022-3999
Publication date 2004-12-01
Sub-type Article (original research)
DOI 10.1016/j.jpsychores.2004.04.368
Open Access Status
Volume 57
Issue 6
Start page 573
End page 581
Total pages 9
Place of publication Oxford
Publisher Elsevier
Language eng
Subject 170106 Health, Clinical and Counselling Psychology
110299 Cardiovascular Medicine and Haematology not elsewhere classified
Abstract Objective High levels of psychological distress have been reported in patients with congestive heart failure (CHF), resulting in increased morbidity and mortality. Yet, little is known about its associated factors. The purpose of this study is to identify the significant demographic, clinical and psychosocial correlates of psychological distress in CHF patients. Methods Cross-sectional data were obtained from a sample of a consecutive series of hospitalized CHF patients (n=227) with measures of psychological distress, functional status, symptom status, social support and health perception. Objective clinical variables were obtained from the hospital records. Results High levels of psychological distress, in particular, depression, were found in patients with CHF. In hierarchical regression analysis, poorer perceived emotional-informational support, higher levels of fatigue, poorer health perception and not living with family were identified as the significant correlates of psychological distress. These correlates, in total, explained 49% of the variance for the scores of psychological distress. None of the objective clinical variables demonstrated a significant contribution that accounted for psychological distress in CHF patients. Conclusion The findings highlight the importance of addressing social support for CHF patients. Assisting this vulnerable patient group to cope with fatigue and to cultivate a positive health perception are also highly prioritized treatment goals.
Keyword Anxiety
Chronic illness
Congestive heart failure
Psychological distress
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Article (original research)
Collections: Excellence in Research Australia (ERA) - Collection
School of Nursing, Midwifery and Social Work Publications
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Created: Tue, 24 Mar 2009, 19:41:41 EST by Ms Sarada Rao on behalf of School of Nursing, Midwifery and Social Work