This study examines the relationship between coping styles, quality of life, and depressive symptoms in older heart failure patients. Eighty heart failure patients seeking treatment in an outpatient heart failure or family practice clinic participated in a study examining depression, disability, and heart failure. Patients completed a clinical interview and questionnaires about mood, functional impairment, comorbid illness, quality of life, and coping. Heart failure severity and maladaptive coping styles, including denial, self-distraction, and self-blame, negatively affected quality of life and depressive symptoms. The use of maladaptive coping strategies involves efforts that divert attention from the illness and suggests the need to provide heart failure patients the skills to directly address the stress associated with their illness. Interventions that target these coping strategies may help patients take a more active role in their heart failure management and may improve psychological and cardiac outcomes.
"In the context of CHF, active, approach-orientated coping is positively related to positive CHF outcomes, such as psychological wellbeing and improved health-related quality of life (Graven et al., 2014). Inadequate coping with stress promotes the development of depressive symptoms (Allman et al., 2009), poorer quality of life (Klein et al., 2007), higher risk for physical dysfunction (Eisenberg et al., 2012), and increased heart failure (HF)-related mortality (Graven et al., 2014). However, very few studies have explored the degree to which an active coping style is associated with adoption of various potentially beneficial health behaviors by patients with a chronic illness to improve their health (Parelkar et al., 2013). "
"We were unable to find empirical evidence specifically linking positive reframing to facets of health among community-dwelling older women. Regarding emotion-focused coping strategies that are potentially less adaptive, there is research evidence that self-distraction is a significant correlate of worse health outcomes and lower quality of life in heart failure patients , and that behavioral disengagement is a predictor of greater physical distress among cancer survivors , in line with Lazarus and Folkman's conceptualization  adopted herein. Moreover, findings on younger patients with health conditions such as psoriasis indicate that both behavioral disengagement and alcohol use are significantly and positively related to subjective physical disability ; once again, these findings might not generalize to our target population. "
[Show abstract][Hide abstract] ABSTRACT: Although empirical evidence is available on the coping-health link in older age, research on this topic is needed with non-clinical samples of ethnically diverse older women. To contribute to filling such a research gap, we tested whether these women's general health and functional limitations were associated with specific coping strategies (selected for their particular relevance to health issues) and with known health-related demographics, i.e., age, ethnicity, income, and married status.
In this cross-sectional study, respondents were recruited at community facilities including stores and senior centers. The sample consisted of 180 community-dwelling women (age 52-98) screened for dementia; 64% of them reported having an ethnic minority status. The assessment battery contained the Mini-Cog, a demographics list, the Brief COPE, and the Medical Outcome Study 36-Item Short-Form Health Survey.
Hierarchical multiple regression analyses showed that older women who used behavioral disengagement and, to a smaller degree, self-distraction as a form of coping reported lower levels of general health. The opposite was the case for positive reframing and, to a lesser degree, substance use. Moreover, lower income was related to worse general health and (together with more advanced age) physical functioning. None of the coping strategies achieved significance in the physical functioning model.
These cross-sectional findings need corroboration by longitudinal research prior to developing related clinical interventions. Based on the initial evidence provided herein, clinicians working with this population should consider establishing the therapeutic goal of increasing the use of positive reframing while diminishing behavioral disengagement.
BMC Women's Health 03/2010; 10(1):10. DOI:10.1186/1472-6874-10-10 · 1.50 Impact Factor
Revista portuguesa de cardiologia: orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology: an official journal of the Portuguese Society of Cardiology 01/2008; · 0.45 Impact Factor
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