TY - JOUR
T1 - Evaluating emotional distress and health-related quality of life in patients with heart failure and their family caregivers
T2 - Testing dyadic dynamics using the Actor-Partner Interdependence Model
AU - Thomson, Particia
AU - Howie, Kate
AU - Leslie, Stephen
AU - Angus, Neil
AU - Andreis, Federico
AU - Thomson, Robert
AU - Mohan, Andrea
AU - Mondoa, Catherine
AU - Chung, Misook
N1 - PT SL 13/NS/0013 Chest Heart and Stroke Scotland (Minor Grant Award) The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript
PY - 2020/1/8
Y1 - 2020/1/8
N2 - Purpose 1) To compare levels of emotional symptoms and health-related quality of life between patients with heart failure and their family caregivers; and 2) to examine whether patients' and caregivers' emotional symptoms were associated with their own, as well as their partner's health-related quality of life. Method In this cross-sectional study, 41 patients-caregiver dyads (78% male patients, aged 68.6 years; and 83% female caregivers, aged 65.8 years) completed all nine dimensions of the Brief Symptom Inventory and the Minnesota Living with Heart failure Questionnaire. Dyadic data were analysed for 6 sub-scales of the Brief Symptom Inventory, using the Actor-Partner Interdependence Model. Results There were no statistically significant differences in emotional symptoms and health-related quality of life between patients with heart failure and their caregivers. Patients' and caregivers' emotional symptoms were associated with their own health-related quality of life. Caregivers' anxiety, phobic anxiety, obsession-compulsion, depression and hostility negatively influenced their partner's (i.e. the patient's) health-related quality of life. There were nopartner effects of patients' emotional symptoms on the health-related quality of life of caregivers. Conclusions The results of this study suggest that patients may be particularly vulnerable to the emotional distress, i.e. thoughts, impulses and actions of their caregivers. It may be possible to improve patients' health-related quality of life by targeting specific detrimental emotional symptoms of caregivers.
AB - Purpose 1) To compare levels of emotional symptoms and health-related quality of life between patients with heart failure and their family caregivers; and 2) to examine whether patients' and caregivers' emotional symptoms were associated with their own, as well as their partner's health-related quality of life. Method In this cross-sectional study, 41 patients-caregiver dyads (78% male patients, aged 68.6 years; and 83% female caregivers, aged 65.8 years) completed all nine dimensions of the Brief Symptom Inventory and the Minnesota Living with Heart failure Questionnaire. Dyadic data were analysed for 6 sub-scales of the Brief Symptom Inventory, using the Actor-Partner Interdependence Model. Results There were no statistically significant differences in emotional symptoms and health-related quality of life between patients with heart failure and their caregivers. Patients' and caregivers' emotional symptoms were associated with their own health-related quality of life. Caregivers' anxiety, phobic anxiety, obsession-compulsion, depression and hostility negatively influenced their partner's (i.e. the patient's) health-related quality of life. There were nopartner effects of patients' emotional symptoms on the health-related quality of life of caregivers. Conclusions The results of this study suggest that patients may be particularly vulnerable to the emotional distress, i.e. thoughts, impulses and actions of their caregivers. It may be possible to improve patients' health-related quality of life by targeting specific detrimental emotional symptoms of caregivers.
UR - http://www.scopus.com/inward/record.url?scp=85077752750&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0227129
DO - 10.1371/journal.pone.0227129
M3 - Article
C2 - 31914152
SN - 1932-6203
VL - 15
JO - PLoS ONE
JF - PLoS ONE
IS - 1
M1 - e0227129
ER -