Antonio Petruzzo1, Valentina Biagioli2, Angela Durante3, Leonardo Emberti Gialloreti4, Fabio D'Agostino5, Rosaria Alvaro6, Ercole Vellone7. 1. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: antonio.petruzzo@gmail.com. 2. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: valentina.biagioli@pec.ipasvi.roma.it. 3. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: angela.durante89@gmail.com. 4. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: leonardo.emberti.gialloreti@uniroma2.it. 5. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy; Saint Camillus International University of Health and Medical Sciences, via di S. Alessandro, 8, 00131 Rome, Italy. Electronic address: fabio.d.agostino@uniroma2.it. 6. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: rosaria.alvaro@uniroma1.it. 7. Department of Biomedicine and Prevention, University of Rome "Tor Vergata", via Montpellier, 1, 00133 Rome, Italy. Electronic address: ercole.vellone@uniroma2.it.
Abstract
OBJECTIVES: Testing the influence of heart failure (HF) caregiver preparedness on anxiety and depression, and the influence of HF caregiver anxiety and depression on caregiver physical and mental QOL. METHODS: In this cross-sectional study, we used the Caregiver Preparedness Scale (CPS), the Hospital Anxiety and Depression Scale (HADS) with the anxiety (HADS-A) and depression (HADS-D) subscales, and the Short-Form 12 (SF-12) measuring the physical component summary (PCS) and the mental component summary (MCS) of QOL. Socio-demographic data and patients' clinic data were also collected. Data analysis was conducted with descriptive statistics, correlations, and path analysis. RESULTS: A total of 366 HF caregiver and patient dyads were enrolled. Caregivers were mostly females (73.3%) with a mean age of 58.61 (SD = 15.66) years. The tested model showed excellent fit indices with the following significant paths: CPS scores predicted HADS-D scores; HADS-A scores predicted MCS scores; and HADS-D scores predicted both PCS and MCS scores. Also, HADS-D mediated the relationship between CPS and MCS scores. CONCLUSION: Preparedness influences HF caregiver depression and depression influences caregiver physical and mental QOL. Depression mediates between preparedness and HF caregiver mental QOL. PRACTICE IMPLICATIONS: Interventions focused on improving HF caregiver preparedness may improve caregivers' depression and QOL.
OBJECTIVES: Testing the influence of heart failure (HF) caregiver preparedness on anxiety and depression, and the influence of HF caregiver anxiety and depression on caregiver physical and mental QOL. METHODS: In this cross-sectional study, we used the Caregiver Preparedness Scale (CPS), the Hospital Anxiety and Depression Scale (HADS) with the anxiety (HADS-A) and depression (HADS-D) subscales, and the Short-Form 12 (SF-12) measuring the physical component summary (PCS) and the mental component summary (MCS) of QOL. Socio-demographic data and patients' clinic data were also collected. Data analysis was conducted with descriptive statistics, correlations, and path analysis. RESULTS: A total of 366 HF caregiver and patient dyads were enrolled. Caregivers were mostly females (73.3%) with a mean age of 58.61 (SD = 15.66) years. The tested model showed excellent fit indices with the following significant paths: CPS scores predicted HADS-D scores; HADS-A scores predicted MCS scores; and HADS-D scores predicted both PCS and MCS scores. Also, HADS-D mediated the relationship between CPS and MCS scores. CONCLUSION: Preparedness influences HF caregiver depression and depression influences caregiver physical and mental QOL. Depression mediates between preparedness and HF caregiver mental QOL. PRACTICE IMPLICATIONS: Interventions focused on improving HF caregiver preparedness may improve caregivers' depression and QOL.
Authors: Reed W R Bratches; Noah Z Freundlich; J Nicholas Dionne-Odom; A James O'Malley; Paul J Barr Journal: BMJ Open Date: 2022-04-13 Impact factor: 3.006
Authors: Nicole DePasquale; Ashley Cabacungan; Patti L Ephraim; LaPricia Lewis-Boyér; Neil R Powe; L Ebony Boulware Journal: Kidney Med Date: 2019-06-28
Authors: J Nicholas Dionne-Odom; Deborah B Ejem; Rachel Wells; Andres Azuero; Macy L Stockdill; Konda Keebler; Elizabeth Sockwell; Sheri Tims; Sally Engler; Elizabeth Kvale; Raegan W Durant; Rodney O Tucker; Kathryn L Burgio; Jose Tallaj; Salpy V Pamboukian; Keith M Swetz; Marie A Bakitas Journal: JAMA Netw Open Date: 2020-04-01