Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study

Christine A. Haedtke; Debra K. Moser; Susan J. Pressler; Misook L. Chung; Sue Wingate; Sarah J. Goodlin

doi:10.1016/j.hrtlng.2019.02.002

Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study

Christine A. Haedtke, Debra K. Moser, Susan J. Pressler, Misook L. Chung, Sue Wingate, Sarah J. Goodlin

College of Nursing

Research output: Contribution to journal › Article › peer-review

31 Scopus citations

Abstract

Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.

Original language	English
Pages (from-to)	201-207
Number of pages	7
Journal	Heart and Lung
Volume	48
Issue number	3
DOIs	https://doi.org/10.1016/j.hrtlng.2019.02.002
State	Published - May 1 2019

Bibliographical note

Publisher Copyright:
© 2019 Elsevier Inc.

Funding

This is a secondary analysis of the data collected in the Pain Assessment, Incidence and Nature in Heart Failure study funded by the Mayday Fund. Clinical Trials number NCT00444301. The writing of this is manuscript was supported by National Institutes of Health, [T32 HL091812 and K12 HL133310-02] This is a secondary analysis of the data collected in the Pain Assessment, Incidence and Nature in Heart Failure study funded by the Mayday Fund . Clinical Trials number NCT00444301 . The writing of this is manuscript was supported by National Institutes of Health , [ T32 HL091812 and K12 HL133310-02 ]

Funders	Funder number
National Institutes of Health (NIH)	T32 HL091812, K12 HL133310-02
MAYDAY Fund	NCT00444301

Keywords

Advanced heart failure
Depression
Gender
Memorial Symptom Assessment Scale-heart failure
Pain

ASJC Scopus subject areas

Pulmonary and Respiratory Medicine
Critical Care and Intensive Care Medicine
Cardiology and Cardiovascular Medicine

Access to Document

10.1016/j.hrtlng.2019.02.002

Cite this

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title = "Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study",

abstract = "Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.",

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doi = "10.1016/j.hrtlng.2019.02.002",

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volume = "48",

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Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study. / Haedtke, Christine A.; Moser, Debra K.; Pressler, Susan J. et al.
In: Heart and Lung, Vol. 48, No. 3, 01.05.2019, p. 201-207.

Research output: Contribution to journal › Article › peer-review

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T2 - Insight from the pain assessment, incidence and nature in heart failure study

AU - Haedtke, Christine A.

AU - Moser, Debra K.

AU - Pressler, Susan J.

AU - Chung, Misook L.

AU - Wingate, Sue

AU - Goodlin, Sarah J.

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N2 - Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.

AB - Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.

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KW - Depression

KW - Gender

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KW - Pain

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Influence of depression and gender on symptom burden among patients with advanced heart failure: Insight from the pain assessment, incidence and nature in heart failure study

Abstract

Bibliographical note

Funding

Keywords

ASJC Scopus subject areas

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