Living arrangements modify the relationship between depressive symptoms and self-care in patients with heart failure

Kyoung Suk Lee, Terry A. Lennie, Ju Young Yoon, Jia Rong Wu, Debra K. Moser

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Background: Depressive symptoms hinder heart failure patients' engagement in self-care. As social support helps improve self-care and decrease depressive symptoms, it is possible that social support buffers the negative impact of depressive symptoms on self-care. Objective: The purpose of this study is to examine the effect of living arrangements as an indicator of social support on the relationship between depressive symptoms and self-care in heart failure patients. Methods: Stable heart failure patients (N = 206) completed the Patient Health Questionnaire-9 to measure depressive symptoms. Self-care (maintenance, management, and confidence) was measured with the Self-Care of Heart Failure Index. Path analyses were used to examine associations among depressive symptoms and the self-care constructs by living arrangements. Results: Depressive symptoms had a direct effect on self-care maintenance and management (standardized β = -0.362 and -0.351, respectively), but not on self-care confidence in patients living alone. Depressive symptoms had no direct or indirect effect on any of the 3 self-care constructs in patients living with someone. Conclusions: Depressive symptoms had negative effects on self-care in patients living alone, but were not related to self-care in patients living with someone. Our results suggest that negative effects of depressive symptoms on self-care are buffered by social support.

Original languageEnglish
Pages (from-to)171-179
Number of pages9
JournalJournal of Cardiovascular Nursing
Volume32
Issue number2
DOIs
StatePublished - 2017

Bibliographical note

Publisher Copyright:
Copyright © 2017 Wolters Kluwer Health, Inc. All rights reserved.

Keywords

  • Depressive symptoms
  • Heart failure
  • Self-care
  • Social support

ASJC Scopus subject areas

  • General Medicine

Fingerprint

Dive into the research topics of 'Living arrangements modify the relationship between depressive symptoms and self-care in patients with heart failure'. Together they form a unique fingerprint.

Cite this