The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor-Partner Interdependence Model

Misook L. Chung; Debra K. Moser; Terry A. Lennie; Mary Kay Rayens

doi:10.1016/j.jpsychores.2009.01.009

The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor-Partner Interdependence Model

Misook L. Chung, Debra K. Moser, Terry A. Lennie, Mary Kay Rayens

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

131 Citations (SciVal)

Abstract

Background: Depressive symptoms and anxiety are common in heart failure patients as well as their spousal caregivers. However, it is not known whether their emotional distress contributes to their partner's quality of life (QoL). This study examined the effect of patients' and partners' depressive symptoms and anxiety on QoL in patient-spouse dyads using an innovative dyadic analysis technique, the Actor-Partner Interdependence Model (APIM). Method: A total of 58 dyads (patient: 43% in males, mean age 62 years, mean ejection fraction 34% ±11, 43% in New York Heart Association III-IV) participated in the study. Depressive symptoms and anxiety were assessed using the Brief Symptom Inventory. QoL was assessed using the Minnesota Living with Heart Failure Questionnaire. Dyadic data were analyzed using the APIM with distinguishable dyad regression model. In APIM, actor effect is the impact of a person's emotional distress on his/her own QoL. Partner effect is the impact of a person's emotional distress on his/her partner's QoL. Result: Depressive symptoms exhibited actor effect of both patients (P<.001) and spouses (P<.001) and only partner effect of patients (P<.05) on QoL. Patients and spouses with higher depressive symptoms had poorer QoL. Patients whose spouses had higher depressive symptoms were more likely to indicate their own QoL was poorer. Anxiety has similar actor and partner effects on QoL as depressive symptoms. Conclusion: Interventions to reduce depression and anxiety and to improve patients' QoL should include both patients and spouses.

Original language	English
Pages (from-to)	29-35
Number of pages	7
Journal	Journal of Psychosomatic Research
Volume	67
Issue number	1
DOIs	https://doi.org/10.1016/j.jpsychores.2009.01.009
State	Published - Jul 2009

Bibliographical note

Funding Information:
This study was funded by the NIH/NINR K23 Mentored Patient-Oriented Career Development Grant to Dr. Chung (1K23NR010011-01: 2006–2009), the University of Kentucky Faculty Research Support Grant (2005–2006) to Dr. Chung, and the NIH/NINR Center for Biobehavioral Research in Self-Management (1P20NR010679) to Dr. Moser (center director), the University of Kentucky.

Keywords

Actor-Partner Interdependence Model
Anxiety
Depressive symptoms
Heart failure
Quality of life

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jpsychores.2009.01.009

Cite this

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title = "The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor-Partner Interdependence Model",

abstract = "Background: Depressive symptoms and anxiety are common in heart failure patients as well as their spousal caregivers. However, it is not known whether their emotional distress contributes to their partner's quality of life (QoL). This study examined the effect of patients' and partners' depressive symptoms and anxiety on QoL in patient-spouse dyads using an innovative dyadic analysis technique, the Actor-Partner Interdependence Model (APIM). Method: A total of 58 dyads (patient: 43% in males, mean age 62 years, mean ejection fraction 34% ±11, 43% in New York Heart Association III-IV) participated in the study. Depressive symptoms and anxiety were assessed using the Brief Symptom Inventory. QoL was assessed using the Minnesota Living with Heart Failure Questionnaire. Dyadic data were analyzed using the APIM with distinguishable dyad regression model. In APIM, actor effect is the impact of a person's emotional distress on his/her own QoL. Partner effect is the impact of a person's emotional distress on his/her partner's QoL. Result: Depressive symptoms exhibited actor effect of both patients (P<.001) and spouses (P<.001) and only partner effect of patients (P<.05) on QoL. Patients and spouses with higher depressive symptoms had poorer QoL. Patients whose spouses had higher depressive symptoms were more likely to indicate their own QoL was poorer. Anxiety has similar actor and partner effects on QoL as depressive symptoms. Conclusion: Interventions to reduce depression and anxiety and to improve patients' QoL should include both patients and spouses.",

keywords = "Actor-Partner Interdependence Model, Anxiety, Depressive symptoms, Heart failure, Quality of life",

author = "Chung, {Misook L.} and Moser, {Debra K.} and Lennie, {Terry A.} and Rayens, {Mary Kay}",

note = "Funding Information: This study was funded by the NIH/NINR K23 Mentored Patient-Oriented Career Development Grant to Dr. Chung (1K23NR010011-01: 2006–2009), the University of Kentucky Faculty Research Support Grant (2005–2006) to Dr. Chung, and the NIH/NINR Center for Biobehavioral Research in Self-Management (1P20NR010679) to Dr. Moser (center director), the University of Kentucky.",

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language = "English",

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The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses : Testing dyadic dynamics using Actor-Partner Interdependence Model. / Chung, Misook L.; Moser, Debra K.; Lennie, Terry A. et al.

In: Journal of Psychosomatic Research, Vol. 67, No. 1, 07.2009, p. 29-35.

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

TY - JOUR

T1 - The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses

T2 - Testing dyadic dynamics using Actor-Partner Interdependence Model

AU - Chung, Misook L.

AU - Moser, Debra K.

AU - Lennie, Terry A.

AU - Rayens, Mary Kay

N1 - Funding Information: This study was funded by the NIH/NINR K23 Mentored Patient-Oriented Career Development Grant to Dr. Chung (1K23NR010011-01: 2006–2009), the University of Kentucky Faculty Research Support Grant (2005–2006) to Dr. Chung, and the NIH/NINR Center for Biobehavioral Research in Self-Management (1P20NR010679) to Dr. Moser (center director), the University of Kentucky.

PY - 2009/7

Y1 - 2009/7

N2 - Background: Depressive symptoms and anxiety are common in heart failure patients as well as their spousal caregivers. However, it is not known whether their emotional distress contributes to their partner's quality of life (QoL). This study examined the effect of patients' and partners' depressive symptoms and anxiety on QoL in patient-spouse dyads using an innovative dyadic analysis technique, the Actor-Partner Interdependence Model (APIM). Method: A total of 58 dyads (patient: 43% in males, mean age 62 years, mean ejection fraction 34% ±11, 43% in New York Heart Association III-IV) participated in the study. Depressive symptoms and anxiety were assessed using the Brief Symptom Inventory. QoL was assessed using the Minnesota Living with Heart Failure Questionnaire. Dyadic data were analyzed using the APIM with distinguishable dyad regression model. In APIM, actor effect is the impact of a person's emotional distress on his/her own QoL. Partner effect is the impact of a person's emotional distress on his/her partner's QoL. Result: Depressive symptoms exhibited actor effect of both patients (P<.001) and spouses (P<.001) and only partner effect of patients (P<.05) on QoL. Patients and spouses with higher depressive symptoms had poorer QoL. Patients whose spouses had higher depressive symptoms were more likely to indicate their own QoL was poorer. Anxiety has similar actor and partner effects on QoL as depressive symptoms. Conclusion: Interventions to reduce depression and anxiety and to improve patients' QoL should include both patients and spouses.

AB - Background: Depressive symptoms and anxiety are common in heart failure patients as well as their spousal caregivers. However, it is not known whether their emotional distress contributes to their partner's quality of life (QoL). This study examined the effect of patients' and partners' depressive symptoms and anxiety on QoL in patient-spouse dyads using an innovative dyadic analysis technique, the Actor-Partner Interdependence Model (APIM). Method: A total of 58 dyads (patient: 43% in males, mean age 62 years, mean ejection fraction 34% ±11, 43% in New York Heart Association III-IV) participated in the study. Depressive symptoms and anxiety were assessed using the Brief Symptom Inventory. QoL was assessed using the Minnesota Living with Heart Failure Questionnaire. Dyadic data were analyzed using the APIM with distinguishable dyad regression model. In APIM, actor effect is the impact of a person's emotional distress on his/her own QoL. Partner effect is the impact of a person's emotional distress on his/her partner's QoL. Result: Depressive symptoms exhibited actor effect of both patients (P<.001) and spouses (P<.001) and only partner effect of patients (P<.05) on QoL. Patients and spouses with higher depressive symptoms had poorer QoL. Patients whose spouses had higher depressive symptoms were more likely to indicate their own QoL was poorer. Anxiety has similar actor and partner effects on QoL as depressive symptoms. Conclusion: Interventions to reduce depression and anxiety and to improve patients' QoL should include both patients and spouses.

KW - Actor-Partner Interdependence Model

KW - Anxiety

KW - Depressive symptoms

KW - Heart failure

KW - Quality of life

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The effects of depressive symptoms and anxiety on quality of life in patients with heart failure and their spouses: Testing dyadic dynamics using Actor-Partner Interdependence Model

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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