The Mediator Effects of Depressive Symptoms on the Relationship between Family Functioning and Quality of Life in Caregivers of Patients with Heart Failure

Linda Clements, Susan K. Frazier, Debra K. Moser, Terry A. Lennie, Misook L. Chung

Research output: Contribution to journalArticlepeer-review

14 Scopus citations

Abstract

Background: Caregivers of patients with heart failure (HF) report depressive symptoms and poor quality of life (QOL) related to caregiving and poor family functioning, placing them at risk for poor health. Objectives: The purpose of this study was to examine the effect of depressive symptoms on the relationship between family functioning and quality of life in the HF caregiver. Methods: A sample of 92 HF caregivers were enrolled from an ambulatory clinic at a large academic medical center. A mediation analysis was used to analyze data obtained from the Family Assessment Device (FAD), the Patient Health Questionaire-9 (PHQ-9), and the Short Form-12 Health Survey Version 2 (SF-12v2). Results: Depressive symptoms were found to be a significant mediator in the relationship between family functioning and caregiver quality of life. Conclusions: The results of this study suggest that interventions targeting caregiver depression and family functioning could be effective in enhancing HF caregivers’ physical and mental QOL.

Original languageEnglish
Pages (from-to)737-744
Number of pages8
JournalHeart and Lung
Volume49
Issue number6
DOIs
StatePublished - Nov 1 2020

Bibliographical note

Publisher Copyright:
© 2020

Keywords

  • caregiver
  • depressive symptoms
  • family functioning
  • heart failure
  • quality of life

ASJC Scopus subject areas

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

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