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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.
J Psychosom Res. 2009 Jul; 67(1):29-35.JP

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.

Authors+Show Affiliations

University of Kentucky, College of Nursing, Lexington, KY 40536-0232, USA. misook.chung@uky.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

19539816

Citation

Chung, Misook L., et al. "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." Journal of Psychosomatic Research, vol. 67, no. 1, 2009, pp. 29-35.
Chung ML, Moser DK, Lennie TA, et al. 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. J Psychosom Res. 2009;67(1):29-35.
Chung, M. L., Moser, D. K., Lennie, T. A., & Rayens, M. K. (2009). 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. Journal of Psychosomatic Research, 67(1), 29-35. https://doi.org/10.1016/j.jpsychores.2009.01.009
Chung ML, et al. 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. J Psychosom Res. 2009;67(1):29-35. PubMed PMID: 19539816.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Chung,Misook L, AU - Moser,Debra K, AU - Lennie,Terry A, AU - Rayens,Mary Kay, Y1 - 2009/03/05/ PY - 2008/05/08/received PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/10/1/medline SP - 29 EP - 35 JF - Journal of psychosomatic research JO - J Psychosom Res VL - 67 IS - 1 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. SN - 1879-1360 UR - https://www.unboundmedicine.com/medline/citation/19539816/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_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0022-3999(09)00013-0 DB - PRIME DP - Unbound Medicine ER -