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Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: A Dyadic Approach.
J Cardiovasc Nurs. 2021 May-Jun 01; 36(3):198-205.JC

Abstract

BACKGROUND

High levels of perceived control and lower levels of depressive symptoms are associated with better well-being in both patients with heart failure and their spouses at an individual level. However, there is a knowledge gap about how these individual factors have reciprocal influences on partners' well-being within the patient-spouse dyads.

OBJECTIVE

The aims of this study were to examine dyads of patients with heart failure and their spouses on whether the patients' perceived control over the management of heart failure and depressive symptoms predicts their own and their spouses' physical and emotional well-being and to examine whether patients' perceived control predicts their own and their spouses' depressive symptoms.

METHODS

A total 155 patient-spouse dyads (patients: 75% male, mean age of 71 years, 53% classified as New York Heart Association III; spouses: 75% female, mean age of 69 years) were recruited from 2 hospital-based outpatient heart failure clinics. Participants completed the Control Attitude Scale, the Beck Depression Inventory, and the Short-Form 36. Dyadic data were analyzed using multilevel regression of the actor-partner interdependence model.

RESULTS

Perceived control had an actor effect on emotional well-being only for patients, and there were partner effects of perceived control on emotional well-being for both patients and their spouses. Depressive symptoms exhibited an actor effect on physical and emotional well-being for patients and spouses, but there were no partner effects of depressive symptoms on emotional well-being. Perceived control had partner effects on depressive symptoms for patients and spouses, but an actor effect of depressive symptoms was only found for patients.

CONCLUSION

In an interdependent relationship within the patient-spouse dyads, each dyad member's perceived control influenced their partner's emotional well-being as well as depressive symptoms. The findings suggest development of dyadic interventions that can increase perceived control over the heart condition.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

32398503

Citation

Strömberg, Anna, et al. "Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: a Dyadic Approach." The Journal of Cardiovascular Nursing, vol. 36, no. 3, 2021, pp. 198-205.
Strömberg A, Liljeroos M, Ågren S, et al. Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: A Dyadic Approach. J Cardiovasc Nurs. 2021;36(3):198-205.
Strömberg, A., Liljeroos, M., Ågren, S., Årestedt, K., & Chung, M. L. (2021). Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: A Dyadic Approach. The Journal of Cardiovascular Nursing, 36(3), 198-205. https://doi.org/10.1097/JCN.0000000000000682
Strömberg A, et al. Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: a Dyadic Approach. J Cardiovasc Nurs. 2021 May-Jun 01;36(3):198-205. PubMed PMID: 32398503.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Associations Among Perceived Control, Depressive Symptoms, and Well-being in Patients With Heart Failure and Their Spouses: A Dyadic Approach. AU - Strömberg,Anna, AU - Liljeroos,Maria, AU - Ågren,Susanna, AU - Årestedt,Kristofer, AU - Chung,Misook L, PY - 2020/5/14/pubmed PY - 2021/10/29/medline PY - 2020/5/14/entrez SP - 198 EP - 205 JF - The Journal of cardiovascular nursing JO - J Cardiovasc Nurs VL - 36 IS - 3 N2 - BACKGROUND: High levels of perceived control and lower levels of depressive symptoms are associated with better well-being in both patients with heart failure and their spouses at an individual level. However, there is a knowledge gap about how these individual factors have reciprocal influences on partners' well-being within the patient-spouse dyads. OBJECTIVE: The aims of this study were to examine dyads of patients with heart failure and their spouses on whether the patients' perceived control over the management of heart failure and depressive symptoms predicts their own and their spouses' physical and emotional well-being and to examine whether patients' perceived control predicts their own and their spouses' depressive symptoms. METHODS: A total 155 patient-spouse dyads (patients: 75% male, mean age of 71 years, 53% classified as New York Heart Association III; spouses: 75% female, mean age of 69 years) were recruited from 2 hospital-based outpatient heart failure clinics. Participants completed the Control Attitude Scale, the Beck Depression Inventory, and the Short-Form 36. Dyadic data were analyzed using multilevel regression of the actor-partner interdependence model. RESULTS: Perceived control had an actor effect on emotional well-being only for patients, and there were partner effects of perceived control on emotional well-being for both patients and their spouses. Depressive symptoms exhibited an actor effect on physical and emotional well-being for patients and spouses, but there were no partner effects of depressive symptoms on emotional well-being. Perceived control had partner effects on depressive symptoms for patients and spouses, but an actor effect of depressive symptoms was only found for patients. CONCLUSION: In an interdependent relationship within the patient-spouse dyads, each dyad member's perceived control influenced their partner's emotional well-being as well as depressive symptoms. The findings suggest development of dyadic interventions that can increase perceived control over the heart condition. SN - 1550-5049 UR - https://www.unboundmedicine.com/medline/citation/32398503/Associations_Among_Perceived_Control_Depressive_Symptoms_and_Well_being_in_Patients_With_Heart_Failure_and_Their_Spouses:_A_Dyadic_Approach_ L2 - https://doi.org/10.1097/JCN.0000000000000682 DB - PRIME DP - Unbound Medicine ER -