Depression in heart failure

2019 ◽  
Vol 14 (6) ◽  
pp. 1-11 ◽  
Author(s):  
John Sharp ◽  
Monica McCowat
Keyword(s):  
Heart Failure ◽  
Epidemiological Studies ◽  
Life Outcomes ◽  
Cardiac Health ◽  
Prevalence Of Depression ◽  
The Uk ◽  
The Impact ◽  
The Relationship

Heart failure is one of the most prevalent long-term physical health conditions. It is suggested that up to 26 million people are living with it worldwide including approximately 920 000 people in the UK. Evidence has consistently demonstrated the links between cardiac health and mental health; therefore, this article will explain depression and its presentation in heart failure, as these two conditions have been strongly and consistently linked. The prevalence of depression in heart failure will be reviewed from epidemiological studies and an overview of the impact of comorbid depression in heart failure will be provided, with a particular focus on mortality, morbidity and quality of life outcomes. The relationship between depression and heart failure will be discussed by examining pathophysiological and behavioural mechanisms, as well as evidence regarding the appropriate identification and subsequent management of heart failure depression will be reviewed.

Abstract 279: The Impact of Heart Failure on Depression and Quality of Life is Greater in Men than Women

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Rory Hachamovitch ◽  
Brian Griffin ◽  
Alan Klein ◽  
Benjamin Nutter ◽  
Irene Katzan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Demographic Data ◽  
Cardiovascular Assessment ◽  
Related Quality ◽  
Health Related ◽  
The Difference ◽  
The Impact ◽  
The Relationship

Background. Patients (pts) diagnosed with congestive heart failure (HF) have been reported to have more frequent depression and worsened health related quality of life (HRQOL). Although depression is more common in women than men in this condition, the impact of HF on depression and HRQOL in men versus women is unclear. We sought to examine the relationship between pt sex, HF diagnosis, and pt-perceived depression and HRQOL. Methods. Depression (PHQ-9) and HRQOL (EQ5D) data were collected using tablet computers from pts presenting for routine outpatient cardiovascular assessment at our institution between November, 2010 and December, 2011. Demographic, clinical, and historical data was collected as per routine. We examined the association of pt sex and clinical diagnosis of HF with instrument results after adjusting for potential confounding information using mutliple linear regression. Results. Of 3046 pts (age 61±15), 39% were female and 8.7% were diagnosed with HF. Overall, PHQ-9 was greater, and minor or major depression (PHQ-9≥10) was more frequent, in women than men (4.6±4.6 vs. 3.3±4.4; 14.0% vs. 8.9%, both p<0.05) and in HF pts than pts without HF (5.9±5.6 vs. 3.6±4.3, 22.0% versus 9.6%; both p<0.05). Similarly, HRQOL was worse in women than men (EQ-5D 0.80±0.18 vs. 0.87±0.16; p<0.01) and in HF pts than no HF (EQ-5D 0.76±0.18 vs. 0.85±0.17; p<0.01). However, the difference in PHQ-9 between pts with versus without HF was greater in men (6.23±6.06 vs. 3.02±4.06, p<0.01) than women (5.43±4.85 vs. 4.55±4.58, p=0.09). After adjusting for cardiovascular diagnoses, comorbidities, clinical and demographic data, multivariable modeling of PHQ-9 revealed a significant interaction between pt sex and HF diagnosis (p=0.001; see Figure) such that women had greater PHQ-9 scores compared to men without HF, but in the setting of HF, mens' PHQ-9 scores were greater. Modeling of EQ-5D also revealed that after risk-adjustment an interaction between HF diagnosis and sex was present with a similar pattern of findings. Conclusion. Although depression is more frequent and severe in women compared to men, and in pts with versus without HF, HF appears to impact depression severity more in men compared to women.

scholarly journals Prognostic Value of the Acute-to-Chronic Glycemic Ratio at Admission in Heart Failure: A Prospective Study

2021 ◽  
Vol 11 (1) ◽  
pp. 6
Author(s):  
Mª José Carrera ◽  
Pedro Moliner ◽  
Gemma Llauradó ◽  
Cristina Enjuanes ◽  
Laura Conangla ◽  
...  
Keyword(s):  
Heart Failure ◽  
Multivariable Analysis ◽  
Acute Hyperglycemia ◽  
Glucose Levels ◽  
Long Term Prognosis ◽  
Shape Curve ◽  
A Prospective Study ◽  
The Impact ◽  
The Relationship

Acute hyperglycemia has been associated with worse prognosis in patients hospitalized for heart failure (HF). Nevertheless, studies evaluating the impact of glycemic control on long-term prognosis have shown conflicting results. Our aim was to assess the relationship between acute-to-chronic (A/C) glycemic ratio and 4-year mortality in a cohort of subjects hospitalized for acute HF. A total of 1062 subjects were consecutively included. We measured glycaemia at admission and estimated average chronic glucose levels and the A/C glycemic ratio were calculated. Subjects were stratified into groups according to the A/C glycemic ratio tertiles. The primary endpoint was 4-year mortality. Subjects with diabetes had higher risk for mortality compared to those without (HR 1.35 [95% CI: 1.10–1.65]; p = 0.004). A U-shape curve association was found between glucose at admission and mortality, with a HR of 1.60 [95% CI: 1.22–2.11]; p = 0.001, and a HR of 1.29 [95% CI: 0.97–1.70]; p = 0.078 for the first and the third tertile, respectively, in subjects with diabetes. Additionally, the A/C glycemic ratio was negatively associated with mortality (HR 0.76 [95% CI: 0.58–0.99]; p = 0.046 and HR 0.68 [95% CI: 0.52–0.89]; p = 0.005 for the second and third tertile, respectively). In multivariable analysis, the A/C glycemic ratio remained an independent predictor. In conclusion, in subjects hospitalized for acute HF, the A/C glycemic ratio is significantly associated with mortality, improving the ability to predict mortality compared with glucose levels at admission or average chronic glucose concentrations, especially in subjects with diabetes.

scholarly journals The Relationship between Hospital Occupational Stress and Prevalence of Depression in Nurses Working in Ilam Hospitals

2019 ◽  
pp. 1-8
Author(s):  
Alireza Roughani ◽  
Mehdi Fallah Bagher Shaidaei ◽  
Akram Rohani ◽  
Ali Delpishe ◽  
Zahra Sharifi ◽  
...  
Keyword(s):  
Occupational Stress ◽  
Mental Illnesses ◽  
Willingness To Participate ◽  
Statistical Population ◽  
Prevalence Of Depression ◽  
The Individual ◽  
Anxiety Depression ◽  
The Relationship

Introduction: Long-term stress can also lead to mental disorders such as anxiety, depression and physical burnout. The aim of this study was to determine the relationship between hospital occupational stress and prevalence of depression among nurses working in Ilam hospitals. Methods: This is a descriptive-analytic study. The statistical population includes the staff of Imam Khomeini Hospital and martyr Mostafa Khomeini Hospital in Ilam. The study was conducted using a census method. The criteria for entering the individuals were their willingness to participate in this study. The subjects were included in the study with complete satisfaction. Demographic questionnaires, standard questionnaires for occupational stress (HSI), and Beck Depression Inventory were used. Questionnaires were distributed to pre-trained individuals. The data was extracted and analyzed by SPSS software. Results: The findings of this study showed that 31.8% of the samples had a degree of depression. In this study, the rate of depression in men is higher than that of women. According to the results, occupational stress and environmental stress in nursing women were more than men. There is a significant relationship between job stress and stress associated with life with depression (p = 0.001, p = 0.004, respectively). Conclusion: The results of this study always emphasize the point that attention should be paid to stress and stressful occupation of nursing and to think about it and to take preventive measures. Because of the stress of the valve towards all mental illnesses In the event of manpower and the work of a community, it can cause many problems and costs for the individual and society and reduce the quality of the services provided by the nurses.

scholarly journals The impact of acoustic neuroma on long-term quality-of-life outcomes in the United Kingdom

2018 ◽  
Vol 275 (3) ◽  
pp. 709-717 ◽  
Author(s):  
Wouter L. Lodder ◽  
Bernard F. A. M. van der Laan ◽  
Tristram H. Lesser ◽  
Samuel C. Leong
Keyword(s):  
Quality Of Life ◽  
United Kingdom ◽  
Acoustic Neuroma ◽  
Life Outcomes ◽  
The United Kingdom ◽  
Quality Of Life Outcomes ◽  
The Impact

scholarly journals The Impact of Cochlear Implantation: Cognitive Function, Quality of Life, and Frailty in Older Adults

2021 ◽  
Vol 42 (04) ◽  
pp. 342-351
Author(s):  
Eric E. Babajanian ◽  
Neil S. Patel ◽  
Richard K. Gurgel
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Cochlear Implantation ◽  
Positive Impact ◽  
Strong Association ◽  
Complication Rates ◽  
Life Outcomes ◽  
The Impact ◽  
The Relationship

AbstractThis review examines the relationship between cochlear implantation and cognition and quality of life in older adults, as well as how frailty affects outcomes for older patients with cochlear implants. A growing body of evidence suggests that there is a strong association between hearing loss and cognitive impairment. Preliminary studies suggest that cochlear implantation in older adults may be protective against cognitive decline. While studies have observed a positive impact of cochlear implantation on quality of life, currently it is unclear what factors contribute the most to improved quality of life. Frailty, as a measurement of general health, likely plays a role in complication rates and quality-of-life outcomes after cochlear implantation, though larger prospective studies are required to further elucidate this relationship.

The relationship between time spent in volunteering activities and quality of life in adults over the age of 50 years: A systematic review

2018 ◽  
Vol 81 (11) ◽  
pp. 613-623 ◽  
Author(s):  
Benjamin Milbourn ◽  
Jaya Saraswati ◽  
Angus Buchanan
Keyword(s):  
Quality Of Life ◽  
Systematic Review ◽  
Controlled Trial ◽  
Future Research ◽  
Life Outcomes ◽  
Cross Sectional ◽  
Quality Of Life Outcomes ◽  
The Impact ◽  
The Relationship

Introduction Increased attention has focused on the importance of time spent by ageing adults in volunteering. The aim of this systematic review was to analyse literature exploring the relationship between time spent volunteering and quality of life for adults over the age of 50 years. Method Electronic searches of nine databases located relevant articles involving adults over the age of 50 in volunteering activities that included psychological, physical and social quality of life domains. The quality of the selected articles was assessed and data extracted using preferred reporting items for systematic reviews and meta-analyses. Results Of the 65 articles retrieved, 22 were reviewed and eight included in the final review. Studies included one randomised controlled trial, one cross-sectional and six longitudinal studies. Levels of time spent volunteering by participants within the studies varied considerably. Articles retrieved reported positive quality of life outcomes including increases in life satisfaction, self-esteem and social support and a slowed functional decline. Conclusion Volunteering is identified as an important occupation for adults over the age of 50, although the relationship between time spent volunteering and the impact on quality of life outcomes is still not fully understood. Future research is required to better understand the impact of time spent volunteering on quality of life.

scholarly journals Determining the presence of a long-term/short-term dilemma for SMEs when adopting strategic orientation to improve performance

2019 ◽  
Vol 38 (2) ◽  
pp. 90-110
Author(s):  
Simone Regina Didonet ◽  
Andrew Fearne ◽  
Geoff Simmons
Keyword(s):  
Strategic Orientation ◽  
Short Term ◽  
Strategic Orientations ◽  
Managerial Implications ◽  
Business Approach ◽  
The Uk ◽  
The Impact ◽  
The Relationship

This study seeks to discuss a potential ‘long-term/short-term dilemma’ for small and medium-sized enterprises (SMEs), which could cause tension when adopting two strategic orientations assumed to be complementary – market orientation (MO) and sales orientation (SO). Specifically, the objective of this study is to examine the role of MO and SO as mediators of the relationship between business approach and SME performance. An empirical study of 122 SMEs in the UK grocery sector is conducted. The results reveal that an apparent conflict or tension between market and SO seems to exist in practice. SMEs emphasise both strategic orientations as a way of framing their business approach. However, this emphasis does not hold when considering SME performance. The impact of business approach on performance only occurs through MO. There is no observable significance in the mediation of SO on this relationship. Theoretical and managerial implications for SME management literature and practice are developed.

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