A Hearty Issue: Association of Stress, Anger, and Anxiety with Three Year Heart Failure Outcomes
Abstract
Heart failure negatively impacts the health and quality of life of millions of individuals worldwide. Previous studies have identified stress, anger, and anxiety as psychosocial factors associated with incidence and exacerbation of coronary heart disease and CHF. However, stress, anger, and anxiety often are associated with one another, and the extent to which these characteristics overlap in the degree to which they contribute to CHF exacerbations is unclear. Methods. This study involved secondary analyses of the Project BETRHEART dataset, which examined the longitudinal predictors of heart failure exacerbations over a 3 year period. Anger (Weekly Anger Inventory), anxiety(State-Trait Anxiety Scale-State Anxiety), stress (Perceived Stress Scale) and their prospective relationships to all-cause, cardiovascular, and CHF hospitalizations and self reported CHF symptoms and health status (Kansas City Cardiomyopathy Scale-KCCQ)were examined at baseline, 3 months, and subsequent 6 month intervals over a period of39 months using marginal models and generalized marginal models. Results yielded between-subjects chronic and within-subjects acute effects consisting of changes over time in relation to the subjects own mean scores.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jun 27, 2018
- Accession Number
- AD1127861
Entities
People
- Andrew J. Dimond
Organizations
- Uniformed Services University of the Health Sciences