Psychological Determinants of Heart Failure Self-Care

Systematic Review and Meta-Analysis

Bibliographic Data

ID19301508
AuthorsDionne Kessing, Johan Denollet (0000-0001-8986-3256, Tilburg University), Jos Widdershoven (0000-0002-7090-3980, Tilburg University), Nina Kupper (0000-0001-8721-5239, Tilburg University, corresponding author)
Year2016
Volume78
Issue4
Pages412-431
Publication date2016-05-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenuePsychosomatic Medicine (JOURNAL)
Journal identifiersISSN: 0033-3174 • E-ISSN: 1534-7796
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/psy.0000000000000270
PMID27082055
OpenAlexW2336011660
LanguageEN
Citations received4
References cited107

OBJECTIVE: Psychological distress has been associated with poor outcomes in patients with chronic heart failure (HF), which is assumed to be partly due to poor HF self-care behavior. This systematic review and meta-analysis describes the current evidence concerning psychological determinants of self-care in patients with chronic HF. METHODS: Eligible studies were systematically identified by searching electronic databases PubMed, PsycINFO, and the Conference Proceedings Citation Index (Web of Science) for relevant literature (1980-October 17, 2014). Study quality was assessed according to the level of risk of bias. Quantitative data were pooled using random-effects models. RESULTS: Sixty-five studies were identified for inclusion that varied considerably with respect to sample and study characteristics. Risk of bias was high in the reviewed studies and most problematic with regard to selection bias (67%). Depression (r = -0.19, p < .001), self-efficacy (r = 0.37, p < .001), and mental well-being (r = 0.14, p = .030) were significantly associated with self-reported self-care. Anxiety was not significantly associated with either self-reported (r = -0.18, p = .24) or objective self-care (r = -0.04, p = .79), neither was depression associated with objectively measured medication adherence (r = -0.05, p = .44). CONCLUSIONS: Psychological factors (depression, self-efficacy, and mental well-being) were associated with specific self-care facets in patients with chronic HF. These associations were predominantly observed with self-reported indices of self-care and not objective indices. Methodological heterogeneity and limitations preclude definite conclusions about the association between psychological factors and self-care and should be addressed in future research

Anxiety · Depression (economics) · MEDLINE · Meta-analysis · Psychiatry · Psychological distress · PsycINFO · Cardiac Health and Mental Health · Clinical Psychology · Diabetes Management and Education · Heart Failure Treatment and Management · Internal Medicine · Medicine · Psychology

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