Mediating Role of Resilience in the Relationship between Depression and Perceived Psychological Health in Patients with Heart Failure

2.50
Hdl Handle:
http://hdl.handle.net/10755/602938
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Title:
Mediating Role of Resilience in the Relationship between Depression and Perceived Psychological Health in Patients with Heart Failure
Author(s):
Tsai, Pei-Shan; Wu, Shan-Ying; Chang, Ling-Yin; Wu, Shan-Ying; Chang, Ling-Yin
Lead Author STTI Affiliation:
Lambda Beta-at-Large
Author Details:
Pei-Shan Tsai, PhD, ptsai@tmu.edu.tw; Shan-Ying Wu, MSN; Ling-Yin Chang, PhD
Abstract:
Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Depression is associated with a poor prognosis and reduced quality of life in patients with heart failure. Improving resilience may facilitate lessening the negative consequences associated with depression. However, the role of resilience in the relationship between depression and perceived health status in patients with heart failure remains unknown. Objectives: To examine the relationships among depression, resilience, and perceived health status in patients with heart failure and to determine whether resilience plays a mediating or a moderating role in the relationship between depression and perceived health status. Methods: A cross-sectional study design was used. Participants were recruited from cardiology outpatient clinics in hospitals located in Northern Taiwan. Included in the study were 128 community-dwelling and medically stable patients with echocardiographically documented heart failure. Hierarchical multiple regressions were conducted to determine whether depression and resilience predicted perceived physical and psychological health status. The moderating role of resilience was examined by testing the significance of the interaction between depression and resilience. The mediating role of resilience was analyzed using the PROCESS procedure in SPSS. Results: Depression significantly predicted both perceived physical and psychological health status in patients with heart failure after adjustment for demographic variables, comorbidities, New York Heart Association functional class, and health behaviors (both p < 0.01). Furthermore, resilience mediated the relationship between depression and perceived psychological health (b = −0.05; confidence interval [CI]: −0.01, −0.001) but not that between depression and perceived physical health (b = −0.004; CI: −0.003, 0.003). Conclusion: Depression is a risk factor for poor perceived health outcomes in patients with heart failure. Interventions addressing resilience may facilitate improving perceived psychological health in depressed patients with heart failure.
Keywords:
Resilience; Depression; Heart Failure
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15SC2.93
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.titleMediating Role of Resilience in the Relationship between Depression and Perceived Psychological Health in Patients with Heart Failureen
dc.contributor.authorTsai, Pei-Shanen
dc.contributor.authorWu, Shan-Yingen
dc.contributor.authorChang, Ling-Yinen
dc.contributor.authorWu, Shan-Yingen
dc.contributor.authorChang, Ling-Yinen
dc.contributor.departmentLambda Beta-at-Largeen
dc.author.detailsPei-Shan Tsai, PhD, ptsai@tmu.edu.tw; Shan-Ying Wu, MSN; Ling-Yin Chang, PhDen
dc.identifier.urihttp://hdl.handle.net/10755/602938en
dc.description.abstractSession presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Depression is associated with a poor prognosis and reduced quality of life in patients with heart failure. Improving resilience may facilitate lessening the negative consequences associated with depression. However, the role of resilience in the relationship between depression and perceived health status in patients with heart failure remains unknown. Objectives: To examine the relationships among depression, resilience, and perceived health status in patients with heart failure and to determine whether resilience plays a mediating or a moderating role in the relationship between depression and perceived health status. Methods: A cross-sectional study design was used. Participants were recruited from cardiology outpatient clinics in hospitals located in Northern Taiwan. Included in the study were 128 community-dwelling and medically stable patients with echocardiographically documented heart failure. Hierarchical multiple regressions were conducted to determine whether depression and resilience predicted perceived physical and psychological health status. The moderating role of resilience was examined by testing the significance of the interaction between depression and resilience. The mediating role of resilience was analyzed using the PROCESS procedure in SPSS. Results: Depression significantly predicted both perceived physical and psychological health status in patients with heart failure after adjustment for demographic variables, comorbidities, New York Heart Association functional class, and health behaviors (both p < 0.01). Furthermore, resilience mediated the relationship between depression and perceived psychological health (b = −0.05; confidence interval [CI]: −0.01, −0.001) but not that between depression and perceived physical health (b = −0.004; CI: −0.003, 0.003). Conclusion: Depression is a risk factor for poor perceived health outcomes in patients with heart failure. Interventions addressing resilience may facilitate improving perceived psychological health in depressed patients with heart failure.en
dc.subjectResilienceen
dc.subjectDepressionen
dc.subjectHeart Failureen
dc.date.available2016-03-21T16:39:52Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:39:52Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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