TY - JOUR
T1 - Influence of depression and gender on symptom burden among patients with advanced heart failure
T2 - Insight from the pain assessment, incidence and nature in heart failure study
AU - Haedtke, Christine A.
AU - Moser, Debra K.
AU - Pressler, Susan J.
AU - Chung, Misook L.
AU - Wingate, Sue
AU - Goodlin, Sarah J.
N1 - Funding Information:
This is a secondary analysis of the data collected in the Pain Assessment, Incidence and Nature in Heart Failure study funded by the Mayday Fund. Clinical Trials number NCT00444301. The writing of this is manuscript was supported by National Institutes of Health, [T32 HL091812 and K12 HL133310-02]
Funding Information:
This is a secondary analysis of the data collected in the Pain Assessment, Incidence and Nature in Heart Failure study funded by the Mayday Fund . Clinical Trials number NCT00444301 . The writing of this is manuscript was supported by National Institutes of Health , [ T32 HL091812 and K12 HL133310-02 ]
PY - 2019/5/1
Y1 - 2019/5/1
N2 - Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.
AB - Introduction: Patients with advanced heart failure (HF) experience many burdensome symptoms that increase patient suffering. Methods: Comparative secondary analysis of 347 patients with advanced HF. Symptom burden was measured with the Memorial Symptom Assessment Scale-HF. Depression was measured using the Patient Health Questionnaire-9. Results: Mean number of symptoms was 13.6. The three most frequent symptoms were non-cardiac pain, shortness of breath, and lack of energy. Patients with depression reported higher symptom burden. Symptom burden differed when compared by gender. Women reported higher symptom burden for other pain, dry mouth, swelling of the arms and legs, sweats, feeling nervous, nausea, and vomiting. Men reported higher symptom burden with sexual problems. Conclusions: Given the high rates of symptoms and distress, interventions are needed to alleviate the symptom burden of patients with advanced HF. Reported symptom burden in patients with advanced heart failure was higher when depressive symptoms were present. Women reported varied number and severity of symptoms than men.
KW - Advanced heart failure
KW - Depression
KW - Gender
KW - Memorial Symptom Assessment Scale-heart failure
KW - Pain
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U2 - 10.1016/j.hrtlng.2019.02.002
DO - 10.1016/j.hrtlng.2019.02.002
M3 - Article
C2 - 30879736
AN - SCOPUS:85062812523
VL - 48
SP - 201
EP - 207
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
IS - 3
ER -