Abstract
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.
| Original language | English (US) |
|---|---|
| Journal | Heart and Lung |
| DOIs | |
| State | Published - Jan 1 2019 |
| Externally published | Yes |
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Keywords
- Advanced heart failure
- Depression
- Gender
- Memorial Symptom Assessment Scale-heart failure
- Pain
ASJC Scopus subject areas
- Pulmonary and Respiratory Medicine
- Critical Care and Intensive Care Medicine
- Cardiology and Cardiovascular Medicine
Cite this
Influence of depression and gender on symptom burden among patients with advanced heart failure : Insight from the pain assessment, incidence and nature in heart failure study. / Haedtke, Christine A.; Moser, Debra K.; Pressler, Susan J.; Chung, Misook L.; Wingate, Sue; Goodlin, Sarah.
In: Heart and Lung, 01.01.2019.Research output: Contribution to journal › Article
}
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
PY - 2019/1/1
Y1 - 2019/1/1
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
UR - http://www.scopus.com/inward/record.url?scp=85062812523&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85062812523&partnerID=8YFLogxK
U2 - 10.1016/j.hrtlng.2019.02.002
DO - 10.1016/j.hrtlng.2019.02.002
M3 - Article
C2 - 30879736
AN - SCOPUS:85062812523
JO - Heart and Lung: Journal of Acute and Critical Care
JF - Heart and Lung: Journal of Acute and Critical Care
SN - 0147-9563
ER -