This study examined the relationship between preexisting patient variables (age, race, left ventricular ejection fraction, and history of longstanding depression), quality of life scores (on the Kansas City Cardiomyopathy Questionnaire or KCCQ), and adverse medical outcomes (number of ER visits, hospitalizations, and days spent in the hospital). Of all the preexisting patient variables, only the presence of longstanding depression correlated significantly with decreased quality of life. Additionally, decreased quality of life scores correlated with increased adverse medical outcomes. Interestingly, the presence of longstanding depression seemed to obscure the relationship between quality of life scores and adverse medical outcomes—the quality of life measure correlated with adverse medical outcomes in individuals without longstanding depression, but not in those with longstanding depression. These findings underscore the importance of mental health assessment and treatment in congestive heart failure patients—this is particularly important considering the high prevalence of depression in this population, as well as in individuals with other chronic illnesses.
|Commitee:||Cordova, Matthew, Jacob, Theodore|
|School:||Palo Alto University|
|School Location:||United States -- California|
|Source:||DAI-B 73/02, Dissertation Abstracts International|
|Subjects:||Mental health, Medicine, Clinical psychology|
|Keywords:||Cardiomyopathy, Congestive heart failure, Depression, Kccq, Quality of life|
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