Dissertation/Thesis Abstract

Correlates of quality of life in congestive heart failure
by Kimball, Kilianne, Ph.D., Palo Alto University, 2011, 55; 3481412
Abstract (Summary)

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.

Indexing (document details)
Advisor: Lovett, Steven
Commitee: Cordova, Matthew, Jacob, Theodore
School: Palo Alto University
Department: Psychology
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
Publication Number: 3481412
ISBN: 978-1-267-00354-6
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