Learning Objective 1: state the theoretical basis for research examining psychosocial issues in heart failure
Learning Objective 2: apply information about the importance of considering psychosocial interventions to slow the progression of heart failure in design of research and in clinical practice
Methods: Patients (N = 108) enrolled in the Psychosocial Factors Outcome Study (PFOS) in completed the Beck Depression Inventory -II, State Trait Anxiety Inventory, and Social Support Questionnaire-6 at study entry and every 6 months for up to 2 years.
Results: At baseline 30% of the patients were depressed and 42% were anxious. In linear mixed models, social support amount contributed to changes in depression (p=.044) but not anxiety (p=.856). Patient depression increased over time for those who had lower social support amount at baseline. Disease severity did not predict changes in either depression or anxiety. Overall, depression (p=.132) and anxiety (p=.909) did not change over the 2 years of study.
Conclusion: Depression and anxiety rates remain high over two years in HF outpatients. Low social support amount affects longitudinal changes in depression in HF outpatients. ICDs did not alter these relationships. Assessment of HF patients should include depression and social support. Interventions to enhance social support among HF patients who have low social support may help alleviate the development or worsening of depression.