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The modifying effects of social support on psychological outcomes in patients with heart failure.

Publication ,  Journal Article
Blumenthal, JA; Zhu, Y; Koch, GG; Smith, PJ; Watkins, LL; Hinderliter, AL; Hoffman, BM; Rogers, JG; Chang, PP; O'Connor, C; Johnson, KS; Sherwood, A
Published in: Health Psychol
June 2019

OBJECTIVE: We examined the modifying effects of social support on depressive symptoms and health-related quality of life (QoL) in patients receiving coping skills training (CST). METHOD: We considered the modifying effects of social support in the Coping Effectively with Heart Failure clinical trial, which randomized 179 heart failure (HF) patients to either 4 months of CST or usual care enhanced by HF education (HFE). CST involved training in specific coping techniques, whereas HFE involved education about HF self-management. Social support was assessed by the Enhancing Recovery in Coronary Heart Disease (ENRICHD) Social Support Inventory, QoL was assessed with the Kansas City Cardiomyopathy Questionnaire (KCCQ), and depression was assessed with the Beck Depression Inventory-II (BDI-II). RESULTS: Linear regression models revealed a significant Intervention Group × Baseline Social Support interaction for change in KCCQ total scores (p = .006) and BDI-II scores (p < .001). Participants with low social support assigned to the CST intervention showed large improvements in KCCQ scores (M = 11.2, 95% CI [5.7, 16.8]), whereas low-social-support patients assigned to the HFE controls showed no significant change (M = -0.8, 95% CI [-7.2, 5.6]). Similarly, BDI-II scores in participants with low social support in the CST group showed large reductions (M = -8.7, 95% CI [-11.3, -6.1]) compared with low-social-support HFE participants (M = -3.0, 95% CI [-6.0, -0.1]). CONCLUSIONS: HF patients with low social support benefit substantially from telephone-based CST interventions. Targeting HF patients with low social support for behavioral interventions could prove to be a cost-effective strategy for improving QoL and reducing depression. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Duke Scholars

Published In

Health Psychol

DOI

EISSN

1930-7810

Publication Date

June 2019

Volume

38

Issue

6

Start / End Page

502 / 508

Location

United States

Related Subject Headings

  • Social Support
  • Quality of Life
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Heart Failure
  • Female
  • Depression
  • Adaptation, Psychological
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Blumenthal, J. A., Zhu, Y., Koch, G. G., Smith, P. J., Watkins, L. L., Hinderliter, A. L., … Sherwood, A. (2019). The modifying effects of social support on psychological outcomes in patients with heart failure. Health Psychol, 38(6), 502–508. https://doi.org/10.1037/hea0000716
Blumenthal, James A., Yidan Zhu, Gary G. Koch, Patrick J. Smith, Lana L. Watkins, Alan L. Hinderliter, Benson M. Hoffman, et al. “The modifying effects of social support on psychological outcomes in patients with heart failure.Health Psychol 38, no. 6 (June 2019): 502–8. https://doi.org/10.1037/hea0000716.
Blumenthal JA, Zhu Y, Koch GG, Smith PJ, Watkins LL, Hinderliter AL, et al. The modifying effects of social support on psychological outcomes in patients with heart failure. Health Psychol. 2019 Jun;38(6):502–8.
Blumenthal, James A., et al. “The modifying effects of social support on psychological outcomes in patients with heart failure.Health Psychol, vol. 38, no. 6, June 2019, pp. 502–08. Pubmed, doi:10.1037/hea0000716.
Blumenthal JA, Zhu Y, Koch GG, Smith PJ, Watkins LL, Hinderliter AL, Hoffman BM, Rogers JG, Chang PP, O’Connor C, Johnson KS, Sherwood A. The modifying effects of social support on psychological outcomes in patients with heart failure. Health Psychol. 2019 Jun;38(6):502–508.

Published In

Health Psychol

DOI

EISSN

1930-7810

Publication Date

June 2019

Volume

38

Issue

6

Start / End Page

502 / 508

Location

United States

Related Subject Headings

  • Social Support
  • Quality of Life
  • Public Health
  • Middle Aged
  • Male
  • Humans
  • Heart Failure
  • Female
  • Depression
  • Adaptation, Psychological