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Coping styles in heart failure patients with depressive symptoms.

Publication ,  Journal Article
Trivedi, RB; Blumenthal, JA; O'Connor, C; Adams, K; Hinderliter, A; Dupree, C; Johnson, K; Sherwood, A
Published in: J Psychosom Res
October 2009

OBJECTIVE: Elevated depressive symptoms have been linked to poorer prognosis in heart failure (HF) patients. Our objective was to identify coping styles associated with depressive symptoms in HF patients. METHODS: A total of 222 stable HF patients (32.75% female, 45.4% non-Hispanic black) completed multiple questionnaires. Beck Depression Inventory (BDI) assessed depressive symptoms, Life Orientation Test (LOT-R) assessed optimism, ENRICHD Social Support Inventory (ESSI) and Perceived Social Support Scale (PSSS) assessed social support, and COPE assessed coping styles. Linear regression analyses were employed to assess the association of coping styles with continuous BDI scores. Logistic regression analyses were performed using BDI scores dichotomized into BDI<10 vs. BDI> or =10, to identify coping styles accompanying clinically significant depressive symptoms. RESULTS: In linear regression models, higher BDI scores were associated with lower scores on the acceptance (beta=-.14), humor (beta=-.15), planning (beta=-.15), and emotional support (beta=-.14) subscales of the COPE, and higher scores on the behavioral disengagement (beta=.41), denial (beta=.33), venting (beta=.25), and mental disengagement (beta=.22) subscales. Higher PSSS and ESSI scores were associated with lower BDI scores (beta=-.32 and -.25, respectively). Higher LOT-R scores were associated with higher BDI scores (beta=.39, P<.001). In logistical regression models, BDI> or =10 was associated with greater likelihood of behavioral disengagement (OR=1.3), denial (OR=1.2), mental disengagement (OR=1.3), venting (OR=1.2), and pessimism (OR=1.2), and lower perceived social support measured by PSSS (OR=.92) and ESSI (OR=.92). CONCLUSION: Depressive symptoms in HF patients are associated with avoidant coping, lower perceived social support, and pessimism. Results raise the possibility that interventions designed to improve coping may reduce depressive symptoms.

Duke Scholars

Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

October 2009

Volume

67

Issue

4

Start / End Page

339 / 346

Location

England

Related Subject Headings

  • Temperament
  • Social Support
  • Sick Role
  • Psychometrics
  • Psychiatry
  • Prospective Studies
  • Prognosis
  • Personality Inventory
  • Peptide Fragments
  • North Carolina
 

Citation

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ICMJE
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Trivedi, R. B., Blumenthal, J. A., O’Connor, C., Adams, K., Hinderliter, A., Dupree, C., … Sherwood, A. (2009). Coping styles in heart failure patients with depressive symptoms. J Psychosom Res, 67(4), 339–346. https://doi.org/10.1016/j.jpsychores.2009.05.014
Trivedi, Ranak B., James A. Blumenthal, Christopher O’Connor, Kirkwood Adams, Alan Hinderliter, Carla Dupree, Kristy Johnson, and Andrew Sherwood. “Coping styles in heart failure patients with depressive symptoms.J Psychosom Res 67, no. 4 (October 2009): 339–46. https://doi.org/10.1016/j.jpsychores.2009.05.014.
Trivedi RB, Blumenthal JA, O’Connor C, Adams K, Hinderliter A, Dupree C, et al. Coping styles in heart failure patients with depressive symptoms. J Psychosom Res. 2009 Oct;67(4):339–46.
Trivedi, Ranak B., et al. “Coping styles in heart failure patients with depressive symptoms.J Psychosom Res, vol. 67, no. 4, Oct. 2009, pp. 339–46. Pubmed, doi:10.1016/j.jpsychores.2009.05.014.
Trivedi RB, Blumenthal JA, O’Connor C, Adams K, Hinderliter A, Dupree C, Johnson K, Sherwood A. Coping styles in heart failure patients with depressive symptoms. J Psychosom Res. 2009 Oct;67(4):339–346.
Journal cover image

Published In

J Psychosom Res

DOI

EISSN

1879-1360

Publication Date

October 2009

Volume

67

Issue

4

Start / End Page

339 / 346

Location

England

Related Subject Headings

  • Temperament
  • Social Support
  • Sick Role
  • Psychometrics
  • Psychiatry
  • Prospective Studies
  • Prognosis
  • Personality Inventory
  • Peptide Fragments
  • North Carolina