Psychosocial functioning and physical symptoms in heart failure patients

A within-individual approach

Robert A. Carels, Dara Musher-Eizenman, Holly Cacciapaglia, Carlos Perez Benitez, Samantha Christie, William O'Brien

Research output: Contribution to journalArticle

40 Citations (Scopus)

Abstract

Objective: Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. Methods: Fifty-eight HF patients completed daily diaries that evaluated mood, social support, coping, and physical symptoms for 2 weeks. Results: After being prewhitened for serial dependencies, the data were entered into regression analyses to determine the concurrent and lagged relationships among them. Significant concurrent relationships were obtained between physical symptoms and depression, social conflict, positive and negative mood, and symptom-focused coping. Furthermore, negative mood and distraction coping predicted greater physical symptoms the next day, while action/acceptance coping predicted fewer physical symptoms the next day. Conclusion: Our data provide evidence for an association between daily psychosocial functioning and HF physical symptoms. Implications for research and clinical work with HF patients are discussed.

Original languageEnglish
Pages (from-to)95-101
Number of pages7
JournalJournal of Psychosomatic Research
Volume56
Issue number1
DOIs
StatePublished - Jan 1 2004
Externally publishedYes

Fingerprint

Heart Failure
Chest Pain
Social Support
Dyspnea
Regression Analysis
Quality of Life
Depression
Research

Keywords

  • Coping
  • Heart failure
  • Mood
  • Physical symptoms
  • Social support
  • Time series

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry
  • Psychology(all)

Cite this

Carels, R. A., Musher-Eizenman, D., Cacciapaglia, H., Perez Benitez, C., Christie, S., & O'Brien, W. (2004). Psychosocial functioning and physical symptoms in heart failure patients: A within-individual approach. Journal of Psychosomatic Research, 56(1), 95-101. https://doi.org/10.1016/S0022-3999(03)00041-2

Psychosocial functioning and physical symptoms in heart failure patients : A within-individual approach. / Carels, Robert A.; Musher-Eizenman, Dara; Cacciapaglia, Holly; Perez Benitez, Carlos; Christie, Samantha; O'Brien, William.

In: Journal of Psychosomatic Research, Vol. 56, No. 1, 01.01.2004, p. 95-101.

Research output: Contribution to journalArticle

Carels, RA, Musher-Eizenman, D, Cacciapaglia, H, Perez Benitez, C, Christie, S & O'Brien, W 2004, 'Psychosocial functioning and physical symptoms in heart failure patients: A within-individual approach', Journal of Psychosomatic Research, vol. 56, no. 1, pp. 95-101. https://doi.org/10.1016/S0022-3999(03)00041-2
Carels, Robert A. ; Musher-Eizenman, Dara ; Cacciapaglia, Holly ; Perez Benitez, Carlos ; Christie, Samantha ; O'Brien, William. / Psychosocial functioning and physical symptoms in heart failure patients : A within-individual approach. In: Journal of Psychosomatic Research. 2004 ; Vol. 56, No. 1. pp. 95-101.
@article{89dab4cbef844d6f8e1e4cc79a1f7e95,
title = "Psychosocial functioning and physical symptoms in heart failure patients: A within-individual approach",
abstract = "Objective: Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. Methods: Fifty-eight HF patients completed daily diaries that evaluated mood, social support, coping, and physical symptoms for 2 weeks. Results: After being prewhitened for serial dependencies, the data were entered into regression analyses to determine the concurrent and lagged relationships among them. Significant concurrent relationships were obtained between physical symptoms and depression, social conflict, positive and negative mood, and symptom-focused coping. Furthermore, negative mood and distraction coping predicted greater physical symptoms the next day, while action/acceptance coping predicted fewer physical symptoms the next day. Conclusion: Our data provide evidence for an association between daily psychosocial functioning and HF physical symptoms. Implications for research and clinical work with HF patients are discussed.",
keywords = "Coping, Heart failure, Mood, Physical symptoms, Social support, Time series",
author = "Carels, {Robert A.} and Dara Musher-Eizenman and Holly Cacciapaglia and {Perez Benitez}, Carlos and Samantha Christie and William O'Brien",
year = "2004",
month = "1",
day = "1",
doi = "10.1016/S0022-3999(03)00041-2",
language = "English",
volume = "56",
pages = "95--101",
journal = "Journal of Psychosomatic Research",
issn = "0022-3999",
publisher = "Elsevier Inc.",
number = "1",

}

TY - JOUR

T1 - Psychosocial functioning and physical symptoms in heart failure patients

T2 - A within-individual approach

AU - Carels, Robert A.

AU - Musher-Eizenman, Dara

AU - Cacciapaglia, Holly

AU - Perez Benitez, Carlos

AU - Christie, Samantha

AU - O'Brien, William

PY - 2004/1/1

Y1 - 2004/1/1

N2 - Objective: Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. Methods: Fifty-eight HF patients completed daily diaries that evaluated mood, social support, coping, and physical symptoms for 2 weeks. Results: After being prewhitened for serial dependencies, the data were entered into regression analyses to determine the concurrent and lagged relationships among them. Significant concurrent relationships were obtained between physical symptoms and depression, social conflict, positive and negative mood, and symptom-focused coping. Furthermore, negative mood and distraction coping predicted greater physical symptoms the next day, while action/acceptance coping predicted fewer physical symptoms the next day. Conclusion: Our data provide evidence for an association between daily psychosocial functioning and HF physical symptoms. Implications for research and clinical work with HF patients are discussed.

AB - Objective: Heart failure (HF) markedly diminishes an individual's quality of life. However, little is known about how psychosocial functioning is related to heart failure physical symptom expression (e.g., chest pain or heaviness, shortness of breath) on a day-to-day basis. Methods: Fifty-eight HF patients completed daily diaries that evaluated mood, social support, coping, and physical symptoms for 2 weeks. Results: After being prewhitened for serial dependencies, the data were entered into regression analyses to determine the concurrent and lagged relationships among them. Significant concurrent relationships were obtained between physical symptoms and depression, social conflict, positive and negative mood, and symptom-focused coping. Furthermore, negative mood and distraction coping predicted greater physical symptoms the next day, while action/acceptance coping predicted fewer physical symptoms the next day. Conclusion: Our data provide evidence for an association between daily psychosocial functioning and HF physical symptoms. Implications for research and clinical work with HF patients are discussed.

KW - Coping

KW - Heart failure

KW - Mood

KW - Physical symptoms

KW - Social support

KW - Time series

UR - http://www.scopus.com/inward/record.url?scp=1342329262&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=1342329262&partnerID=8YFLogxK

U2 - 10.1016/S0022-3999(03)00041-2

DO - 10.1016/S0022-3999(03)00041-2

M3 - Article

VL - 56

SP - 95

EP - 101

JO - Journal of Psychosomatic Research

JF - Journal of Psychosomatic Research

SN - 0022-3999

IS - 1

ER -