Emotional well-being in spouses of patients with advanced heart failure

Kathleen Dracup, Lorraine Evangelista, Lynn Doering, Dorothy Tullman, Debra K. Moser, Michele Hamilton

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Background The physical demands and psychological stressors of caregiving negatively impact the emotional well-being of spouses in many chronically ill populations such as patients with Alzheimer's disease and end-stage renal failure. Heart failure (HF) is a chronic illness with a poor prognosis that is increasing in prevalence and incidence, yet little is know about its effect on the family, particularly the spouse. Objective We conducted this study to describe the emotional well-being of spouses of patients with HF, to identify factors associated with spouses' decreased emotional well-being, and to compare emotional well-being between spouses with higher and lower levels of perceived control. We proposed a model that included age, sex, employment status, perceived control, and caregiver burden to explain the emotional well-being of spouses. Methods Data were collected from 69 spouses of patients with advanced HF (mean age 54 years and predominantly female) using 2 subscales of the SF-36, control attitudes scale - family version and caregiver appraisal tool. Descriptive statistics, Pearson correlations, and stepwise multiple regression were used to analyze data. Results The model explained 40% of the variance in the emotional well-being of spouses (P = 0.001). Perceived control (P = 0.001) and age (P = 0.046) were associated with emotional well-being. In spouses with higher levels of control, emotional well-being was significantly higher than in spouses with lower levels of control (P = 0.003). Older spouses had higher levels of emotional well-being compared with younger spouses (P = 0.01). Conclusions Health care professionals must assess the level of control perceived by spouses of patients with advanced HF and provide information and counseling directed toward increasing their sense of control. Younger spouses are particularly at risk for decreased emotional well-being and may require special intervention.

Original languageEnglish (US)
Pages (from-to)354-361
Number of pages8
JournalHeart and Lung: Journal of Acute and Critical Care
Volume33
Issue number6
DOIs
StatePublished - Nov 1 2004
Externally publishedYes

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Spouses
Heart Failure
Caregivers
Chronic Disease
Chronic Kidney Failure
Counseling
Alzheimer Disease

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Emotional well-being in spouses of patients with advanced heart failure. / Dracup, Kathleen; Evangelista, Lorraine; Doering, Lynn; Tullman, Dorothy; Moser, Debra K.; Hamilton, Michele.

In: Heart and Lung: Journal of Acute and Critical Care, Vol. 33, No. 6, 01.11.2004, p. 354-361.

Research output: Contribution to journalArticle

Dracup, Kathleen ; Evangelista, Lorraine ; Doering, Lynn ; Tullman, Dorothy ; Moser, Debra K. ; Hamilton, Michele. / Emotional well-being in spouses of patients with advanced heart failure. In: Heart and Lung: Journal of Acute and Critical Care. 2004 ; Vol. 33, No. 6. pp. 354-361.
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abstract = "Background The physical demands and psychological stressors of caregiving negatively impact the emotional well-being of spouses in many chronically ill populations such as patients with Alzheimer's disease and end-stage renal failure. Heart failure (HF) is a chronic illness with a poor prognosis that is increasing in prevalence and incidence, yet little is know about its effect on the family, particularly the spouse. Objective We conducted this study to describe the emotional well-being of spouses of patients with HF, to identify factors associated with spouses' decreased emotional well-being, and to compare emotional well-being between spouses with higher and lower levels of perceived control. We proposed a model that included age, sex, employment status, perceived control, and caregiver burden to explain the emotional well-being of spouses. Methods Data were collected from 69 spouses of patients with advanced HF (mean age 54 years and predominantly female) using 2 subscales of the SF-36, control attitudes scale - family version and caregiver appraisal tool. Descriptive statistics, Pearson correlations, and stepwise multiple regression were used to analyze data. Results The model explained 40{\%} of the variance in the emotional well-being of spouses (P = 0.001). Perceived control (P = 0.001) and age (P = 0.046) were associated with emotional well-being. In spouses with higher levels of control, emotional well-being was significantly higher than in spouses with lower levels of control (P = 0.003). Older spouses had higher levels of emotional well-being compared with younger spouses (P = 0.01). Conclusions Health care professionals must assess the level of control perceived by spouses of patients with advanced HF and provide information and counseling directed toward increasing their sense of control. Younger spouses are particularly at risk for decreased emotional well-being and may require special intervention.",
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