Coping and depressive symptoms in adults living with heart failure

Michael W. Vollman, Lynda L. LaMontagne, Joseph Hepworth

Research output: Contribution to journalArticle

47 Citations (Scopus)

Abstract

BACKGROUND AND RESEARCH OBJECTIVE: This study used process coping theory as the basis for investigating how coping strategies are associated with depressive symptoms in individuals living with heart failure (HF). Demographic factors also were examined as correlates of depressive symptoms. SUBJECTS AND METHODS: The convenience sample of adults living with HF (n = 75) who participated in this study ranged in age from 27 to 82 years (M = 55). Sixty-nine percent of the participants were men, 59% were married or partnered, with the majority being Caucasian and from the middle class. Subjects were recruited from a comprehensive HF program located within an academic health science center in the southeastern United States. A single wave of data collection occurred. All study questionnaires were verbally administered in a clinic room selected for privacy during a routine HF clinic visit. RESULTS AND CONCLUSION: Individuals who used more planful problem-solving and social support seeking coping strategies had fewer depressive symptoms, whereas individuals who used more escape-avoidance coping (eg, wishful thinking) had more depressive symptoms. When demographic factors also were included in a regression analysis assessing depressive symptoms, marital status, functional impairment, and the coping strategies of planful problem-solving and escape-avoidance were all statistically significant predictors of depression. Single individuals, those who used more escape-avoidance, less planful problem-solving coping, and more functional impairment had more depressive symptoms. These results suggest that psychosocial factors, in addition to physical parameters, and the ways individuals cope with the stressors of living with heart failure may be important predictors of depressive symptoms.

Original languageEnglish (US)
Pages (from-to)125-130
Number of pages6
JournalJournal of Cardiovascular Nursing
Volume22
Issue number2
StatePublished - Mar 2007

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Heart Failure
Depression
Demography
Southeastern United States
Privacy
Marital Status
Ambulatory Care
Social Support
Regression Analysis
Psychology
Health
Research

Keywords

  • Coping
  • Depression
  • Heart failure

ASJC Scopus subject areas

  • Advanced and Specialized Nursing
  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Coping and depressive symptoms in adults living with heart failure. / Vollman, Michael W.; LaMontagne, Lynda L.; Hepworth, Joseph.

In: Journal of Cardiovascular Nursing, Vol. 22, No. 2, 03.2007, p. 125-130.

Research output: Contribution to journalArticle

Vollman, Michael W. ; LaMontagne, Lynda L. ; Hepworth, Joseph. / Coping and depressive symptoms in adults living with heart failure. In: Journal of Cardiovascular Nursing. 2007 ; Vol. 22, No. 2. pp. 125-130.
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