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The mutual association between depressive symptoms and dyspnea in Chinese patients with chronic heart failure

Xiuzhen Fan1, Zhu Meng2

  • 1Shandong University, PR China fxiuzhen@sdu.edu.cn.

European Journal of Cardiovascular Nursing
|March 18, 2014
PubMed

Insights

Depressive symptoms and dyspnea are common in Chinese patients with chronic heart failure and are closely linked. Effective management of both conditions is crucial for improving patient outcomes.

Area of Science:

  • Cardiology
  • Psychiatry
  • Public Health

Background:

  • Depressive symptoms are common in chronic heart failure (CHF) patients.
  • Limited data exists on the relationship between depressive symptoms and dyspnea in this population.

Purpose of the Study:

  • To determine the prevalence of depressive symptoms and dyspnea.
  • To assess the association between depressive symptoms and dyspnea in Chinese CHF patients.

Main Methods:

  • Cross-sectional study of 152 Chinese CHF patients.
  • Beck Depression Inventory (BDI) for depressive symptoms.
  • Modified Pulmonary Functional Status and Dyspnea Questionnaire for dyspnea.

Main Results:

  • High prevalence of dyspnea (89.5%) and depressive symptoms (44.1%) in CHF patients.
  • Significant positive correlation between BDI scores and dyspnea scores (r=0.54, p<0.01).
  • Factors influencing depressive symptoms included gender, income, BMI, NYHA class, and dyspnea; factors influencing dyspnea included BDI score and ejection fraction.

Conclusions:

  • Elevated prevalence of both depressive symptoms and dyspnea in Chinese CHF patients.
  • Depressive symptoms and dyspnea are interrelated in this cohort.
  • Integrated management of depressive symptoms and dyspnea is vital for CHF patient care.
Abstract

Keywords:
Depressive symptomsdyspneaheart failure

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