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Predicting depressive symptoms and self-care in patients with heart failure
Lucinda J Graven1, Joan S Grant2, David E Vance2
1Florida State University College of Nursing, Tallahassee, FL, USA. lgraven@fsu.edu.
Objective:
To examine relationships among heart failure (HF) physical symptoms, social support, social problem-solving, depressive symptoms, and self-care behaviors in outpatients with HF.
Methods:
Cross-sectional data were collected from 201 outpatients. Structural equation modeling was used in this preliminary analysis to examine the relationships among the study variables.
Results:
HF physical symptoms and social support were predictors of depressive symptoms and self-care behaviors. Social problem-solving also predicted self-care behaviors. Social support mediated the relationship between HF physical symptoms and depressive symptoms.
Conclusions:
Social support may influence depressive symptoms and self-care behaviors, whereas social problem-solving may impact self-care behaviors. Future research should examine causality and sub-components of social problem-solving on these outcome variables.
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