Related Experiment Video
Updated: Mar 12, 2026

Acupoint Application as a Traditional Chinese Medicine Treatment for Fatigue Associated with Chronic Obstructive Pulmonary Disease
Published on: September 5, 2025
Differing Effects of Fatigue and Depression on Hospitalizations in Men and Women With Heart Failure
Seongkum Heo1, Jean McSweeney2, Pao-Feng Tsai2
1Seongkum Heo is an associate professor, Jean McSweeney is a professor and associate dean for research, and Pao-Feng Tsai is a professor, University of Arkansas for Medical Sciences, College of Nursing, Little Rock, Arkansas. Songthip Ounpraseuth is an associate professor, University of Arkansas for Medical Sciences, College of Public Health. sheo@uams.edu.
Background:
In patients with heart failure, worsening of signs and symptoms and depression can affect hospitalization and also each other, resulting in synergistic effects on hospitalizations. A patient's sex may play a role in these effects.
Objectives:
To determine the effects of fatigue and depression on all-cause hospitalization rates in the total sample and in subgroups of men and women.
Methods:
A secondary analysis was done of data collected January 1, 2010, through December 31, 2012 (N = 582; mean age, 63.2 years [SD, 14.4]). Data were collected on fatigue, depression, sample characteristics, vital signs, results of laboratory tests, medications, and frequency of hospitalization. Patients were categorized into 4 groups on the basis of the International Classification of Diseases, Ninth Revision: no fatigue or depression, fatigue only, depression only, and both fatigue and depression. General linear regression was used to analyze the data.
Results:
In both the total sample and the subgroups, the number of hospitalizations in patients with both fatigue and depression was greater than the number in patients without either symptom. Among women, the number of hospitalizations in the fatigue-only group and in the depression-only group was greater than that in the group with neither symptom. In men, the number of hospitalizations in the fatigue-only group was greater than that in the group without either symptom.
Conclusion:
Fatigue and depression do not have synergistic effects on hospitalization, but men and women differ in the effects of these symptoms on hospitalization.
More Related Videos
Related Concept Videos
Heart Failure V: Medical Management
Heart Failure I: Introduction
Heart Failure VI: Adjunct Therapies
Heart Failure III: Clinical Manifestations
Heart Failure VII: Nursing Interventions
Pathophysiology of Heart Failure

