Perceived control reduces emotional stress in patients with heart failure

We studied patients with heart failure (HF) to determine if perceived control reduces emotional distress (i.e., anxiety, depression and hostility) in chronic, debilitating cardiac illness and whether the demographic, clinical and psychologic characteristics of patients with high and low perceived co...

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Published inThe Journal of heart and lung transplantation Vol. 22; no. 1; pp. 90 - 93
Main Authors Dracup, Kathleen, Westlake, Cheryl, Erickson, Virginia S, Moser, Debra K, Caldwell, Mary L, Hamilton, Michelle A
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 2003
Elsevier Science
Subjects
Anxiety
Biological and medical sciences
Cross-Sectional Studies
Depression
Female
Heart Failure - psychology
Hostility
Humans
Internal-External Control
Male
Medical sciences
Middle Aged
Self Efficacy
Stress, Psychological - prevention & control
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the heart
Mood disorder
Heart
High
Human
Heart failure
Evaluation
Multiple
Attitude
Depressions
Characteristic
Cardiovascular disease
Depression
Personality
Multivariate analysis
Stress
Chronic
Control
Characteristics
Low
Heart disease
Checklist
Hostility
Anxiety
Comparative study
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Summary:We studied patients with heart failure (HF) to determine if perceived control reduces emotional distress (i.e., anxiety, depression and hostility) in chronic, debilitating cardiac illness and whether the demographic, clinical and psychologic characteristics of patients with high and low perceived control differed. Psychological assessment of 222 patients with heart failure included an evaluation of perceived control using the Control Attitudes Scale, as well as anxiety, depression and hostility using the Multiple Affect Adjective Checklist. Using multivariate analysis to control for differences in demographic and clinical characteristics, we found that patients with high perceived control had significantly greater 6-minute walk distances and less emotional distress than patients with low perceived control. Interventions designed to increase perceived control may be an important aspect of HF care, but require testing in randomized trials.
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ISSN:1053-2498
1557-3117
DOI:10.1016/S1053-2498(02)00454-0