Patterns and the mediating role of avoidant coping style and illness perception on anxiety and depression in patients with chronic heart failure

Scandinavian Journal of Caring Sciences
Catarina Nahlén BoseFredrik Saboonchi

Abstract

Emotional distress in patients with chronic heart failure (CHF) predicts mortality, hospital readmission and quality of life. The patient's avoidant coping style and beliefs about the disease have been linked to emotional distress in CHF. However, the pattern and transmitting effects of these variables are indefinite. This study aimed to examine the links between and the potential mediating role of illness perceptions and avoidant coping style on depression and anxiety in patients with CHF. Self-assessment data from 103 patients with CHF were subjected to path analysis in two hypothesised models. The outcome measures were coping styles, illness perception, anxiety and depression. Avoidant coping had a direct adverse effect on anxiety and depression. The perception of symptom burden and personal control, significantly mediated the effect between avoidant coping and anxiety and depression. Avoidant coping style appears to influence not only emotional distress, but also a malignant symptom perception and low sense of control over the illness.

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Citations

Jan 7, 2016·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Catarina Nahlén BoseFredrik Saboonchi
Jul 26, 2019·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Cancan ChenXiuzhen Fan
Oct 24, 2019·Journal of Advanced Nursing·Maddi Olano-LizarragaMaribel Saracíbar-Razquin
Aug 16, 2016·Nursing Ethics·Hossein BagheriFarid Zayeri
Sep 5, 2018·Journal of Occupational Rehabilitation·Emelien A KadijkFenna R M Leijten
May 2, 2019·Health Psychology Open·Amanda T SawyerHarold G Koenig
Feb 18, 2020·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·David M SagerSamuel F Sears
Aug 28, 2020·The Journal of the Association of Nurses in AIDS Care : JANAC·Jenni M WiseMirjam-Colette Kempf

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