Perceived Stress and Depressive Symptoms as Predictors of Decisional Conflict in Dyads Considering a Left Ventricular Assist Device.

Circulation. Cardiovascular Quality and Outcomes
Colleen K McIlvennanTimothy S Sannes

Abstract

The decision to pursue a left ventricular assist device (LVAD) commits loved ones to major caregiving responsibilities and, often, medical decision-making. How emotional domains overlap within patients and their caregivers and contribute to conflict around the decision to pursue LVAD remains largely unexplored. The associations within and between individuals in patient-caregiver dyads considering LVAD were estimated in a specific type of structural equation model known as the Actor-Partner Interdependence Model. This model tested whether each person's depression and stress predicted their own decisional conflict (actor effects), as well as their partner's decisional conflict (partner effects). At the time of study enrollment when a formal LVAD evaluation was initiated, 162 patient-caregiver dyads completed assessments of decisional conflict using the Decisional Conflict Scale, depressive symptoms using the Patient Health Questionnaire-2, and stress using the Perceived Stress Scale. Across both models, decisional conflict was significantly correlated within patient-caregiver dyads (β=0.47 and 0.44, for depression and perceived stress models, respectively, P<0.001). Greater perceived stress in both the patient (β=0.18; P<0.05) an...Continue Reading

References

Dec 1, 1983·Journal of Health and Social Behavior·S CohenR Mermelstein
Jan 1, 1995·Medical Decision Making : an International Journal of the Society for Medical Decision Making·A M O'Connor
Nov 2, 2002·Journal of Cardiac Failure·Lorraine S EvangelistaMichele Hamilton
Mar 8, 2003·Experimental Aging Research·Karen A Schwarz, Gail Dunphy
Oct 30, 2003·Medical Care·Kurt KroenkeJanet B W Williams
May 8, 2010·Journal of Cardiac Failure·Boyoung HwangTiny Jaarsma
Feb 22, 2012·The Journal of Cardiovascular Nursing·Jessica H RetrumDavid B Bekelman
Mar 7, 2012·Circulation·Larry A AllenUNKNOWN Council on Cardiovascular Surgery and Anesthesia
Apr 5, 2012·Cognition & Emotion·Brian Parkinson, Gwenda Simons
Jul 4, 2012·Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen·France LégaréStéphane Turcotte
Feb 8, 2013·The Journal of Cardiovascular Nursing·Harleah G BuckJudith E Hupcey
Mar 7, 2014·Clinical Nursing Research·Lisa A KitkoMaureen Palese
May 16, 2014·Circulation. Cardiovascular Quality and Outcomes·Colleen K McIlvennanDaniel D Matlock
Mar 12, 2015·Circulation. Cardiovascular Quality and Outcomes·Colleen K McIlvennanDaniel D Matlock
Jan 18, 2017·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Jamie M JacobsJoseph A Greer
Feb 6, 2017·Heart Failure Reviews·J Nicholas Dionne-OdomUNKNOWN IMPACT-HF National Workgroup
Apr 13, 2017·The Cochrane Database of Systematic Reviews·Dawn StaceyLyndal Trevena
Jan 23, 2018·Journal of Family Nursing·Karen S Lyons, Christopher S Lee
Sep 11, 2018·ASAIO Journal : a Peer-reviewed Journal of the American Society for Artificial Internal Organs·Martha AbshireCheryl Dennison Himmelfarb
Jan 30, 2019·The Journal of Heart and Lung Transplantation : the Official Publication of the International Society for Heart Transplantation·Robert L KormosJames K Kirklin
Feb 23, 2019·The Journal of Cardiovascular Nursing·Carolyn DickensMariann R Piano
Mar 19, 2019·The New England Journal of Medicine·Mandeep R MehraUNKNOWN MOMENTUM 3 Investigators

❮ Previous
Next ❯

Citations

May 28, 2021·The Annals of Otology, Rhinology, and Laryngology·Chelsea ClevelandMichele M Carr

❮ Previous
Next ❯

Methods Mentioned

BETA
Destination

Software Mentioned

Statistical Programming for the Social Sciences
Mplus

Related Concepts

Related Feeds

Artificial Heart & Ventricular Assist Devices

Total artificial hearts (TAH) and ventricular assist devices (VADs) provide cardiac support for patients with end-stage heart disease and have significantly improved the survival of these patients. Discover the latest research on Artificial Heart and Ventricular Assist Devices here.

© 2021 Meta ULC. All rights reserved