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The Relationship Between Depressive Symptoms, Cognition, and Functional Impairment Longitudinally in Heart Failure

Fulcher, Krysten K.

Abstract Details

2014, MA, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
Heart failure (HF) is a progressive chronic illness associated with significant functional impairment as well as many medical and psychiatric comorbidities. HF patients often require assistance in completing activities of daily living (ADL) and also frequently have poor treatment adherence. In addition, cognitive impairment and depression (both known contributors to functional impairment) are common in this population. Little work has been done to investigate whether the co-occurrence of depressive symptoms and cognitive impairment is more detrimental to daily functioning than either condition alone. Older adults with HF (N=107) completed a neuropsychological test battery and self-report measures at baseline and 12-month follow-up. Linear regression analyses controlling for sex, age, and HF severity indicated baseline depressive symptoms and scores across several cognitive domains were independently related to ADLs at 12-month follow-up. However, the interaction of cognition and depressive symptoms did not predict later ADLs or adherence. These results indicate monitoring of depressive and cognitive changes is important, as it may serve as a marker for later decline in daily functioning and could be used to prompt early intervention in HF patients.
John Gunstad, Ph.D (Advisor)
Mary Beth Spitznagel, Ph.D (Committee Member)
Jeff Ciesla, Ph.D (Committee Member)
John Dunlosky, Ph.D (Committee Member)
52 p.

Recommended Citations

Citations

  • Fulcher, K. K. (2014). The Relationship Between Depressive Symptoms, Cognition, and Functional Impairment Longitudinally in Heart Failure [Master's thesis, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1397399027

    APA Style (7th edition)

  • Fulcher, Krysten. The Relationship Between Depressive Symptoms, Cognition, and Functional Impairment Longitudinally in Heart Failure . 2014. Kent State University, Master's thesis. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1397399027.

    MLA Style (8th edition)

  • Fulcher, Krysten. "The Relationship Between Depressive Symptoms, Cognition, and Functional Impairment Longitudinally in Heart Failure ." Master's thesis, Kent State University, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=kent1397399027

    Chicago Manual of Style (17th edition)