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Self-Care Confidence Predicts Less Depression in Heart Failure

Ede, David E, Jr.
http://rave.ohiolink.edu/etdc/view?acc_num=kent1624135356324155

Abstract Details

2021, PHD, Kent State University, College of Arts and Sciences / Department of Psychological Sciences.
Depression is prevalent in patients with heart failure (HF) and is associated with poor outcomes. Poor and/or worsening health is a predictor of depression in HF. Self-care behavior is important for the prevention of worsening health and therefore might protect against depression. Given the potential impact of self-care confidence on effective self-care behavior, it was hypothesized that self-care confidence would be inversely related to depression. Further, because self-care confidence involves belief in one's ability to manage symptoms, it was hypothesized that self-care confidence would moderate the relationship between symptom burden and depression in HF. Specifically, it was expected that symptom burden would be less strongly associated with depression among patients with greater self-care confidence. It was further hypothesized that greater HF knowledge, as well as accurate personal beliefs about HF, would be associated with greater self-care confidence. Data were obtained from the Heart ABC study. Participants were 324 individuals diagnosed with HF, recruited from cardiology departments. Measures included the Patient Health Questionnaire–9, the Kansas City Cardiomyopathy Questionnaire, the Self-care in Heart Failure Index, the Dutch Heart Failure Knowledge Scale, and the Survey of Illness Beliefs in Heart Failure. Greater self-care confidence predicted less depression (p = .009) and lower functioning due to higher HF symptom burden predicted greater depression (p < .001). However, a moderation analysis did not find an interaction effect (p = .250). A trend was found for a positive relationship between HF knowledge and self-care confidence (p = .08). The accuracy of HF beliefs did not predict self-care confidence (p = .199). Findings of the present study suggest that HF symptom burden is positively associated with depression, whereas self-care confidence appears to be inversely associated with depression in HF. Further research is needed to explore potential mechanisms for the influence of self-care confidence on depression as well as predictors and mechanisms of increasing self-care confidence. It could be clinically beneficial for healthcare professionals to monitor for self-care confidence in those with a diagnosis of HF and to provide self-care education where needed.
Joel Hughes (Committee Chair)
John Gunstad (Committee Member)
John Updegraff (Committee Member)
Melissa Zullo (Committee Member)
85 p.
Clinical Psychology; Health; Mental Health; Psychology
Self-Care Confidence; self-efficacy; depression; heart Failure; symptom; belief; knowledge

Recommended Citations

Citations

  • Ede, Jr., D. E. (2021). Self-Care Confidence Predicts Less Depression in Heart Failure [Doctoral dissertation, Kent State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=kent1624135356324155

    APA Style (7th edition)

  • Ede, Jr., David. Self-Care Confidence Predicts Less Depression in Heart Failure. 2021. Kent State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=kent1624135356324155.

    MLA Style (8th edition)

  • Ede, Jr., David. "Self-Care Confidence Predicts Less Depression in Heart Failure." Doctoral dissertation, Kent State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=kent1624135356324155

    Chicago Manual of Style (17th edition)

kent1624135356324155
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© 2021, all rights reserved.
This open access ETD is published by Kent State University and OhioLINK.