Coping, meaning in life, and quality of life in congestive heart failure patients

Objective The present study examined (1) whether particular coping strategies used to deal with congestive heart failure (CHF) are related to meaning in life across time, and (2) whether meaning in life mediates the effect of coping on health-related quality of life. Methods A sample of 155 CHF patients received questionnaire packets at two time points, 6 months apart. Main outcome measures included Meaning in Life and Mental and Physical Health-Related Quality of Life (HRQOL). Results Coping (particularly acceptance/positive reinterpretation and religious coping) was not only related to meaning in life, but also to increased meaning over time. Further, meaning in life was related to both mental and physical components of HRQOL. However, coping was minimally related to HRQOL and its effects were not mediated by meaning in life. Conclusions These results add to accumulating evidence that life meaning is important in the context of living with a chronic, life-threatening illness. Further, coping-especially acceptance and religious coping-is related to increased life meaning over time in the context of life limiting illness.