期刊
CLINICAL RESEARCH IN CARDIOLOGY
卷 102, 期 4, 页码 269-278出版社
SPRINGER HEIDELBERG
DOI: 10.1007/s00392-012-0531-4
关键词
Chronic heart failure; Generic health-related quality of life; Disease-specific health-related quality of life; Depression
资金
- German Ministry of Education and Research (BMBF, Berlin) [01GL0304]
- German Competence Network Heart Failure (Berlin, BMBF project) [01GI0205]
Heart failure is known to profoundly affect health-related quality of life (HRQoL). We aimed to describe both generic and disease-specific HRQoL in a large community-based sample of patients with systolic heart failure (SHF) and to identify important somatic and psychosocial correlates. Seven hundred and two patients, 67 +/- A 12 years old, 71 % men, with distributions of New York Heart Association (NYHA) functional classes I/II/III/IV of 2/55/39/4 % were included in this cross-sectional analysis. Generic HRQoL was measured with the SF-36 health survey, disease-specific HRQoL with the Kansas City Cardiomyopathy Questionnaire, and depression with the self-reported Patient Health Questionnaire (PHQ-9). Both generic- and disease-specific HRQoL measurements indicated moderate to poor HRQoL. The KCCQ scores demonstrated higher sensitivity to the varying levels of heart failure severity as compared to the SF-36 scores. Patients with either a minor (15 %) or a major depression (24 %) reported significantly and substantially lower HRQoL (p < .001) than patients without depression did. In multivariable regression analyses, depression accounted for the largest part of the variance of both generic and specific HRQoL (12 and 36 %, respectively), whereas most biomedical variables had no or only a marginal influence. Patients with SHF suffer from severe limitations of HRQoL. Depression was the most important correlate of both generic and disease-specific HRQoL.
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