Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients
Depressive symptoms in patients with heart failure can affect the relationship between physical signs and symptoms and inflammation. To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationshi...
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| Veröffentlicht in: | American journal of critical care 2014-09, Vol.23 (5), p.404-413 |
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| container_title | American journal of critical care |
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| creator | Heo, Seongkum Moser, Debra K Pressler, Susan J Dunbar, Sandra B Dekker, Rebecca L Lennie, Terry A |
| description | Depressive symptoms in patients with heart failure can affect the relationship between physical signs and symptoms and inflammation.
To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationship in patients with heart failure.
Data on physical signs and symptoms (Symptom Status Questionnaire-Heart Failure), depressive symptoms (Beck Depression Inventory-II), and levels of the receptor (blood samples) were collected from 145 patients with heart failure. Data on the receptor were square root transformed to achieve normality. Patients were divided into 2 groups according to their scores for depressive symptoms (nondepressed |
| doi_str_mv | 10.4037/ajcc2014614 |
| format | Article |
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To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationship in patients with heart failure.
Data on physical signs and symptoms (Symptom Status Questionnaire-Heart Failure), depressive symptoms (Beck Depression Inventory-II), and levels of the receptor (blood samples) were collected from 145 patients with heart failure. Data on the receptor were square root transformed to achieve normality. Patients were divided into 2 groups according to their scores for depressive symptoms (nondepressed <14 and depressed ≥14). Hierarchical multiple regression was used to analyze the data.
In the total sample, with controls for covariates, higher levels of the receptor were significantly related to more severe physical signs and symptoms (F = 7.915; P < .001). In subgroup analyses, with controls for covariates, levels of the receptor were significantly related to physical signs and symptoms only in the patients without depression (F = 3.174; P = .005).
Both depressive symptoms and inflammation should be considered along with physical signs and symptoms in patients with heart failure. Further studies are needed to determine the effects of improvement in inflammation on improvement in physical signs and symptoms, with consideration given to the effects of depressive symptoms.</description><identifier>ISSN: 1062-3264</identifier><identifier>EISSN: 1937-710X</identifier><identifier>DOI: 10.4037/ajcc2014614</identifier><identifier>PMID: 25179036</identifier><language>eng</language><publisher>United States</publisher><subject>Aged ; Body Mass Index ; Comorbidity ; Depression - blood ; Dyspnea - etiology ; Edema - etiology ; Fatigue - etiology ; Female ; Heart Failure - blood ; Heart Failure - complications ; Heart Failure - psychology ; Humans ; Inflammation - blood ; Male ; Middle Aged ; Nursing ; Prospective Studies ; Psychiatric Status Rating Scales ; Receptors, Tumor Necrosis Factor, Type I - blood ; Sleep Wake Disorders - etiology ; Social Support</subject><ispartof>American journal of critical care, 2014-09, Vol.23 (5), p.404-413</ispartof><rights>2014 American Association of Critical-Care Nurses.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-7638bff3927e51c4a92077bbd9fcce9b2c60805a746772899a612d08cc4007413</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25179036$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heo, Seongkum</creatorcontrib><creatorcontrib>Moser, Debra K</creatorcontrib><creatorcontrib>Pressler, Susan J</creatorcontrib><creatorcontrib>Dunbar, Sandra B</creatorcontrib><creatorcontrib>Dekker, Rebecca L</creatorcontrib><creatorcontrib>Lennie, Terry A</creatorcontrib><title>Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients</title><title>American journal of critical care</title><addtitle>Am J Crit Care</addtitle><description>Depressive symptoms in patients with heart failure can affect the relationship between physical signs and symptoms and inflammation.
To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationship in patients with heart failure.
Data on physical signs and symptoms (Symptom Status Questionnaire-Heart Failure), depressive symptoms (Beck Depression Inventory-II), and levels of the receptor (blood samples) were collected from 145 patients with heart failure. Data on the receptor were square root transformed to achieve normality. Patients were divided into 2 groups according to their scores for depressive symptoms (nondepressed <14 and depressed ≥14). Hierarchical multiple regression was used to analyze the data.
In the total sample, with controls for covariates, higher levels of the receptor were significantly related to more severe physical signs and symptoms (F = 7.915; P < .001). In subgroup analyses, with controls for covariates, levels of the receptor were significantly related to physical signs and symptoms only in the patients without depression (F = 3.174; P = .005).
Both depressive symptoms and inflammation should be considered along with physical signs and symptoms in patients with heart failure. Further studies are needed to determine the effects of improvement in inflammation on improvement in physical signs and symptoms, with consideration given to the effects of depressive symptoms.</description><subject>Aged</subject><subject>Body Mass Index</subject><subject>Comorbidity</subject><subject>Depression - blood</subject><subject>Dyspnea - etiology</subject><subject>Edema - etiology</subject><subject>Fatigue - etiology</subject><subject>Female</subject><subject>Heart Failure - blood</subject><subject>Heart Failure - complications</subject><subject>Heart Failure - psychology</subject><subject>Humans</subject><subject>Inflammation - blood</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nursing</subject><subject>Prospective Studies</subject><subject>Psychiatric Status Rating Scales</subject><subject>Receptors, Tumor Necrosis Factor, Type I - blood</subject><subject>Sleep Wake Disorders - etiology</subject><subject>Social Support</subject><issn>1062-3264</issn><issn>1937-710X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUtLAzEURoMotlZX7iVLQUbzzmQpvqHgRsHdkMkkTsq8mqRC_71TW4s7V_dyOd9Z3A-Ac4yuGaLyRi-MIQgzgdkBmGJFZSYx-jgcdyRIRolgE3AS4wKNUC7lMZgQjqVCVEzB8t4OwcbovyyM63ZIfRuh7iqYaguDbXTyfRdrP8DeQd-5Rrftzw2mHg71OnqjGxj9Z7eN7R2-g7XVIUGnfbMKFg5jzHYpnoIjp5toz3ZzBt4fH97unrP569PL3e08M5SrlElB89I5qoi0HBumFUFSlmWlnDFWlcQIlCOuJRNSklwpLTCpUG4MQ0gyTGfgcusdQr9c2ZiK1kdjm0Z3tl_FAgukOFKMk_9RzpUgmOON9WqLmtDHGKwrhuBbHdYFRsWmjuJPHSN9sROvytZWe_b3__Qb24KG5w</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Heo, Seongkum</creator><creator>Moser, Debra K</creator><creator>Pressler, Susan J</creator><creator>Dunbar, Sandra B</creator><creator>Dekker, Rebecca L</creator><creator>Lennie, Terry A</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>20140901</creationdate><title>Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients</title><author>Heo, Seongkum ; Moser, Debra K ; Pressler, Susan J ; Dunbar, Sandra B ; Dekker, Rebecca L ; Lennie, Terry A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-7638bff3927e51c4a92077bbd9fcce9b2c60805a746772899a612d08cc4007413</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Aged</topic><topic>Body Mass Index</topic><topic>Comorbidity</topic><topic>Depression - blood</topic><topic>Dyspnea - etiology</topic><topic>Edema - etiology</topic><topic>Fatigue - etiology</topic><topic>Female</topic><topic>Heart Failure - blood</topic><topic>Heart Failure - complications</topic><topic>Heart Failure - psychology</topic><topic>Humans</topic><topic>Inflammation - blood</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nursing</topic><topic>Prospective Studies</topic><topic>Psychiatric Status Rating Scales</topic><topic>Receptors, Tumor Necrosis Factor, Type I - blood</topic><topic>Sleep Wake Disorders - etiology</topic><topic>Social Support</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Heo, Seongkum</creatorcontrib><creatorcontrib>Moser, Debra K</creatorcontrib><creatorcontrib>Pressler, Susan J</creatorcontrib><creatorcontrib>Dunbar, Sandra B</creatorcontrib><creatorcontrib>Dekker, Rebecca L</creatorcontrib><creatorcontrib>Lennie, Terry A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>American journal of critical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Heo, Seongkum</au><au>Moser, Debra K</au><au>Pressler, Susan J</au><au>Dunbar, Sandra B</au><au>Dekker, Rebecca L</au><au>Lennie, Terry A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients</atitle><jtitle>American journal of critical care</jtitle><addtitle>Am J Crit Care</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>23</volume><issue>5</issue><spage>404</spage><epage>413</epage><pages>404-413</pages><issn>1062-3264</issn><eissn>1937-710X</eissn><abstract>Depressive symptoms in patients with heart failure can affect the relationship between physical signs and symptoms and inflammation.
To examine the relationship between soluble tumor necrosis factor receptor I and physical signs and symptoms and the effects of depressive symptoms on this relationship in patients with heart failure.
Data on physical signs and symptoms (Symptom Status Questionnaire-Heart Failure), depressive symptoms (Beck Depression Inventory-II), and levels of the receptor (blood samples) were collected from 145 patients with heart failure. Data on the receptor were square root transformed to achieve normality. Patients were divided into 2 groups according to their scores for depressive symptoms (nondepressed <14 and depressed ≥14). Hierarchical multiple regression was used to analyze the data.
In the total sample, with controls for covariates, higher levels of the receptor were significantly related to more severe physical signs and symptoms (F = 7.915; P < .001). In subgroup analyses, with controls for covariates, levels of the receptor were significantly related to physical signs and symptoms only in the patients without depression (F = 3.174; P = .005).
Both depressive symptoms and inflammation should be considered along with physical signs and symptoms in patients with heart failure. Further studies are needed to determine the effects of improvement in inflammation on improvement in physical signs and symptoms, with consideration given to the effects of depressive symptoms.</abstract><cop>United States</cop><pmid>25179036</pmid><doi>10.4037/ajcc2014614</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | American journal of critical care, 2014-09, Vol.23 (5), p.404-413 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Aged Body Mass Index Comorbidity Depression - blood Dyspnea - etiology Edema - etiology Fatigue - etiology Female Heart Failure - blood Heart Failure - complications Heart Failure - psychology Humans Inflammation - blood Male Middle Aged Nursing Prospective Studies Psychiatric Status Rating Scales Receptors, Tumor Necrosis Factor, Type I - blood Sleep Wake Disorders - etiology Social Support |
| title | Depressive symptoms and the relationship of inflammation to physical signs and symptoms in heart failure patients |
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