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Wang Z, Tocchi C, Chyun D, Kim K, Cong X, Starkweather A. The association between psychological factors and self-care in patients with heart failure: an integrative review. Eur J Cardiovasc Nurs 2023; 22:553-561. [PMID: 36351041 DOI: 10.1093/eurjcn/zvac106] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/27/2022] [Revised: 11/04/2022] [Accepted: 11/06/2022] [Indexed: 09/06/2023]
Abstract
AIMS This integrative review aims to describe the current evidence concerning the relationship between a broad range of psychological factors (depression, depressive symptoms, anxiety, stress, and type-D personality) and self-care in patients with heart failure. METHODS AND RESULTS Six electronic databases were searched and keywords were used to identify potential eligible studies published within the last 10 years. To be eligible, individuals with heart failure aged 18 years or older and who were included in any type of observational study that examined the association between psychological factors and self-care were considered. Twenty articles were included, and 16 of them reported that depression/depressive symptoms were associated with poorer self-care, after controlling for age, sex, education level, cardiac history, or comorbidities. Five studies found that self-care confidence/self-efficacy mediates the relationship between depression/depressive symptoms and self-care. The association between depression/depressive symptoms and self-care varied in assessment methods and statistical approaches. Seven studies showed an inverse association between anxiety and self-care. Four studies found a stronger association between self-care and depression compared with the relationship between self-care and other psychological factors. Stress and type-D personality were both associated with self-care in four studies. CONCLUSION Depression/depressive symptoms and anxiety were found to be inversely associated with self-care in patients with heart failure. Depression exhibited a stronger impact on self-care than other psychological factors. Limited studies assessed stress and type-D personality; the results should be considered with caution. Further studies are warranted on different psychological factors and their underlying mechanisms in individuals with heart failure.
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Affiliation(s)
- Zequan Wang
- School of Nursing, University of Connecticut, Storrs, CT 06269, USA
- Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, 231 Glenbrook Rd, Storrs, CT 06269, USA
| | - Christine Tocchi
- School of Nursing, University of Connecticut, Storrs, CT 06269, USA
- Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, 231 Glenbrook Rd, Storrs, CT 06269, USA
| | - Deborah Chyun
- School of Nursing, University of Connecticut, Storrs, CT 06269, USA
| | - Kyounghae Kim
- College of Nursing, Korea University, 145 Anam-ro, Anam-dong, Seongbuk-gu, Seoul 02841, South Korea
- Institute of Nursing Research, Korea University, 145 Anam-ro, Anam-dong, Seongbuk-gu, Seoul 02841, South Korea
- Transdisciplinary Major in Learning Health Systems, Department of Healthcare Sciences, Graduate School, Korea University, 145 Anamro, Seongbuk-gu, Seoul 02841, South Korea
| | - Xiaomei Cong
- School of Nursing, University of Connecticut, Storrs, CT 06269, USA
- Center for Advancement in Managing Pain, School of Nursing, University of Connecticut, 231 Glenbrook Rd, Storrs, CT 06269, USA
| | - Angela Starkweather
- College of Nursing, University of Florida, 1225 Center Drive, Gainesville, FL 32610, USA
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Pietrabissa G, Cammisuli DM, Scarpina F, Volpi C, Crotti L, Mauro A, Gondoni LA, Castelnuovo G. Executive Attentional Dyscontrol as a Core Cognitive and Behavioral Feature of Individuals with Obesity and Cardiovascular Disease: A Cross-Sectional Investigation. Brain Sci 2023; 13:1182. [PMID: 37626538 PMCID: PMC10452331 DOI: 10.3390/brainsci13081182] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Revised: 08/03/2023] [Accepted: 08/08/2023] [Indexed: 08/27/2023] Open
Abstract
Executive attention as a frontal domain ability that is effective in potentially blocking distracting information, reconciling conflicts among simultaneous attentional demands, and regulating impulsive behavior may be impaired in individuals with obesity and cardiovascular disease (CVD). This study aimed (i) to explore the presence of selected cognitive (global cognitive impairment, sensitivity to interference, and attention) and psychological (quality of life, depression, anxiety, and impulsivity) dimensions and (ii) to examine the interactive relationship between attentional dyscontrol-both as a psychological and as a cognitive measure-and the above-mentioned variables in a sample of patients with CVD attending a cardiac rehabilitation program across different body mass index (BMI) levels. Clinical information of 104 patients with CVD was retrospectively collected. Participants were classified into three groups according to their BMI as follows: normal weight (NW = 30), overweight (OW = 19), and obese (OB = 55). Individuals with CVD and a higher BMI showed problems in controlling executive attention-through both neuropsychological and behavioral measures. Specifically, OB patients demonstrated reduced sensitivity to cognitive interference, lower capabilities in divided attention during visual-tracking tasks, and greater impulsivity compared to NW patients. This behavioral characteristic was also found to be correlated with higher levels of anxiety and depression and a lower quality of life. Implications for cognitive rehabilitation were discussed to offer directions for better management of patients with CVD and obesity.
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Affiliation(s)
- Giada Pietrabissa
- Department of Psychology, Catholic University of Milan, 20123 Milan, Italy; (G.P.); (G.C.)
- I.R.C.C.S. Istituto Auxologico Italiano, Clinical Psychology Research Laboratory, 20149 Milan, Italy
| | - Davide Maria Cammisuli
- Department of Psychology, Catholic University of Milan, 20123 Milan, Italy; (G.P.); (G.C.)
| | - Federica Scarpina
- I.R.C.C.S. Istituto Auxologico Italiano, Neurology and Neurorehabilitation Department, San Giuseppe Hospital, 28824 Piancavallo, VCO, Italy; (F.S.); (A.M.)
- Department of Neuroscience “Rita Levi Montalicini”, University of Turin, 10126 Turin, Italy
| | - Clarissa Volpi
- I.R.C.C.S. Istituto Auxologico Italiano, Cardiac Rehabilitation Department, San Luca Hospital, 20149 Milan, Italy; (C.V.); (L.C.)
| | - Lia Crotti
- I.R.C.C.S. Istituto Auxologico Italiano, Cardiac Rehabilitation Department, San Luca Hospital, 20149 Milan, Italy; (C.V.); (L.C.)
- Department of Medicine and Surgery, Milano Bicocca University, 20126 Milan, Italy
| | - Alessandro Mauro
- I.R.C.C.S. Istituto Auxologico Italiano, Neurology and Neurorehabilitation Department, San Giuseppe Hospital, 28824 Piancavallo, VCO, Italy; (F.S.); (A.M.)
- Department of Neuroscience “Rita Levi Montalicini”, University of Turin, 10126 Turin, Italy
| | - Luca Alessandro Gondoni
- I.R.C.C.S. Istituto Auxologico Italiano, Cardiac Rehabilitation Department, San Giuseppe Hospital, 28824 Piancavallo, VCO, Italy;
| | - Gianluca Castelnuovo
- Department of Psychology, Catholic University of Milan, 20123 Milan, Italy; (G.P.); (G.C.)
- I.R.C.C.S. Istituto Auxologico Italiano, Clinical Psychology Research Laboratory, 20149 Milan, Italy
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Aljohani KA. Self-care practices among heart failure patients: A cross-sectional study in Saudi population. Saudi Med J 2023; 44:277-283. [PMID: 36940960 PMCID: PMC10043890 DOI: 10.15537/smj.2023.44.3.20220799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2022] [Accepted: 01/16/2023] [Indexed: 03/23/2023] Open
Abstract
OBJECTIVES To describe self-care practices among Saudi heart failure (HF) patients and identify sociodemographic characteristics contributing to self-care practices. METHODS A cross-sectional study utilizing the Arabic-language version of the revised Self-Care of Heart Failure Index (SCHFI), version 7-2. A convenience sample of 245 people treated for HF at a tertiary heart center in the Kingdom of Saudi Arabia were recruited from June to August 2020. RESULTS Statistical descriptions of SCHFI showed that confidence level was 84%, maintenance level was 67.5%, and monitoring level was 67.2%. Females' HF management (p=0.023) and confidence (p=0.002) were significantly higher than male participants. In addition, education level and employment status had a significant effect on HF monitoring with a p-value of 0.006 for the 4 employment categories (F=[3,241]=4.06, p=0.008, h2=0.048). The effect size was small to medium for education level and employment status in the abovementioned results. Confidence significantly contributed to explaining all self-care sub-scale scores. Independent variables significantly predicted monitoring subscale scores (R2=0.082, F=[7,237]=3.027, p=0.005). CONCLUSION Self-care practices in this study showed higher scores than those reported in international studies. Further studies are warranted to explore everyday self-care needs and challenges among HF patients.
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Affiliation(s)
- Khalid A. Aljohani
- From the Department of Community Health Nursing, College of Nursing, Taibah University, Al Madinah al Munawarah, Kingdom of Saudi Arabia.
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Al-hammouri MM, Rababah J, Ta'an W. Psychometric properties of the Arabic version of Barratt Impulsiveness Scale 11: The development of short form. Arch Psychiatr Nurs 2023. [PMID: 37032002 DOI: 10.1016/j.apnu.2022.12.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/30/2022] [Revised: 12/12/2022] [Accepted: 12/28/2022] [Indexed: 01/05/2023]
Abstract
Impulsivity is an important mental health-related variable that has been associated with various human behaviors. The Barratt Impulsiveness Scale is the most frequently used measure to examine impulsivity. However, its psychometric and factor structure was not examined in Arabic speaking population. The goal of the current study was to examine the psychometric properties and factor structure of the Barratt Impulsiveness Scale in Arabic speaking population. The current study used a cross-sectional design. Two independent samples were recruited: college students (N = 250) and persons with heart failure (N = 165). Exploratory factor analysis, then a series of confirmatory factor analyses were used to assess one- and three-factor models of the Barratt Impulsiveness Scale (30 items; i.e., BIS-11) and Barratt Impulsiveness Scale (15 items; i.e., BIS-15). Because our analysis did not support the factor structure of the previous versions of the Barratt Impulsiveness Scale, we used confirmatory factor analysis to evaluate the model structure of the single-factor measure. To assess the measurement invariance, the newly developed measure was examined across different genders and populations. Due to poor psychometrics of BIS-11 and BIS-15, a short form (BIS-SF) was developed; and validity, reliability, and measurement invariance were supported. The current analysis showed that BIS-11 and BIS-15 have poor psychometrics. Thus, there was a need to improve the measure by reducing the number of items and re-evaluating the psychometrics of the new measure. The BIS-SF is a reliable, valid tool to assess impulsivity in our samples. Other studies need to support the current study findings in populations with other chronic illnesses.
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Rababah JA, Al-Hammouri MM, Tawalbeh L, Alhawatmeh H, Hasan M. Self-care among persons with heart failure: Examining the impact of mindfulness and impulsivity using conditional process analysis. Nurs Forum 2022; 57:558-567. [PMID: 35289949 DOI: 10.1111/nuf.12719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2021] [Revised: 01/24/2022] [Accepted: 03/01/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND According to the literature, self-care in persons with heart failure is inadequate. Such inadequate levels of self-care necessitate a thorough investigation of the potential predictors. PURPOSE To: (a) determine the level of self-care among persons with heart failure in Jordan; (b) determine the relationship between mindfulness, impulsivity, and self-care among persons with heart failure; (c) investigate the potential moderation effect of impulsivity on the relationship between mindfulness and self-care. METHODS A cross-sectional study was conducted. A convenience sample of 100 persons with heart failure in an outpatient clinic at King Abdullah University Hospital was recruited. The following tools were used to collect the data via phone survey: Self-Care of Heart Failure Index, Barratt Impulsiveness Scale, and the Mindful Attention Awareness Scale. RESULTS The sample consisted of 78 male and 22 female persons with heart failure. The effect of mindfulness was statistically significant only on self-care symptom perception, and not significant on other aspects of self-care. Impulsivity moderated only the effect of mindfulness on self-care symptom perception. Correlation analysis showed a significant relationship between mindfulness and impulsivity (r = -.532, p < .01). CONCLUSION Mindfulness is likely to improve at least one aspect of self-care (self-care symptom perception) and reduce impulsivity among heart failure persons.
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Affiliation(s)
- Jehad A Rababah
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | | | - Loai Tawalbeh
- Princess Salma Faculty of Nursing, Al Al-Bayt University, Al-Mafraq, Jordan
| | - Hossam Alhawatmeh
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
| | - Mohammad Hasan
- Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan
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Abstract
Impulsivity is a central concept for many psychological models and interventions. Despite extensive research, the concept of impulsivity lacks clarity due to the diversity of definitions provided. The aims of this study were to conduct a concept analysis of impulsivity to provide a clear and workable definition of impulsivity for future nursing research. This study used Rodgers' evolutionary concept analysis approach to analyze 37 articles from various disciplines. Our analysis offers promising direction in refining the concept. The findings can drive future research and enhance nurse researchers' ability to attend and explore health-related issues associated with the concept.
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Affiliation(s)
- Mohammed Munther Al-Hammouri
- Jordan University of Science and Technology, Irbid, Jordan (Drs Al-Hammouri and Rababah); and University of Louisville, Louisville, Kentucky (Dr Shawler)
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