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Quality of Life Research
Erschienen in: Quality of Life Research 11/2016

31.05.2016

Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy

verfasst von: Maria Daniela Giammanco, Lara Gitto

Erschienen in: Quality of Life Research | Ausgabe 11/2016

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Abstract

Objectives

Being hospitalized often causes psychological distress and compromises patients’ psychological well-being, thereby augmenting the burden of illness. The aim of this paper is to investigate two possible determinants of anxiety and depression among hospitalized cardiac patients, namely uncertainty in illness, and coping strategies, controlling for the perceived health-related quality of life, and distinguishing between borderline and pathological levels of anxiety and depression.

Methods

Data on anxiety, depression, coping style, uncertainty in illness and self-assessed quality of life concerning 200 cardiac inpatients from a university hospital were collected through validated questionnaires. A biprobit analysis, whose dependent variables are hospital anxiety and depression, was carried out.

Results

Uncertainty in illness has a significant impact on the possibility of crossing the borderline level of both anxiety and depression. The coping strategy of Positive Reappraisal and Growth is inversely and significantly correlated to anxiety and depression, be it borderline or pathological; the Restraint Coping strategy is positively and significantly related to borderline anxiety.

Conclusions

The reduction of uncertainty in illness and the development of adequate coping strategies should be promoted in order to decrease the patients’ risk of crossing the borderline threshold of anxiety and depression.
Vorheriger Artikel Factors associated with quality of life of caregivers of Mexican cancer patients
Nächster Artikel Main predictors in health-related quality of life in Chinese patients with type 2 diabetes mellitus

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Fußnoten
1
The strongest effect on the probability of reporting both anxiety and depression (or neither of them) might appear to result from the variable EQ-5D. However, this is due to the fact that the EQ-5D has a numerically small range from −0.06 to 1 while other variables, such as health uncertainty (MUIS), have, by definition, a much larger range.
 
2
The marginal effects show the impact of the unit change of each covariate on the probability of reporting the outcome considered: for example, a unit change in the MUIS score (i.e. in the uncertainty measured with the MUIS scale) determines a higher probability of reporting both anxiety and depression (+1.3 in percentage terms). A unit change in the score for COPE positive interpretation item leads to a decrease in the probability of reporting anxiety and depression (−2.8 %).
 
3
These are: the probability of experiencing anxiety and depression, only anxiety, only depression, no anxiety and no depression.
 
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Metadaten
Titel
Coping, uncertainty and health-related quality of life as determinants of anxiety and depression on a sample of hospitalized cardiac patients in Southern Italy
verfasst von
Maria Daniela Giammanco
Lara Gitto
Publikationsdatum
31.05.2016
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 11/2016
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1323-5

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