Cognitive impairment, symptoms of depression, and health-related quality of life in patients with severe stable heart failure

• Joanna M. Moryś ^[1] ; Maria Pąchalska ^[2] ; Jerzy Bellwon ^[2] ; Marcin Gruchała ^[1]
  1. [1] Gdańsk Medical University

     Gdańsk Medical University

     Gdańsk, Polonia

     
  2. [2] Krakowska Akademia im. Andrzeja Frycza Modrzewskiego
• Localización: International journal of clinical and health psychology, ISSN 1697-2600, Vol. 16, Nº. 3, 2016, págs. 230-238
• Idioma: inglés
• DOI: 10.1016/j.ijchp.2016.03.002
• Títulos paralelos:
  • Deterioro cognitivo, síntomas depresivos y calidad de vida relacionada con la salud en pacientes con insuficiencia cardiaca estable severa
• Enlaces
  • Texto completo (pdf)
• Dialnet Métricas: 6 Citas
• Resumen
  • español

    Antecedentes/Objetivo: Las enfermedades cardiovasculares y la depresión son comunes, y muchas veces coexistentes, empeorando la calidad de vida. Además, existen trastornos de funciones cognitivas omnipresentes en pacientes con insuficiencia cardiaca. Se observan deficiencias de distinto nivel de severidad en varios dominios cognitivos. Asimismo, en la depresión existen problemas cognitivos que podrían perjudicar el funcionamiento cotidiano, obstaculizar la adaptación a la enfermedad y empeorar los pronósticos. El objetivo del trabajo fue evaluar la relación entre calidad de vida, intensificación de trastornos depresivos y trastornos de ciertos aspectos de las funciones ejecutivas y memoria en pacientes con insuficiencia cardiaca grave y estable. Método: Los estudios se realizaron en un grupo de 50 pacientes con insuficiencia cardiaca grave y estable y otro de 50 pacientes con enfermedad coronaria, pero sin insuficiencia cardiaca. Resultados: Los resultados de las pruebas cognitivas son notablemente peores en el grupo con insuficiencia cardiaca en comparación con el grupo de control. Se observó una calidad de vida considerablemente peor y puntuaciones significativamente más altas en el BDI-II. No se demostró que los trastornos cognitivos influyeran en el empeoramiento de la calidad de vida. Sin embargo, se observó que los síntomas de depresión influían en la calidad de vida. Conclusiones: El factor que afecta significativamente a la calidad de vida es la intensificación de los síntomas depresivos.

  • English

    Background/Objective: Diseases of the cardiovascular system and depression are common, and they often coexist, significantly deteriorating the quality of life. Another factor influencing vital functions is impairment of cognitive functions occurring in patients with heart failure (HF). Deficits of different degrees of severity have been observed within a variety of cognitive domains. Cognitive deficits, which may impair daily functioning, hinder adaptation to the disease and worsen prognosis, are also observed in depression. The aim of this study was to assess the relationship between the quality of life, the severity of depressive disorders and disorders of certain executive functions, and memory in patients with severe, stable heart failure. Method: The study group consisted of 50 patients with stable, severe heart failure and 50 appropriately selected patients with coronary heart disease, without heart failure. Results: The results of cognitive tests are significantly lower in the HF group than in the control group. In the HF group, a significantly lower quality of life, as well as a higher result in the BDI-II test, was observed. No influence of cognitive disorders on the reduction in the quality of life was demonstrated. The factor that significantly affects the quality of life is the intensification of depression symptoms. Conclusions: The factor that significantly affects the quality of life is the intensification of depression symptoms.

• Referencias bibliográficas
  • Almeida, O. P., Garrido, G. J., Beer, C., Lautenschlager, N. T.,Arnolda, L., & Flicker, L. (2012). Cognitive and brain changesassociated...
  • Ampadu, J., & Morley, J. E. (2015). Heart failure and cognitivedysfunction. International Journal of Cardiology, 178, 12---23.
  • Angermann, C. E., Gelbrich, G., Stork, S., Schowalter, M., Deckert,J., Ertl, G., & Faller, H. (2011). Somatic correlates of comorbidmajor...
  • Arrebola-Moreno, A. L., Garcia-Retamero, R., Catena, A., Marfil-Álvarez, R., Melgares-Moreno, R., & Ramírez-Hernández, J. A.(2014). On...
  • Athilingam, P., D’Aoust, R. F., Miller, L., & Chen, L. (2013). Cogni-tive profile in persons with systolic and diastolic heart failure.Congestive...
  • Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh,J. (1961). An inventory for measuring depression. Archives ofGeneral Psychiatry,...
  • Benton, A. L., Hamsher, S. K., & Sivan, A. B. (1983). Multilingualaplasia examination (2nded.). Iowa City: IA: AJA Associates.
  • Brzeziński, J., Gaul, M., Hornowska, E., Jaworowska, A.,Machowski, A., & Zakrzewska, M. (2004). WAIS-R (PL)-ScaleWechsler Adult Intelligence-Revised...
  • Buck, H. G., Lee, C. S., Moser, D. K., Albert, N. M., Lennie, T.,Bentley, B., Worrall-Carter, L., & Riegel, B. (2012). Relation-ship between...
  • Carney, R. M., Freedland, K. E., Sheline, Y. I., & Weiss, E. S. (1997).Depression and coronary heart disease: A review for cardiolo-gists....
  • D’Elia, L. F., Satz, P., Uchiyama, C. L., & White, T. (1996). ColorTrails Test. Professional manual. Odesa FL: Psychological Assess-ment...
  • Dardiotis, E., Giamouzis, G., Mastrogiannis, D., Vogiatzi, C.,Skoularigis, J., Triposkiadis, F., & Hadjigeorgiou, G. M. (2012).Cognitive...
  • Delis, D. C., Kramer, J. H., Kaplan, E., & Ober, B. A. (1987). TheCalifornia Verbal Learning Test. New York: The PsychologicalCorporation.
  • Dimos, A. K., Stougiannos, P. N., Kakkavas, A. T., & Trikas, A. G.(2009). Depression and heart failure. Hellenic Journal of Cardi-ology,...
  • Doumas, M., Smolders, C., Brunfaut, E., Bouckaert, F., & Krampe,R. T. (2012). Dual task performance of working memory and pos-tural control...
  • Evans, V. C., Iverson, G. L., Yatham, L. N., & Lam, R. W. (2014). Therelationship between neurocognitive and psychosocial function-ing...
  • Folstein, M. F., Folstein, S. E., & Fanjiang, G. (2009). Short MentalStatus Assessment Scale. Clinical guide. Warszawa: PracowniaTestów...
  • Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). Mini-mentalstate. A practical method for grading the cognitive state ofpatients...
  • Garin, O., Herdman, M., Vilagut, G., Ferrer, M., Ribera, A., Rajmil,L., Valderas, J. M., Guillemin, F., Revicki, D., & Alonso, J.(2013)....
  • Gathright, E. C., Fulcher, M. J., Dolansky, M. A., Gunstad, J., Redle,J. D., Josephson, R., Moore, S. M., & Hughes, J. W. (2015). Cog-nitive...
  • Granados-Gámez, G., Roales-Nieto, J. G., Gil-Luciano, A., Moreno-San Pedro, E., & Márquez-Hernández, V. V. (2015). A longitudinalstudy...
  • Gruhn, N., Larsen, F. S., Boesgaard, S., Knudsen, G. M., Mortensen,S. A., Thomsen, G., & Aldershvile, J. (2001). Cerebral bloodflow in...
  • Höfer, S., Saleem, A., Stone, J., Thomas, R., Tulloch, H., & Oldridge,N. (2012). The MacNew Heart Disease Health-Related Qualityof Life...
  • Hwang, S. L., Liao, W. C., & Huang, T. Y. (2013). Predictors of qualityof life in patients with heart failure. Japan Journal of NursingScience,...
  • Iverson, G. L., & Lam, R. W. (2013). Rapid screening for perceivedcognitive impairment in major depressive disorder. Annals ofClinical...
  • Jaarsma, T., Johansson, P., Agren, S., & Stromberg, A. (2010). Qual-ity of life and symptoms of depression in advanced heart failurepatients...
  • Jokinen, H., Kalska, H., Mantyla, R., Pohjasvaara, T., Ylikoski, R.,Hietanen, M., Salonen, O., Kaste, M., & Erkinjuntti, T. (2006).Cognitive...
  • Kim, J. S., Hwang, S. Y., Shim, J. L., & Jeong, M. H. (2015). CognitiveFunction and Self-Care in Patients with Chronic Heart Failure.Korean...
  • Levin, S. N., Hajduk, A. M., McManus, D. D., Darling, C. E., Gurwitz,J. H., Spencer, F. A., Goldberg, R. J., & Saczynski, J. S. (2014).Cognitive...
  • Lim, L. L., Valenti, L. A., Knapp, J. C., Dobson, A. J., Plotnikoff,R., Higginbotham, N., & Heller, R. F. (1993). A self-administeredquality-of-life...
  • Łojek, E., & Stańczak, J. (2010). CVLT-California Verbal LearningTest. Warszawa: Laboratory of Psychological Tests of the PolishPsychological...
  • Łojek, E., & Stańczak, J. (2012). The Color Trails Test. Warszawa:Laboratory of Psychological Tests of the Polish PsychologicalAssociation.
  • McClintock, S. M., Husain, M. M., Greer, T. L., & Cullum, C. M.(2010). Association between depression severity and neurocog-nitive function...
  • Mory´s, J. M., Höfer, S., Rynkiewicz, A., & Oldridge, N. B.(2015). The Polish MacNew heart disease heath-related qual-ity of life questionnaire:...
  • Muller, J., Hess, J., & Hager, A. (2012). Minor symptoms of depres-sion in patients with congenital heart disease have a largerimpact...
  • Nordlund, A., Berggren, J., Holmstrom, A., Fu, M., & Wallin, A.(2015). Frequent Mild Cognitive Deficits in Several FunctionalDomains in...
  • Parnowski, T., & Jernajczyk, W. (1977). Beck’s depression inven-tory in the rating of mood in normal subjects and inpatients with affective...
  • Pressler, S. J. (2008). Cognitive functioning and chronic heart fail-ure: A review of the literature (2002-July 2007). Journal ofCardiovascular...
  • Pressler, S. J., Subramanian, U., Kareken, D., Perkins, S. M., Gradus-Pizlo, I., Sauve, M. J., Ding, Y., Kim, J., Sloan, R., Jaynes, H., &Shaw,...
  • Pressler, S. J., Subramanian, U., Kareken, D., Perkins, S. M., Gradus-Pizlo, I., Sauve, M. J., Ding, Y., Kim, J., Sloan, R., Jaynes, H., &Shaw,...
  • Rumsfeld, J. S., & Ho, P. M. (2005). Depression and cardiovasculardisease: A call for recognition. Circulation, 111, 250---253.
  • Sauve, M. J., Lewis, W. R., Blankenbiller, M., Rickabaugh, B., &Pressler, S. J. (2009). Cognitive impairments in chronic heartfailure:...
  • Stetkiewicz-Lewandowicz, A., & Borkowska, A. (2013). Neuropsy-chological tests in a group of patients with ischaemic heartdisease. Psychiatria...
  • Ubiegło, M., Uchmanowicz, I., Wleklik, M., Jankowska-Polańska, B.,& Kuśmierz, M. (2015). The effect of acceptance of illness on thequality...
  • Wechsler, D. A. (1981). Wechsler Adult Intelligence Scale-RevisedManual. New York: Psychological Corporation.
  • Wechsler, D. A. (1997). Wechsler Memory Scale (3rded.). San Anto-nio: Psychological Corporation.
  • Woo, M. A., Palomares, J. A., Macey, P. M., Fonarow, G. C., Harper,R. M., & Kumar, R. (2015). Global and regional brain meandiffusivity...