Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms.

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Title: Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms.
Authors: Chung, Misook, Moser, Debra, Lennie, Terry, Frazier, Susan
Source: Quality of Life Research. Sep2013, Vol. 22 Issue 7, p1555-1563. 9p. 1 Diagram, 6 Charts, 1 Graph.
Subjects: Heart failure treatment, Social support, Quality of life, Mental depression, Symptoms, Heart disease related mortality, Moderator variables
Abstract: Purpose: Depressive symptoms and inadequate social support are well-known independent predictors of increased mortality and morbidity in heart failure (HF). However, it is unclear how depressive symptoms and social support interact to influence quality of life. Thus, the purpose of this study was to determine the nature of the relationships (direct, mediator, and moderator) among depressive symptoms, social support, and quality of life in patients with HF. Methods: We performed a secondary data analysis that included 362 patients with HF who completed the measures of depressive symptoms (the Beck Depression Inventory-II), perceived social support (the Multidimensional Scale of Perceived Social Support), and quality of life (the Minnesota Living with Heart Failure Questionnaire) instruments. The direct, mediator, and moderator effects of both depressive symptoms and social support on quality of life were tested using multiple regressions and 2 × 2 ANCOVA. Results: Less social support and greater depressive symptoms independently predicted poorer quality of life. The relationship between social support and quality of life was mediated by depressive symptoms. Neither social support nor depressive symptoms moderated quality of life. Conclusion: Promotion of social support will improve quality of life only when depressive symptoms are also effectively managed. [ABSTRACT FROM AUTHOR]
Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms.
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  Data: <searchLink fieldCode="AR" term="%22Chung%2C+Misook%22">Chung, Misook</searchLink><br /><searchLink fieldCode="AR" term="%22Moser%2C+Debra%22">Moser, Debra</searchLink><br /><searchLink fieldCode="AR" term="%22Lennie%2C+Terry%22">Lennie, Terry</searchLink><br /><searchLink fieldCode="AR" term="%22Frazier%2C+Susan%22">Frazier, Susan</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Quality+of+Life+Research%22">Quality of Life Research</searchLink>. Sep2013, Vol. 22 Issue 7, p1555-1563. 9p. 1 Diagram, 6 Charts, 1 Graph.
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  Data: <searchLink fieldCode="DE" term="%22Heart+failure+treatment%22">Heart failure treatment</searchLink><br /><searchLink fieldCode="DE" term="%22Social+support%22">Social support</searchLink><br /><searchLink fieldCode="DE" term="%22Quality+of+life%22">Quality of life</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+disease+related+mortality%22">Heart disease related mortality</searchLink><br /><searchLink fieldCode="DE" term="%22Moderator+variables%22">Moderator variables</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Purpose: Depressive symptoms and inadequate social support are well-known independent predictors of increased mortality and morbidity in heart failure (HF). However, it is unclear how depressive symptoms and social support interact to influence quality of life. Thus, the purpose of this study was to determine the nature of the relationships (direct, mediator, and moderator) among depressive symptoms, social support, and quality of life in patients with HF. Methods: We performed a secondary data analysis that included 362 patients with HF who completed the measures of depressive symptoms (the Beck Depression Inventory-II), perceived social support (the Multidimensional Scale of Perceived Social Support), and quality of life (the Minnesota Living with Heart Failure Questionnaire) instruments. The direct, mediator, and moderator effects of both depressive symptoms and social support on quality of life were tested using multiple regressions and 2 × 2 ANCOVA. Results: Less social support and greater depressive symptoms independently predicted poorer quality of life. The relationship between social support and quality of life was mediated by depressive symptoms. Neither social support nor depressive symptoms moderated quality of life. Conclusion: Promotion of social support will improve quality of life only when depressive symptoms are also effectively managed. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Quality of Life Research is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – Type: doi
        Value: 10.1007/s11136-012-0294-4
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      – Code: eng
        Text: English
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        Type: general
      – SubjectFull: Social support
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      – SubjectFull: Quality of life
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      – SubjectFull: Mental depression
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      – SubjectFull: Symptoms
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      – SubjectFull: Heart disease related mortality
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      – TitleFull: Perceived social support predicted quality of life in patients with heart failure, but the effect is mediated by depressive symptoms.
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              M: 09
              Text: Sep2013
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