Abstract 16235: Examining the Relationship Between Perceived Control Over the Heart Disease, Depressive Symptoms and Wellbeing and in Patients With Heart Failure and Their Spouses, an Actor-Partner Interdependence Model
Introduction: Patients often perceive low control over their heart failure condition. Caregivers’ perception of control is related to their own well-being and caregiver burden. There is a knowledge gap on the reciprocal influences of perceived control over the heart failure in relation to physical and emotional distress in patients with heart failure and their caregiving spouses.
Aims: The aim of this study was to examine the dyadic associations of perceived control, depressive symptoms, physical and emotional well-being in patients with heart failure and their spouses.
Methods: 155 patient-spouse dyads (patients 75% males, mean age 71 years, 53% in NYHA III and spouses 75% females, mean age 69 years) participated. Data were collected using Control Attitude Scale, Beck Depression Inventory, and Short-Form 36 and analyzed using the Actor-Partner Interdependence Model investigating the relationship within dyads using a regression framework.
Results: Perceived control had an actor effect in patients on emotional health (β= .243. p= .006) and symptoms of depression (β= -.284. p= .004). This was not seen in the spouses. A partner effect of perceived control on emotional well-being was revealed for both patients (β= .334. p< .001) and spouses (β= .381. p< .001). A partner effect was revealed between perceived control and depression for both patients (β= -.269. p= .004) and spouses (β= -.269. p= .002). Depressive symptoms exhibited an actor effect, for patients and spouses, on both physical and emotional health. No partner effects of depressive symptoms or perceived control were found on the physical health, in neither patients nor spouses.
Conclusions: Both patients’ and spouses’ perceived control influenced the emotional health of the other part. Patients’ with higher perceived control had better emotional well-being and less depressive symptoms, but the same was not found in spouses. Having depressive symptoms was related to one’s own physical and emotional health in patients and spouses, but they did not influence each other. More research on the relationship between perceived control and health is needed to guide the development of dyadic interventions that can increase control over the heart disease.
Author Disclosures: A. Strömberg: None. M. Liljeroos: None. K. Årestedt: None. M. Chung: None.
- © 2016 by American Heart Association, Inc.