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Title
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Patient-reported causes of heart failure in a large European sample
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Author
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Abstract
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| Background: Patients diagnosed with chronic diseases develop perceptions about their disease and its causes, which may influence health behavior and emotional well-being. This is the first study to examine patient-reported causes and their con-elates in patients with heart failure. Methods: European heart failure patients (N = 595) completed questionnaires, including the Brief Illness Perceptions Questionnaire. Using deductive thematic analysis, patient-reported causes were categorized into physical, natural, behavioral, psychosocial, supernatural and other. Clinical data were collected from medical records. Results: Patients who did not report any cause (11%) were on average lower educated and participated less often in cardiac rehabilitation. The majority of the remaining patients reported physical causes (46%, mainly comorbidities), followed by behavioral (38%, mainly smoking), psychosocial (35%, mainly (work-related) stress), and natural causes (32%, mainly heredity). There were socio-demog,raphic, clinical and psychological group differences between the various categories, and large discrepancies between prevalence of physical risk factors according lo medical records and patient-reporled causes; e.g. 58% had hypertension, while only 5% reported this as a cause. Mullivariable analyses indicated trends towards associations between physical causes and poor health status (Odds ratio (OR) = 141, 95% confidence interval (95% CI) = 0.95-2.09, p = 0.09), psychosocial causes and psychological distress (OR = 1.54, 95% CI = 0.94-2.51, p = 0.09), and behavioral causes and a less threatening view of heart failure (OR = 0.64, 95% CI = 0.40-1.01, p = 0.06). Conclusion: European patients most frequently reported comorbidilies, smoking, stress, and heredity as heart failure causes, but their causal understanding may be limited. There were trends towards associations between patient-reported causes and health status, psychological distress, and illness perceptions. (C) 2018 Elsevier B.V. All rights reserved. |
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Language
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English
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Source (journal)
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International journal of cardiology. - Amsterdam, 1981, currens
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Publication
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Amsterdam
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2018
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ISSN
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0167-5273
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DOI
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10.1016/J.IJCARD.2018.01.113
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Volume/pages
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258
(2018)
, p. 179-184
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ISI
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000427605700038
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Pubmed ID
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29426633
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Full text (Publisher's DOI)
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