Hostname: page-component-78c5997874-94fs2 Total loading time: 0 Render date: 2024-11-10T13:14:50.120Z Has data issue: false hasContentIssue false
  • English
  • Français

Optimism and quality of life in patients with heart failure

Published online by Cambridge University Press:  04 December 2017

I.H. Kraai ,
K.M. Vermeulen ,
H.L. Hillege ,
T. Jaarsma  and
T. Hoekstra
I.H. Kraai*
Affiliation:
Department of Cardiology, University Medical Center Groningen, University of Groningen, The Netherlands
K.M. Vermeulen
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
H.L. Hillege
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
T. Jaarsma
Affiliation:
Department of Social and Welfare Studies, Faculty of Medicine and Health Sciences, Linköping University, Linköping, Sweden Mary MacKillop Institute, Australian Catholic University, Melbourne, Australia
T. Hoekstra
Affiliation:
Department of Epidemiology, University Medical Center Groningen, University of Groningen, The Netherlands
*
Author for correspondence: I.H. Kraai, Department of Cardiology, University Medical Center Groningen, University of Groningen, PO Box 30.001 HPC AB 41, 9700 RB Groningen, The Netherlands. E-mail: i.h.kraai@xs4all.nl
Get access Rights & Permissions [Opens in a new window]

Abstract

Objectives

Health-related quality of life (HR-QoL) of patients with heart failure (HF) is low despite the aim of HF treatment to improve HR-QoL. To date, most studies have focused on medical and physical factors in relation to HR-QoL, few data are available on the role of emotional factors such as dispositional optimism. This study examines the prevalence of optimism and pessimism in HF patients and investigates how optimism and pessimism are associated with different patient characteristics and HR-QoL.

Methods

Dispositional optimism was assessed in 86 HF patients (mean age 70 ± 9 years, 28% female, mean left ventricular ejection fraction 33%) with the Revised Life Orientation Test (LOT-R). HR-QoL was assessed with the Minnesota Living with Heart Failure Questionnaire and the EuroQol.

Results

The (mean ± SD) total score on the LOT-R was 14.6 ± 2.9 (theoretical range 0–24) and the scores on the subscales optimism and pessimism were 8.1 ± 1.9 and 5.5 ± 2.5, respectively. Higher age was related to more optimism (r = 0.22, p < 0.05), and optimism was associated with higher generic HR-QoL (B = 0.04, p < 0.05).

Significance of results

The association found between optimism and generic HR-QoL of HF patients can lead to promising strategies to improve HF patients’ HR-QoL, particularly because the literature has indicated that optimism is a modifiable condition.

Keywords

OptimismPessimismHealth-related quality of lifeHeart failure
Type
Original Article
Information
Palliative & Supportive Care , Volume 16 , Issue 6 , December 2018 , pp. 725 - 731
Copyright
Copyright © Cambridge University Press 2017 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Allison, PJ, Guichard, C and Gilain, L (2000) A prospective investigation of dispositional optimism as a predictor of health-related quality of life in head and neck cancer patients. Quality of Life Research 9(8), 951–960.Google Scholar
Antoni, MH, Lehman, JM, Kilbourn, KM et al. (2001) Cognitive-behavioral stress management intervention decreases the prevalence of depression and enhances benefit finding among women under treatment for early-stage breast cancer. Health Psychology 20(1), 20–32.Google Scholar
Applebaum, AJ, Stein, EM, Lord-Bessen, J et al. (2014) Optimism, social support, and mental health outcomes in patients with advanced cancer. Psychooncology 23(3), 299–306.Google Scholar
Blank, TO and Bellizzi, KM (2006) After prostate cancer: Predictors of well-being among long-term prostate cancer survivors. Cancer 106(10), 2128–2135.Google Scholar
Brooks, R (1996) EuroQol: The current state of play. Health Policy 37(1), 53–72.Google Scholar
Bruggink-Andre de la Porte, PW, Lok, DJ, van Wijngaarden, J et al. (2005) Heart failure programmes in countries with a primary care-based health care system. Are additional trials necessary? Design of the DEAL-HF study. European Journal of Heart Failure 7(5), 910–920.Google Scholar
Carver, CS, Smith, RG, Petronis, VM and Antoni, MH (2006) Quality of life among long-term survivors of breast cancer: Different types of antecedents predict different classes of outcomes. Psychooncology 15(9), 749–758.Google Scholar
Carver, CS, Pozo-Kaderman, C, Harris, SD et al. (1994) Optimism versus pessimism predicts the quality of women's adjustment to early stage breast cancer. Cancer 73(4), 1213–1220.Google Scholar
Chang, EC, D'Zurilla, TJ and Maydey-Olivares, A (1994) Assessing the dimensionality of optimism and pessimism using a multimeasure approach. Cognitive Therapy and Research 18(2), 143–160.Google Scholar
Dahlstrom, U (2005) Frequent non-cardiac comorbidities in patients with chronic heart failure. European Journal of Heart Failure 7(3), 309–316.Google Scholar
Dolan, P and Gudex, C (1995) Time preference, duration and health state valuations. Health Economics 4(4), 289–299.Google Scholar
Dyer, MT, Goldsmith, KA, Sharples, LS and Buxton, MJ (2010) A review of health utilities using the EQ-5D in studies of cardiovascular disease. Health and Quality of Life Outcomes 8, 13.Google Scholar
Epping-Jordan, JE, Compas, BE, Osowiecki, DM et al. (1999) Psychological adjustment in breast cancer: Processes of emotional distress. Health Psychology 18(4), 315–326.Google Scholar
Flynn, KE, Lin, L, Ellis, SJ et al. (2009) Outcomes, health policy, and managed care: Relationships between patient-reported outcome measures and clinical measures in outpatients with heart failure. American Heart Journal 158(4 Suppl), S64–S71.Google Scholar
Garin, O, Ferrer, M, Pont, A et al. (2009) Disease-specific health-related quality of life questionnaires for heart failure: A systematic review with meta-analyses. Quality of Life Research 18(1), 71–85.Google Scholar
Giardini, A, Pierobon, A, Majani, G et al. (2012) Perception of illness and dispositional optimism in a sample of patients with chronic heart failure. Giornale Italiano di Medicina del Lavoro ed Ergonomia 34(2 Suppl B), B38–B44.Google Scholar
Guyatt, GH, Feeny, DH and Patrick, DL (1993) Measuring health-related quality of life. Annals of Internal Medicine 118(8), 622–629.Google Scholar
Herzberg, PY, Glaesmer, H and Hoyer, J (2006) Separating optimism and pessimism: A robust psychometric analysis of the revised life orientation test (LOT-R). Psychological Assessments 18(4), 433–438.Google Scholar
Hoekstra, T, Lesman-Leegte, I, van Veldhuisen, DJ, Sanderman, R and Jaarsma, T (2011) Quality of life is impaired similarly in heart failure patients with preserved and reduced ejection fraction. European Journal of Heart Failure 13(9), 1013–1018.Google Scholar
Hoekstra, T, Jaarsma, T, van Veldhuisen, DJ et al. (2013) Quality of life and survival in patients with heart failure. European Journal of Heart Failure 15(1), 94–102.Google Scholar
Jaarsma, T, van der Wal, MH, Lesman-Leegte, I et al. (2008) Effect of moderate or intensive disease management program on outcome in patients with heart failure: Coordinating study evaluating outcomes of advising and counseling in heart failure (COACH). Archives of Internal Medicine 168(3), 316–324.Google Scholar
Johansson, P, Agnebrink, M, Dahlstrom, U and Brostrom, A (2004) Measurement of health-related quality of life in chronic heart failure, from a nursing perspective-a review of the literature. European Journal of Cardiovascular Nursing 3(1), 7–20.Google Scholar
Juenger, J, Schellberg, D, Kraemer, S et al. (2002) Health related quality of life in patients with congestive heart failure: Comparison with other chronic diseases and relation to functional variables. Heart 87(3), 235–241.Google Scholar
Kim, ES, Smith, J and Kubzansky, LD (2014) Prospective study of the association between dispositional optimism and incident heart failure. Circulation: Heart Failure 7(3), 394–400.Google Scholar
Kind, P, Hardman, G and Macran, S (1999) UK population norms for the EQ-5D. Centre for Health Economics, University of York. Working papers.Google Scholar
Kraai, IH, Vermeulen, KM, Luttik, ML et al. (2013) Preferences of heart failure patients in daily clinical practice: Quality of life or longevity? European Journal of Heart Failure 15(10), 1113–1121.Google Scholar
Kraai, IH, Luttik, ML, Johansson, P et al. (2012) Health-related quality of life and anemia in hospitalized patients with heart failure. International Journal of Cardiology 161(3), 151–155.Google Scholar
Kubzansky, LD, Kubzansky, PE and Maselko, J (2004) Optimism and pessimism in the context of health: Bipolar opposites or separate constructs? Personality and Social Psychology Bulletin 30(8), 943–956.Google Scholar
Lee, V, Robin Cohen, S, Edgar, L, Laizner, AM and Gagnon, AJ (2006) Meaning-making intervention during breast or colorectal cancer treatment improves self-esteem, optimism, and self-efficacy. Social Science & Medicine 62(12), 3133–3145.Google Scholar
Leeming, A, Murray, SA and Kendall, M (2014) The impact of advanced heart failure on social, psychological and existential aspects and personhood. European Journal of Cardiovascular Nursing 13(2), 162–167.Google Scholar
Lesman-Leegte, I, Jaarsma, T, Sanderman, R, Linssen, G and van Veldhuisen, DJ (2006) Depressive symptoms are prominent among elderly hospitalised heart failure patients. European Journal of Heart Failure 8(6), 634–640.Google Scholar
Lesman-Leegte, I, Jaarsma, T, Coyne, JC et al. (2009a) Quality of life and depressive symptoms in the elderly: A comparison between patients with heart failure and age- and gender-matched community controls. Journal of Cardiac Failure 15(1), 17–23.Google Scholar
Lesman-Leegte, I, van Veldhuisen, DJ, Hillege, HL et al. (2009b) Depressive symptoms and outcomes in patients with heart failure: Data from the COACH study. European Journal of Heart Failure 11(12), 1202–1207.Google Scholar
McMurray, JJ, Adamopoulos, S, Anker, SD et al. (2012) ESC guidelines for the diagnosis and treatment of acute and chronic heart failure 2012: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2012 of the European Society of Cardiology. Developed in collaboration with the heart failure association (HFA) of the ESC. European Journal of Heart Failure 14(8), 803–869.Google Scholar
Mommersteeg, PM, Denollet, J, Spertus, JA and Pedersen, SS (2009) Health status as a risk factor in cardiovascular disease: A systematic review of current evidence. American Heart Journal 157(2), 208–218.Google Scholar
Moser, DK, Heo, S, Lee, KS et al. (2013) 'It could be worse … lots worse!' why health-related quality of life is better in older compared with younger individuals with heart failure. Age and Ageing 42(5), 626–632.Google Scholar
Rahimi, K, Malhotra, A, Banning, AP and Jenkinson, C (2010) Outcome selection and role of patient reported outcomes in contemporary cardiovascular trials: Systematic review. British Medical Journal 341, c5707.Google Scholar
Rector, TS and Cohn, JN (1992) Assessment of patient outcome with the minnesota living with heart failure questionnaire: Reliability and validity during a randomized, double-blind, placebo-controlled trial of pimobendan. pimobendan multicenter research group. American Heart Journal 124(4), 1017–1025.Google Scholar
Robinson-Whelen, S, Kim, C, MacCallum, RC and Kiecolt-Glaser, JK (1997) Distinguishing optimism from pessimism in older adults: Is it more important to be optimistic or not to be pessimistic? Journal of Personality and Social Psychology 73(6), 1345–1353.Google Scholar
Scheier, MF and Carver, CS (1992) Effects of optimism on psychological and physical well-being: Theoretical overview and empirical update. Cognitive Therapy and Research 16(2), 201–228.Google Scholar
Scheier, MF and Carver, CS (1985) Optimism, coping, and health: Assessment and implications of generalized outcome expectancies. Health Psychology 4(3), 219–247.Google Scholar
Scheier, MF, Carver, CS and Bridges, MW (1994) Distinguishing optimism from neuroticism (and trait anxiety, self-mastery, and self-esteem): A reevaluation of the life orientation test. Journal of Personality and Social Psychology 67(6), 1063–1078.Google Scholar
Scheier, MF, Helgeson, VS, Schulz, R et al. (2007) Moderators of interventions designed to enhance physical and psychological functioning among younger women with early-stage breast cancer. Journal of Clinical Oncology 25(36), 5710–5714.Google Scholar
Schou, I, Ekeberg, O, Sandvik, L, Hjermstad, MJ and Ruland, CM (2005) Multiple predictors of health-related quality of life in early stage breast cancer. data from a year follow-up study compared with the general population. Quality of Life Research 14(8), 1813–1823.Google Scholar
Schowalter, M, Gelbrich, G, Stork, S et al. (2013) Generic and disease-specific health-related quality of life in patients with chronic systolic heart failure: Impact of depression. Clinical Research in Cardiology 102(4), 269–278.Google Scholar
Sneed, NV, Paul, S, Michel, Y, Vanbakel, A and Hendrix, G (2001) Evaluation of 3 quality of life measurement tools in patients with chronic heart failure. Heart and Lung 30(5), 332–340.Google Scholar
Steel, P, Schmidt, J and Shultz, J (2008) Refining the relationship between personality and subjective well-being. Psychological Bulletin 134(1), 138–161.Google Scholar
Steptoe, A, Wright, C, Kunz-Ebrecht, SR and Iliffe, S (2006) Dispositional optimism and health behaviour in community-dwelling older people: Associations with healthy ageing. Br J Health Psychology 11(Pt 1), 71–84.Google Scholar
Sulkers, E, Fleer, J, Brinksma, A et al. (2013) Dispositional optimism in adolescents with cancer: Differential associations of optimism and pessimism with positive and negative aspects of well-being. British Journal of Health Psychology 18(3), 474–489.Google Scholar
Tamagawa, R, Garland, S, Vaska, M and Carlson, LE (2012) Who benefits from psychosocial interventions in oncology? A systematic review of psychological moderators of treatment outcome. Journal of Behavioral Medicine 35(6), 658–673.Google Scholar
Tusaie, KR and Patterson, K (2006) Relationships among trait, situational, and comparative optimism: Clarifying concepts for a theoretically consistent and evidence-based intervention to maximize resilience. Archives of Psychiatric Nursing 20(3), 144–150.Google Scholar
van Mierlo, ML, Schroder, C, van Heugten, CM et al. (2014) The influence of psychological factors on health-related quality of life after stroke: A systematic review. International Journal of Stroke 9(3), 341–348.Google Scholar
Zenger, M, Brix, C, Borowski, J, Stolzenburg, JU and Hinz, A (2010) The impact of optimism on anxiety, depression and quality of life in urogenital cancer patients. Psychooncology 19(8), 879–886.Google Scholar